This bill amends current law to streamline the credentialing process for physicians in New Jersey by requiring that applications for participation in a carrier's provider network be automatically approved if the physician's license, as issued by the State Board of Medical Examiners, is in good standing. Specifically, it mandates that carriers offering managed care plans accept a universal physician application and renewal form for credentialing purposes. The bill clarifies that while the carrier can request additional information from applicants, it cannot duplicate information already provided in the universal forms.

The legislation aims to facilitate quicker access for physicians to participate in provider networks, thereby improving healthcare delivery. The changes will take effect immediately and apply to all credentialing applications received after the effective date.

Statutes affected:
Introduced: 26:2S-7.2