Relating to the credentialing and recredentialing of Medicaid providers by a single state-procured credentialing verification organization

Where it is now

1. ✓
   Done: IntroducedFebruary 21, 2019
2. ✓
   Done: SubcommitteeFebruary 26, 2019
3. ✕
   Stopped: Senate committeeDied when the General Assembly ended
4. Next: Passes the Senate
5. Next: House committee
6. Next: Passes the House
7. Next: To the Governor
8. Next: Signed into law

Died when the session ended The 2020 session adjourned on June 14, 2020, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?

What’s in it

This bill requires the department of human services (DHS) to develop uniform authorization criteria for, and to utilize a request for proposals process to procure a single credentialing verification organization to be utilized in credentialing and recredentialing providers for the Medicaid managed care and fee-for-service payment and delivery systems. The bill requires DHS to contractually require all Medicaid managed care organizations (MCOs) to apply the uniform authorization criteria and to accept verified information from the single credentialing verification organization procured by the state, and to contractually prohibit the MCOs from requiring additional credentialing information from a provider in order to participate in the Medicaid managed care organization’s provider network.

Full bill text¹

Senate subcommittee

Named February 26, 2019. It hasn’t reported yet.

• Sen. Mark Costello REmail
• Sen. Pam Jochum D
• Sen. Craig Johnson REmail

Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part