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The Florida Senate

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: 2/25/2025 Senate - Filed
Bill Text: Web Page | PDF

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  • Bill History

    Date Chamber Action
    2/25/2025 Senate • Filed

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  • SB 1236, Original Filed Version (Current Bill Version) Posted 2/25/2025 at 3:58 PM

    Bill Text:   Web Page | PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1109 Health Care Provider Participation in Medicaid Managed Care Organizations Berfield Similar Last Action: 2/25/2025 H Filed

    Citations - Statutes (1)

    Citation Catchline Location in Bill Location In Bill Help
    409.9073 Page 2 (pdf)

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