January 30, 2018, Introduced by Reps. Canfield, Bizon, Hughes, Kelly, Howrylak, Lucido, Vaupel, Liberati, Wittenberg and LaGrand and referred to the Committee on Health Policy.
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
(MCL 400.1 to 400.119b) by adding section 111m.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 111m. (1) The department shall do all of the following:
(a) Establish, maintain, and revise, as necessary, a Medicaid
provider credentialing program for providers of medical assistance
required in this section. In complying with this subsection, the
department may consult with medical services providers that are
required to accept credentialing under this section.
(b) Ensure that the uniform credentialing program does both of
the following:
(i) Creates uniformity in this state to streamline contract
health plans' acceptance of medical service providers.
(ii) Establishes a uniform credentialing requirement for
individuals who provide medical services through a contract health
plan.
(c) By 6 months after the effective date of the amendatory act
that added this section and annually after that date, submit a
report to the legislature that describes its activities under this
section, including establishment of and any revisions to the
uniform credentialing program.
(2) A managed care provider that provides, either directly or
through a contract, medical services to medical assistance
recipients of this state must comply with the uniform credentialing
program. On and after the date the uniform credentialing program is
certified by the director of the department as in full force and
effect, the state department must ensure that all of the forms,
processes, and contracts it uses that relate to providing medical
services comply with the uniform credentialing program.
(3) As used in this section, "uniform credentialing program"
means the uniform medical service providing credentialing program
established, maintained, and revised as required in subsection
(1)(a).
Enacting section 1. This amendatory act takes effect 90 days
after the date it is enacted into law.