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CA AB815
Bill
Status
5/30/2023
Primary Sponsor
Jim Wood
Click for details
AI Summary
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Establishes a 12-member physician credentialing board within the California Health and Human Services Agency to streamline and standardize credentialing requirements for physicians across health care plans and insurers.
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Requires the board to develop and maintain a standardized credentialing form by July 1, 2027, that all health care service plans and insurers must use for credentialing purposes; permits only requests for clarification of information on the form.
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Extends credentialing timelines for all health care service plans and insurers to assess physician qualifications within 90 days of receiving a completed application and notify applicants within 10 business days of receipt (effective January 1, 2026).
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Excludes Medi-Cal managed care contracts under specified welfare code chapters from the standardized credentialing form requirements.
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Provides that no state reimbursement is required because any local costs result from changes to criminal penalties, not new mandated local programs.
Legislative Description
Health care coverage: physician and provider credentials.
Last Action
In committee: Held under submission.
8/15/2024