Summary of Original Version

Amend KRS 205.532 to amend the definition of "credentialing verification organization;" delete the definition of "request for proposals;" delete the requirement that the Department for Medicaid Services contract with a credentialing verification organization; permit Medicaid managed care organizations to participate in a credentialing alliance; require the department to recognize credentialing alliances; establish duties of a credentialing alliance; require the department to discontinue contracts with any credentialing verification organizations if more than fifty percent of Medicaid managed care organizations join a credentialing alliance on or before December 31, 2021; require the department to give significant weight to the timeliness of credentialing when evaluating managed care organization's' responses to request for proposals.

Summary of Amendment: House Committee Substitute 1

Summary Retain original provisions except require the department to discontinue contracts with any credentialing verification organizations if more than sixty, instead of fifty, percent of Medicaid managed care organizations join a credentialing alliance on or before December 31, 2021.

Summary of Amendment: House Floor Amendment 1 -- K. Fleming

Summary Establish that the procurement provisions for a credentialing verification organization shall be null and void if the department recognizes a credentialing alliance.

Statutes affected:
Introduced: 205.532
Acts Chapter 97: 205.532
House Committee Substitute 1: 205.532
Current: 205.532