HB 1372 IN

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Passed One Chamber

Requires the office of Medicaid policy and planning (office) to prescribe a credentialing application form to be used by: (1) a provider who applies for credentialing by a managed care organization or a contractor of the office (contractor); and (2) a managed care organization or contractor that performs credentialing activities. Requires a managed care organization or contractor to notify a provider concerning: (1) any deficiency in the provider's unclean credentialing application; and (2) the status of the provider's clean credentialing application. Provides that if the managed care organization or contractor fails to issue a credentialing determination within 30 days after receiving a provider's completed credentialing application, the managed care organization or contractor shall provisionally credential the provider if the provider meets certain criteria. Provides that if the managed care organization or contractor fully credentials a provider, then reimbursement payments to the provider shall be paid retroactive to the date on which the initial credentialing application was received and the provider shall be reimbursed at the rates determined by the contract between the provider and the managed care organization or contractor.

• Joanna King Republican · author
• Liz Brown Republican · sponsor

1. Jan 17, 2023 Coauthored by Representative Barrett · lower
2. Jan 17, 2023 Authored by Representative King · lower
3. Jan 17, 2023 First reading: referred to Committee on Public Health · lower
4. Jan 23, 2023 Representative Schaibley added as coauthor · lower
5. Jan 24, 2023 Committee report: amend do pass, adopted · lower
6. Jan 26, 2023 Second reading: ordered engrossed · lower
7. Jan 30, 2023 Senate sponsor: Senator Brown L · lower
8. Jan 30, 2023 Third reading: passed; Roll Call 45: yeas 96, nays 0 · lower
9. Jan 31, 2023 Referred to the Senate · lower
10. Feb 13, 2023 Representative Fleming added as coauthor · lower
11. Feb 27, 2023 First reading: referred to Committee on Health and Provider Services · upper

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• House Bill (H) · Jan 24, 2023 · PDF
• Introduced House Bill (H) · Jan 17, 2023 · PDF