SB 365

Abstract

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.

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.

Provider credentialing. Requires the StateBoard of Health to promulgate regulations requiring a health carrierto establish reasonable protocols and procedures that deem a providercredentialed who has been approved for credentialing by a licensedhospital within 14 days of such approval if such licensed hospitalhas a contract with the health carrier to provide health care servicesto a covered person under a health benefit plan offered by the healthcarrier as a member of the health benefit plan's network.