THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
500.3528 Health maintenance organization; credentialing verification; accreditation by nationally recognized accredited body.
(1) A health maintenance organization shall establish written policies and procedures for credentialing verification of all health professionals with whom the health maintenance organization contracts. A health maintenance organization shall apply these standards consistently. This act does not require a health maintenance organization to select a provider as an affiliated provider solely because the provider meets the health maintenance organization's credentialing verification standards. This act does not prevent a health maintenance organization from using separate or additional criteria in selecting the health professionals with whom it contracts.
(2) A health maintenance organization is considered to meet the requirements of this section if the health maintenance organization is accredited by a nationally recognized accredited body approved by the director. As used in this subsection, "nationally recognized accredited body" includes the National Committee for Quality Assurance.
History: Add. 2000, Act 252, Imd. Eff. June 29, 2000
Am. 2002, Act 621, Imd. Eff. Dec. 23, 2002
Am. 2016, Act 276, Imd. Eff. July 1, 2016
Popular Name: Act 218
Popular Name: HMO
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