Bill > HB1093

This bill modifies the process by which healthcare providers apply to join a health insurance carrier's network of participating providers, known as a "provider panel." It shortens the timeframe for carriers to notify providers about the status of their applications, requiring initial notification within 15 days of receiving a complete application and final acceptance or rejection within 60 days (or 30 days for certain providers). The bill also eliminates the ability for carriers to charge application fees and mandates that carriers use a designated online credentialing system as the primary source for updating their provider directories, which are lists of participating providers and facilities. Additionally, it requires carriers to establish direct contact information for inquiries about the uniform credentialing form, which is a standardized application for provider credentialing, and to respond to these inquiries within two business days. The bill also updates the criteria for the Commissioner to designate an online credentialing system, requiring vendor involvement in a stakeholder workgroup and annual reporting on credentialing timelines. Finally, it mandates that provider directories be updated online at least every 15 days and that carriers periodically review their directories for accuracy.