Bill > HB0082

This bill establishes new standards for health care provider credentialing in Wyoming, creating a structured process for how health insurance carriers must handle provider applications. The bill defines key terms like "applicant" (a health care provider seeking to join a carrier's network) and "credentialing" (the process of verifying a provider's qualifications), and sets specific timelines for application processing. Health carriers must now provide notice of application receipt within 7 calendar days, identify any incomplete applications within 30 days, and complete the entire credentialing process within 60 calendar days. If a provider is successfully credentialed and has a contract in place, the carrier must reimburse them for covered services dating back to the initial application submission. The bill requires the insurance department to create a uniform credentialing application (with exemptions for dental and vision insurance), and ensures that carriers are not required to violate standards set by nationally recognized accrediting entities. The new regulations will apply to credentialing applications submitted on or after July 1, 2025, giving healthcare providers and insurance carriers time to prepare for the new requirements.

Health and Social Services

Labor, Health and Social Services (J)

https://www.wyoleg.gov/Legislation/2025/HB0082