| Last Action | 03/24/21: signed by Governor (Acts Ch. 97) | 
|---|---|
| Title | AN ACT relating to Medicaid provider credentialing. | 
| Bill Documents | 
                        Acts Chapter 97 
                         Current/Final Introduced  | 
            
| Bill Request Number | 1644 | 
| Sponsors | K. Fleming, J. Bray, D. Frazier Gordon, R. Heath, J. Miller, P. Pratt, S. Sheldon, S. Westrom | 
| Summary of Original Version | Amend KRS 205.532 to amend the definition of "credentialing verification organization;" delete the definition of "request for proposals;" delete the requirement that the Department for Medicaid Services contract with a credentialing verification organization; permit Medicaid managed care organizations to participate in a credentialing alliance; require the department to recognize credentialing alliances; establish duties of a credentialing alliance; require the department to discontinue contracts with any credentialing verification organizations if more than fifty percent of Medicaid managed care organizations join a credentialing alliance on or before December 31, 2021; require the department to give significant weight to the timeliness of credentialing when evaluating managed care organization's' responses to request for proposals. | 
| Index Headings of Original Version | 
                            Health and Medical Services - Medicaid provider, credentialing alliance   Physicians and Practitioners - Medicaid provider, credentialing alliance Public Medical Assistance - Provider, credentialing alliance Medicaid - Provider, credentialing alliance  | 
            
| Jump to Proposed Amendments | 
                                    House Committee Substitute 1   House Floor Amendment 1  | 
                
| Votes | Vote History | 
| 02/09/21 | 
                    
  | 
            
|---|---|
| 02/22/21 | 
                    
  | 
            
| 02/25/21 | 
                    
  | 
            
| 02/26/21 | 
                    
  | 
            
| 03/01/21 | 
                    
  | 
            
| 03/02/21 | 
                    
  | 
            
| 03/03/21 | 
                    
  | 
            
| 03/04/21 | 
                    
  | 
            
| 03/11/21 | 
                    
  | 
            
| 03/12/21 | 
                    
  | 
            
| 03/24/21 | 
                    
  | 
            
| Amendment | House Committee Substitute 1 | 
|---|---|
| Summary | Retain original provisions except require the department to discontinue contracts with any credentialing verification organizations if more than sixty, instead of fifty, percent of Medicaid managed care organizations join a credentialing alliance on or before December 31, 2021. | 
| Index Headings | 
                            Physicians and Practitioners - Medicaid provider, credentialing alliance   Public Medical Assistance - Provider, credentialing alliance Medicaid - Provider, credentialing alliance Health and Medical Services - Medicaid provider, credentialing alliance  | 
            
| Amendment | House Floor Amendment 1 | 
|---|---|
| Sponsor | K. Fleming | 
| Summary | Establish that the procurement provisions for a credentialing verification organization shall be null and void if the department recognizes a credentialing alliance. | 
| Index Headings | 
                            Physicians and Practitioners - Medicaid provider, credentialing alliance  Medicaid - Provider, credentialing alliance  | 
            
Last updated: 11/9/2023 2:52 PM (EST)