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Bill > S1684


FL S1684

FL S1684
Health Care Provider Credentialing


summary

Introduced
01/10/2020
In Committee
01/17/2020
Crossed Over
Passed
Dead
03/14/2020

Introduced Session

2020 Regular Session

Bill Summary

Requiring the Financial Services Commission, in consultation with the Agency for Health Care Administration, to adopt a certain standard form by rule for the verification of credentials of specified health care professionals; specifying requirements for applicants to qualify for expedited credentialing and for certain payments; authorizing a managed care plan to exclude applicants from its participating provider directory or listings while their applications are pending approval; authorizing a civil cause of action for applicants against health insurers or designees under certain circumstances, etc.

AI Summary

This bill requires the Financial Services Commission, in consultation with the Agency for Health Care Administration, to adopt a standardized credentialing form for verifying the credentials of healthcare professionals licensed under certain chapters of Florida Statutes. It establishes an expedited credentialing process for healthcare professionals joining an established medical group with a current contract with a managed care plan, allowing the healthcare professional to be treated as a participating provider for payment purposes while their application is pending. The bill also sets timelines for health insurers to acknowledge and process credentialing applications, and authorizes healthcare professionals to bring a civil lawsuit for violations of the credentialing requirements.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Died in Banking and Insurance (on 03/14/2020)

bill text


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