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2020 SESSION

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SB 365 Health care provider; SHHR to convene a work group related to credentialing.

Introduced by: Siobhan S. Dunnavant | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED:

Secretary of Health and Human Resources; health care provider credentialing work group; report. Directs the Secretary of Health and Human Resources to convene a work group of stakeholders to gather information and make recommendations on how the Commonwealth could develop or procure a statewide centralized primary source verification system that can be relied upon by the Commonwealth and its health carriers, health care providers, hospitals, and health systems for health care provider credentialing. The bill requires the work group to report its findings and recommendations to the Chairmen of the House Committee on Health, Welfare and Institutions and the Senate Committee on Education and Health by November 15, 2020.

SUMMARY AS PASSED SENATE:

Secretary of Health and Human Resources; health care provider credentialing work group; report. Directs the Secretary of Health and Human Resources to convene a work group of stakeholders to gather information and make recommendations on how the Commonwealth could develop or procure a statewide centralized primary source verification system that can be relied upon by the Commonwealth and its health carriers, health care providers, hospitals, and health systems for health care provider credentialing. The bill requires the work group to report its findings and recommendations to the Chairmen of the House Committee on Health, Welfare and Institutions and the Senate Committee on Education and Health by November 15, 2020.

SUMMARY AS INTRODUCED:

Provider credentialing. Requires the State Board of Health to promulgate regulations requiring a health carrier to establish reasonable protocols and procedures that deem a provider credentialed who has been approved for credentialing by a licensed hospital within 14 days of such approval if such licensed hospital has a contract with the health carrier to provide health care services to a covered person under a health benefit plan offered by the health carrier as a member of the health benefit plan's network.