September 7, 2011, Introduced by Senators CASWELL, PAPPAGEORGE and PROOS and referred to the Committee on Health Policy.
A bill to amend 1978 PA 368, entitled
"Public health code,"
(MCL 333.1101 to 333.25211) by adding section 16285.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 16285. (1) By not later than 9 months after the effective
date of this section, the department shall develop a uniform,
standard, electronic health care professional credentialing
application. The department shall make the credentialing
application available free of charge to health insurers, health
care corporations, health maintenance organizations, and health
facilities and agencies and shall make the application available on
its internet website. In developing the credentialing application
under this section, the department shall consult with health care
professionals, health insurers, health care corporations, health
maintenance organizations, and health facilities and agencies and
shall consider their reasonable requirements, including, but not
limited to, all of the following:
(a) Statutory credentialing requirements.
(b) The need to eliminate multiple proprietary credentialing
(c) Providing an efficient, electronic, cost-effective health
care professional database through which health care professionals
can provide notification of changes in address, practice-related
information, qualifications, and other pertinent information.
(d) Time frames within which entities requiring credentialing
applications shall respond to applications filed by health care
(e) Maintaining the confidentiality of credentialing
(f) The need for a health care professional to control the
distribution of his or her credentialing application.
(2) By not later than 365 days after the effective date of
this section, a health insurer, health care corporation, health
maintenance organization, or health facility or agency that
requires a health care professional to undergo a credentialing or
recrendentialing process, or the entity's credentialing
intermediary, shall use the credentialing application developed
under this section, except that this subsection does not apply to
any credentialing or recrendentialing that has already been
submitted before or on that date.
(3) This section does not prevent a health insurer, health
care corporation, health maintenance organization, health facility
or agency, or credentialing intermediary from requesting
information in addition to that contained in the credentialing
application so long as any requests for additional information are
made in writing or electronically and use a form for the health
care professional to comply with the request that is separate from
the credentialing application form.
(4) A health insurer, health care corporation, health
maintenance organization, health facility or agency, or
credentialing intermediary shall not charge a health care
professional a fee for use or submission of the credentialing
application or for completion of requests for additional
information under subsection (3).
(5) The department shall review the standard credentialing
application no less frequently than every 5 years and may modify
the contents and format as determined necessary and appropriate.
(6) As used in this section, "credentialing intermediary"
means a person to which a health insurer, health care corporation,
health maintenance organization, or health facility or agency has
delegated credentialing, recrendentialing, or primary source
Enacting section 1. This amendatory act does not take effect
unless Senate Bill No. 609
of the 96th Legislature is enacted into law.