The Implementation of Credentialing for First Level Health Facilities of Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Denpasar Branch

e implementation of credentialing program in JKN is di erent from the pre- vious era, particularly for new medical facilities and medical provider of PT. Jamsostek and ASABRI. erefore, this study aims at nding out the description associated with the process of credentialing implementation of the rst-level health facilities from the perspective of PPK 1 and BPJS Kesehatan, Denpasar Branch. is research was conducted in January 2014 using qualitative ap- proach. Data was collected through in-depth interviews to 11 medical facili- ties, as well as 2 executive credentialing teams from BPJS Kesehatan, Denpasar Branch. e subjects were selected purposively and the data was analyzed using thematic analysis. ere are still some obstacles in the implementation of such credentialing program: there are still existing providers, especially TNI/Polri, which have the value below standard but are still contracted to serve JKN par- ticipants because the number is still relatively small. e new medical facilities have di culty in self-assessment because there are many indicators that must be met, but the budget is limited. e study concludes that credentialing program has not yet fully applied the concept of managed care, thus regular monitoring to improve medical quality is needed