California AB2457 mandates health care service plans to use the latest CAQH credentialing form and process for provider applications.

California AB2457 requires full service health care service plans, including Medi-Cal managed care plans, to adopt the most recent Council for Affordable Quality Healthcare (CAQH) credentialing form and processes starting January 1, 2028. These plans must notify applicants within 10 business days of receiving their applications and inform them if the application is complete. Successful approval must be communicated within 10 days if it occurs before the 90-day credentialing timeline. If the 90-day requirement is not met, credentials are provisionally approved for 120 days.

California AB2457 mandates health care service plans to use the latest CAQH credentialing form and process for provider applications.

California AB2457 requires full service health care service plans, including Medi-Cal managed care plans, to adopt the most recent Council for Affordable Quality Healthcare (CAQH) credentialing form and processes starting January 1, 2028. These plans must notify applicants within 10 business days of receiving their applications and inform them if the application is complete. Successful approval must be communicated within 10 days if it occurs before the 90-day credentialing timeline. If the 90-day requirement is not met, credentials are provisionally approved for 120 days.