CORE re-certification will be required if an organization’s CORE Certification Seal is revoked. Such a revocation would result from a validated complaint of non-conformance against a CORE-certified organization following CAQH CORE’s review of a submission of a Request for Review of Possible Non-Compliance Form. See the appropriate CAQH CORE Enforcement Policy for Phase I, Phase II, Phase III, or Phase IV, respectively, for more information.
The only exception to CAQH CORE’s re-certification policy is CORE-certified vendors. If a vendor issues an upgraded/new version of their CORE-certified product, and this product includes a major change to the transactions applicable to the product’s CORE Certification (e.g., addition of eligibility) the vendor will need to undergo re-certification for that product.