This bill amends existing legislation to streamline the credentialing process for physicians in New Jersey who wish to participate in a carrier's provider network. It mandates that a carrier offering a managed care plan must accept the universal physician application and renewal forms for credentialing purposes. Notably, an application will be automatically approved if it demonstrates that the physician's license, as issued by the State Board of Medical Examiners, is in good standing.
Additionally, the bill clarifies that while the carrier must accept the universal forms, it retains the right to request further information from applicants, provided that such requests do not duplicate information already included in the forms. This legislation aims to facilitate quicker access for physicians to participate in healthcare networks, thereby improving service delivery in the state. The act is set to take effect immediately for applications received after its enactment.
Statutes affected: Introduced: 26:2S-7.2