HEALTH INSURANCE CREDENTIALING

Summary

The bill requires the Health Care Authority to establish a centralized credentialing application that individual providers submit once, and Medicaid managed‑care contractors must use that application to make credentialing decisions. It imposes strict timelines for reviewing applications, requesting additional information, and loading approved providers into payment systems, and limits re‑credentialing to once every three years. The goal is to coordinate credentialing requirements and speed up provider enrollment.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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