(a) A managed care organization may deem a health care provider credentialed for a period of not more than 6 months from the date of receipt of a completed application if:
(1) The health care provider:
- (i) Has been credentialed by another entity in the State that is required to credential health care providers; and
- (ii) Has submitted an application to participate in the managed care organization's provider panel; and
- (2) The managed care organization verifies that the health care provider was credentialed and remains in good standing with at least one entity that credentialed the health care provider.
- (b) An entity that has credentialed a health care provider may not refuse a request by a managed care organization to verify that the health care provider is credentialed and in good standing.
- (c) Nothing in this section may be construed to relieve the managed care organization from fully credentialing its health care providers.
Added by Acts 2002, c. 190, § 1, eff. Oct. 1, 2002.