SB 1236: Centralized Medicaid Provider Credentialing
GENERAL BILL
by
Simon
Centralized Medicaid Provider Credentialing; Requiring Medicaid managed care organizations operating in this state on or after a specified date to require their providers to comply with specified accreditation requirements; requiring credentialing verification organizations to implement a single credentialing application through a web-based portal; providing that once approved for enrollment, a provider’s claims become eligible for payment on the date on which the provider’s credentialing application was approved; prohibiting Medicaid managed care organizations from requiring providers to appeal or resubmit clean claims submitted during a specified period, etc.
Effective Date: 7/1/2025
Last Action:
3/4/2025
Senate -
Introduced
Bill Text:
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