September 7, 2011, Introduced by Senators CASWELL, PAPPAGEORGE and PROOS and referred to the Committee on Health Policy.
A bill to amend 1956 PA 218, entitled
"The insurance code of 1956,"
(MCL 500.100 to 500.8302) by adding section 2212c.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 2212c. (1) All health insurers, health care corporations,
health maintenance organizations, and credentialing intermediaries
shall use the uniform, standard, electronic health care
professional credentialing application developed pursuant to
section 16285 of the public health code, 1978 PA 368, MCL
333.16285, when credentialing or recredentialing a health care
professional.
(2) This section does not prohibit a health insurer, health
care corporation, health maintenance organization, or credentialing
intermediary from requesting information in addition to that
contained in the uniform, standard, electronic health care
professional credentialing application so long as any requests for
additional information are made in writing or electronically and
use a form for the health care provider to comply with the request
that is separate from the uniform, standard, electronic health care
professional credentialing application form.
(3) A health insurer, health care corporation, health
maintenance organization, or credentialing intermediary shall not
charge a health care professional a fee for use or submission of
the uniform, standard, electronic health care professional
credentialing application or for completion of requests for
additional information under subsection (2).
(4) This section applies 365 days after the effective date of
this section, except that this section does not apply to any
credentialing or recredentialing that has already been submitted
before or on that date.
(5) As used in this section, "credentialing intermediary"
means a person to which a health insurer, health care corporation,
or health maintenance organization has delegated credentialing,
recredentialing, or primary source verification process.
Enacting section 1. This amendatory act does not take effect
unless Senate Bill No. 610
of the 96th Legislature is enacted into law.