Bill > AB2457

This bill extends existing requirements for health care service plans to Medi-Cal managed care plans, which are health plans that contract with the state to provide services to Medi-Cal beneficiaries. Specifically, it mandates that these plans, or entities they delegate credentialing to, must make a decision on a healthcare provider's credentials within 90 days of receiving a complete application, and that they must use the Council for Affordable Quality Healthcare (CAQH) credentialing form and processes by January 1, 2028. The bill also clarifies that Medi-Cal managed care plans will be subject to criminal penalties for willful violations of these rules, though it states no reimbursement is required for local agencies due to these changes.

https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202520260AB2457