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Engrossed Senate Bill (S)

DIGEST

Credentialing, billing, and employment contracts. Requires a provider to include the service facility location in order to obtain Medicaid reimbursement from the office of the secretary of family and social services or the managed care organization. Specifies requirements for credentialing a provider for: (1) the Medicaid program; (2) an accident and sickness insurance policy; and (3) a health maintenance organization contract. Sets forth provisional credential for reimbursement purposes until a decision is made on a provider's credentialing application and allows for retroactive reimbursement under specified circumstances. Specifies health care billing forms to be used in certain health care settings. Prohibits Credentialing, billing, and employment contracts. Requires a provider to include the service facility location in order to obtain Medicaid reimbursement from the office of the secretary of family and social services or the managed care organization. Specifies requirements for credentialing a provider for: (1) the Medicaid program; (2) an accident and sickness insurance policy; and (3) a health maintenance organization contract. Sets forth provisional credential for reimbursement purposes until a decision is made on a provider's credentialing application and allows for retroactive reimbursement under specified circumstances. Specifies health care billing forms to be used in certain health care settings. Prohibits employment contracts between employers and practitioner employees to include non-compete agreements. ... View more