Bill > HB1288

This bill amends the Arkansas Health Care Consumer Act to modify how healthcare insurers handle physician credentialing and retroactive payments. Specifically, the bill requires insurers to treat a physician as a participating provider from the date of submitting a substantially completed credentialing application, once that application has been approved through the insurer's credentialing process. The bill defines the "date of submission" as the date the healthcare insurer receives the physician's credentialing information from the Centralized Credentials Verification Service of the Arkansas State Medical Board. An important exception is noted: these provisions do not apply to the Arkansas Medicaid Program. The key purpose of this legislation appears to be ensuring that physicians can receive retroactive payments from the date they submit a complete credentialing application, which helps streamline the process of adding new providers to insurance networks and ensures physicians are compensated fairly for their work during the credentialing period.

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https://arkleg.state.ar.us/Bills/Detail?id=hb1288&ddBienniumSession=2025%2F2025R