H.F. 669 Summary

• Establishes new section 62Q.097 in Minnesota Statutes requiring health plan companies to meet specific timelines for processing provider credentialing applications.

• Defines "clean application" as a complete credentialing application in the required format with all necessary information and substantiation, containing no identified quality or safety concerns.

• Requires health plan companies to notify providers within three business days if an application is incomplete or missing information, and to affirm within the same timeframe if an application is clean.

• Mandates health plan companies make credentialing determinations on clean applications within 45 days of receipt, with an additional 30-day extension allowed only if substantive quality or safety concerns require further investigation.

• Applies to all provider credentialing applications submitted to health plan companies on or after January 1, 2022.