Revision: Jan. 4, 2023, 12:12 p.m.
2023 SESSION
23-0951.0
05/08
SENATE BILL [bill number]
AN ACT relative to provider credentialing procedures.
SPONSORS: [sponsors]
COMMITTEE: [committee]
─────────────────────────────────────────────────────────────────
ANALYSIS
This bill provides that a demographic change shall not result in a disruption in the network participation status of a health care provider. The bill also provides that the insurance commissioner may adopt rules relative to dispute resolution involving provider credentialing procedures.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
23-0951.0
05/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Three
AN ACT relative to provider credentialing procedures.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Credentialing Verification Procedures. Amend RSA 420-J:4, IV to read as follows:
IV. A health carrier shall require all participating providers to notify the health carrier of changes in the status of any items listed in this section at any time, and shall identify for participating providers the individual or department to whom they should report such changes. However, any changes in provider demographics, to include practice location or practice ownership, shall not result in any disruption in the network participation status of provider.
2 New Paragraph; Credentialing Verification Procedures. Amend RSA 420-J:4 by inserting after paragraph VI the following new paragraph:
VII. Disputes regarding a health carrier not meeting the requirements of this section shall be referred to the department, and the commissioner may establish rules under RSA 541-A to resolve such disputes, including any remedies deemed appropriate by the commissioner.
3 Effective Date. This act shall take effect 60 days after its passage.