Search Results
Ama Policy
03/13/2019
Credentialing-Payment Issues
State Law
07/28/2023
Arizona
Section 20-3456
Credentialing-Payment Issues
State Law
07/31/2023
Colorado
Section 10-16-705.7
Timely Credentialing of Physicians by Carriers – Notice of Receipt Required – Notice of Incomplete Applications Required – Delegated Credentialing Agreements – Discrepancies – Denials of Claims Prohibited – Disclosures – Recredentialing – Enforcement – Rules – Definitions
Credentialing-Deadlines, Credentialing-Payment Issues, Directories
State Law
12/19/2024
Indiana
Sections 27-8-11-1, 27-8-11-4.5, 27-8-11-7, 27-8-11-8, 27-8-11-9, 27-8-11-11, 27-8-11-13
Definitions; Permitted Disclosures by Providers; Coverage of Benefit or Service; Payment of Provider, Application; Provider Credentialing; Provider Directories; Preferred Provider Agreement Prohibitions; Insurer Payment to Insured for Service Rendered by Noncontracted Provider; Requirements; Fully Credentialed Provider Reimbursement; Requirements
Anti-gag clause, Anti-retaliation, Credentialing-Deadlines, Credentialing-Payment Issues, Directories, Most Favored Nation
State Law
12/19/2024
Indiana
Sections 27-13-43-2 and 27-13-43-4
Provider Credentialing; Provisional Credentialing, Criteria, Reimbursement, Termination; Fully Credentialed Provider Reimbursement; Requirements
Credentialing-Deadlines, Credentialing-Payment Issues
State Law
08/04/2023
Iowa
Section 191-70.10(514F)
Credentialing—retrospective payment
Credentialing-Payment Issues
State Law
08/05/2023
Kentucky
Section 304.17A-576
Notice by managed care plan insurer of health care provider’s application for credentialing–Payments to applicant.
Credentialing-Deadlines, Credentialing-Payment Issues
State Law
08/07/2023
Louisiana
Section 22:1874
Billing by contracted health care providers
Credentialing-Payment Issues, Rental Networks
State Law
01/21/2025
Maine
Section 4303
Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Deadlines, Credentialing-Due Process-Denial of Contract, Credentialing-Payment Issues, Fee Schedules, Most Favored Nation, Overpayments / Recoupments, Participation in Products, Plans, or Networks, Prohibited financial incentives, Retroactive Denial, Termination, Termination-Due Process
State Law
08/07/2023
Maryland
Section 15-112
Requirements applicable to a wide range of issues applicable to health care provider contracts
Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Deadlines, Credentialing-Payment Issues, Directories, Fee Schedules, Most Favored Nation, Network Adequacy, Termination, Termination-Due Process
