Text to be removed highlighted in red.
1 Managed Care Law; Credentialing Verification Procedures; Mental Health Care Providers. Amend RSA 420-J:4, I(h) to read as follows:
(h) Act upon and finalize the credentialing process within 30 calendar days for primary care physicians and 45 days for specialists of receipt of a clean and complete application . In this section, "clean and complete" means an application signed and appropriately dated by the health care provider, that includes all of the applicable information required in paragraph II and any affirmative responses on questions related to quality and clinical competence shall contain explanations satisfactory to the carrier.
2 New Paragraph; Credentialing Verification Procedures. Amend RSA 420-J:4 by inserting after paragraph VII the following new paragraph:
VIII. A health carrier shall cover health care services and treatments as in-network retroactively from the date of credentialing application submission by the health care provider.
3 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; Mental Health Care Providers. Amend RSA 420-J:4, I(h) to read as follows:
(h) Act upon and finalize the credentialing process within 30 calendar days of receipt of a clean and complete application for primary care physicians and mental health providers and within 45 days of receipt of a clean and complete application for specialists . In this section, "clean and complete" means an application signed and appropriately dated by the health care provider, that includes all of the applicable information required in paragraph II and any affirmative responses on questions related to quality and clinical competence shall contain explanations satisfactory to the carrier.
2 New Paragraph; Credentialing Verification Procedures. Amend RSA 420-J:4 by inserting after paragraph VII the following new paragraph:
VIII. A health carrier shall cover health care services and treatments as in-network retroactively from the date of credentialing application submission by the health care provider.
3 Effective Date. This act shall take effect 60 days after its passage.