The bill establishes a new section, 409.9073, in the Florida Statutes, focusing on centralized Medicaid provider credentialing. It mandates that Medicaid managed care organizations operating in Florida after July 1, 2025, require their providers to meet specific accreditation standards. The bill outlines the procedures for provider enrollment, stipulating that the Agency for Health Care Administration must enroll providers within 60 days of receiving a clean application. It also introduces a single credentialing application process through a web-based portal managed by credentialing verification organizations, which must complete their review and provide recommendations within 30 days of receiving a clean application.
Additionally, the bill specifies that once a provider's credentialing application is approved, their claims will be eligible for payment retroactively to the approval date. It prohibits Medicaid managed care organizations from requiring providers to appeal or resubmit clean claims submitted during the credentialing process. The legislation encourages relevant licensing boards to electronically share information with the agency and credentialing organizations and allows the agency to adopt necessary rules for implementation. The effective date for this act is set for July 1, 2025.