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FAQs About CRICO Privileges During the COVID-19 Crisis

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FAQs About CRICO Privileges During the COVID-19 Crisis

Related to: Claims, Documentation, Emergency Medicine, Primary Care, Nursing, Obstetrics, Other Specialties, Surgery

This special FAQ set addresses the way CRICO covers clinicians who assist a member hospital during the 2020 COVID-19 crisis. These questions supplement the information insured physicians see when they log into My CRICO.

Click Show All Answers to see all the questions and answers at once.


Show All Answers

Q: Does CRICO require notification of new privileges extended to existing providers with CRICO coverage?

A:

No. CRICO will cover new privileges issued to existing providers with CRICO coverage. Institutions are not required to notify CRICO when existing CRICO-insured clinicians assume new privileges to support the COVID-19 crisis. This includes CRICO-insured:

  • Staff physicians
  • Certified nurse midwives
  • Fellows taking on staff level privileges
  • Non-physician clinicians

In addition, we do not need to be notified of any existing residents with CRICO coverage:

  1. Rotating to another department within their existing institution or another CRICO hospital to perform the same duties, or
  2. Being used to provide support in other areas approved by their program leadership.

There will be no premium impact as a result of any of the above-referenced changes. If any of the newly enhanced crisis privileges are maintained following the end of the crisis, CRICO must be notified within 30 days.

 

We are relying on our members to ensure that any new privileges extended are appropriate based on clinicians’ education, scope of practice and training.

Q: What if a resident is rotating to another department or CRICO hospital?

A:

No notification is needed for any residents rotating to another department within their existing institution or another CRICO hospital to perform the same duties, or being used to provide support in other areas approved by their program leadership.

 

There will be no premium impact as a result of any of the above-referenced changes. If any of the newly enhanced crisis privileges are maintained following the end of the crisis, CRICO must be notified within 30 days.

 

We are relying on our members to ensure that any new privileges extended are appropriate based on clinicians’ education, scope of practice and training.

Q: What does require notification to CRICO?

A:

Existing trainees (resident/fellow) in their research rotation who DO NOT currently have physician-level coverage who are going back to training status to assist with the crisis.

  • These individuals will need physician-level coverage.
  • CRICO will not require an application to re-extend physician level coverage.

Q: What is the premium assigned to physicians and other clinicians?

A:

There will be no premium levied to any clinician onboarded to assist with the COVID-19 crisis.

 

Note: Except that premium charge will apply to residents and fellows for the term of their formal programs.


Q: Will there be premium reductions for clinicians no longer performing surgeries or who have had other meaningful reduction in clinical practice as a result of the crisis?

A:

CRICO is reviewing several options to help members with premium adjustments. These are broad changes that will be addressed at the member level – we are not working on changes or downgrades to specialty classes aimed at individual physicians.


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