Last Action | 03/24/21: signed by Governor (Acts Ch. 97) |
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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 |
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02/22/21 |
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02/25/21 |
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02/26/21 |
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03/01/21 |
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03/02/21 |
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03/03/21 |
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03/04/21 |
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03/11/21 |
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03/12/21 |
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03/24/21 |
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Amendment | House Committee Substitute 1 |
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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 |
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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)