Kentucky SB78 establishes credentialing guidelines for health care providers participating in managed care plans.
Kentucky SB78 creates new sections in KRS Chapter 304 to establish credentialing guidelines for health care providers participating in managed care plans. The bill mandates that insurers conducting credentialing must use a uniform application form and guidelines, consider industry standards, and consult with qualified health care providers to establish minimum professional requirements. Insurers must verify each provider's license, history of license suspension or revocation, and liability claims history.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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