Bill > HB275

This bill amends New Hampshire's managed care law to clarify the responsibilities of health carriers during their credentialing verification procedures for healthcare professionals. Specifically, the bill adds a provision that requires health carriers to cover the cost of any additional programs or certifications they mandate as part of their credentialing or provider eligibility determination process. While health carriers are not obligated to select a healthcare professional solely based on meeting their credentialing standards, they must now bear the financial burden of any extra requirements they impose. The legislation aims to reduce the financial strain on healthcare professionals who must obtain additional certifications to participate in a health carrier's network. The bill will take effect 60 days after its passage, and while it does not provide new funding or authorize new positions, it could potentially impact insurance premiums due to the additional costs absorbed by health carriers. The Insurance Department notes that the bill's language around "additional program or certification" is somewhat ambiguous, but the intent appears to be ensuring that providers are not financially penalized for meeting a health carrier's specific credentialing requirements.

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https://gc.nh.gov/bill_status/legacy/bs2016/bill_docket.aspx?lsr=0551&sy=2025&sortoption=&txtsessionyear=2025&txtbillnumber=HB275