This bill amends existing 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 application must demonstrate the physician's good standing, carriers may still request additional information that does not duplicate what is already provided in the application.

The bill also removes a previous requirement that applications be processed within 180 days of the adoption of regulatory forms, thereby simplifying the timeline for credentialing. This change is aimed at facilitating quicker access for physicians to participate in provider networks, ultimately benefiting healthcare delivery in the state. The act is set to take effect immediately for applications received on or after the effective date.

Statutes affected:
Introduced: 26:2S-7.2