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MI HB5487
Bill
Status
3/22/2018
Primary Sponsor
Edward Canfield
Click for details
AI Summary
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Requires the Department of Health and Human Services to work with contracted health plans to establish and maintain a uniform credentialing process for medical assistance providers.
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The department must consult with medical services providers when creating the credentialing process and ensure it streamlines requirements for individuals providing medical services through contracted health plans.
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Mandates that managed care providers offering medical services to state medical assistance recipients comply with the uniform credentialing process once certified by the department director.
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Requires the department to submit a report to the legislature within 6 months of the effective date and annually thereafter describing activities and any revisions to the uniform credentialing process.
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Exempts managed care providers in regions served by fewer than 2 health plans from compliance requirements for 3 years after the law takes effect, while preserving each health plan's responsibility for credential verification and provider approval decisions.
Legislative Description
Human services; medical services; universal Medicaid credentialing process; create. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 111m.
Human services: medical services
Last Action
Referred To Committee On Health Policy
4/10/2018