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1 Managed Care Law; Credentialing Verification Procedures; Health Carrier Responsibility. Amend RSA 420-J:4, VI to read as follows:
VI. Nothing in this section shall be construed to require a health carrier to select a health care professional as a participating provider solely because the health care professional meets the health carrier's credentialing verification standards, or to prevent a health carrier from utilizing separate or additional criteria in selecting the health care professionals with whom it contracts .
2 Effective Date. This act shall take effect 60 days after its passage.
Text to be added highlighted in green.
1 Managed Care Law; Credentialing Verification Procedures; Health Carrier Responsibility. Amend RSA 420-J:4, VI to read as follows:
VI. Nothing in this section shall be construed to require a health carrier to select a health care professional as a participating provider solely because the health care professional meets the health carrier's credentialing verification standards, or to prevent a health carrier from utilizing separate or additional criteria in selecting the health care professionals with whom it contracts ; provided that the cost of any additional program or certification required by the health carrier as part of its credentialing procedure or provider eligibility determination shall be the responsibility of the health carrier .
2 Effective Date. This act shall take effect 60 days after its passage.