MI HB4330

Department must work with contracted health plans to establish and maintain a uniform credentialing process for medical assistance providers, consulting with medical services providers subject to the new requirements.

Uniform credentialing process must establish streamlined requirements for individuals providing medical services through contracted health plans.

Department must submit reports to the legislature within 6 months of enactment and annually thereafter describing activities and any revisions to the uniform credentialing process.

Managed care providers serving medical assistance recipients must comply with the uniform credentialing process once certified by the department director, with a 3-year exemption for providers in regions served by fewer than 2 health plans.

Individual health plans retain responsibility for credential verification and may approve, deny, or request additional information from providers to meet federal/state law requirements or plan-specific metrics; bill takes effect 90 days after enactment.