The Streamlining Medicaid Credentialing Amendment Act of 2025 aims to create a centralized and standardized credentialing system for Medicaid providers in the District of Columbia. This legislation seeks to alleviate the burdens faced by qualified healthcare providers by consolidating the credentialing process under the Department of Health Care Finance (DHCF). By doing so, providers will only need to be credentialed once to serve patients across all Medicaid Managed Care Organizations (MCOs) in the District, thereby reducing duplication, delays, and administrative costs associated with the current system where each MCO conducts its own credentialing.

Key provisions of the bill include the establishment of a single application process for credentialing and recredentialing, the requirement for the DHCF to respond to applications within specified timeframes, and the issuance of temporary credentials to providers while their applications are being processed. Additionally, the bill stipulates that providers will not need to be recredentialed if they change employers, provided their new employer is a participating provider in the MCOs. The legislation is designed to improve efficiency, enhance access to care, and strengthen the healthcare delivery system in the District.