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Bill would create uniform credentialing to speed provider enrollment for Medicaid in Georgia
Summary
Secretary Kelly presented HB 1354 to establish a uniform credentialing process across Medicaid and private payers to reduce redundant forms and speed providers onto Medicaid rosters; the bill does not change reimbursement rates, sponsors said.
Secretary Kelly introduced House Bill 1354 to the committee, describing it as a measure to streamline credentialing for medical providers so they can enroll more quickly in Medicaid and private insurance networks.
"After a medical provider has gone through and received their education ... the next big hurdle that stands before them is getting approved by the insurance company so that they can get reimbursed for the care that they provide," Secretary Kelly said. He described the bill as creating a uniform process for Medicaid credentialing and an expedited pathway for private payers that would reduce redundant paperwork.
Kelly told the committee there are two expected benefits: more doctors and medical providers would be on Georgia's Medicaid lists, and the burdensome paperwork that delays providers from delivering care would be reduced. Representative Livia Higley asked whether the bill would address Medicaid reimbursement rates. Kelly replied that it would not change reimbursement rates, saying the bill "does not address any reimbursement rate as it relates to Medicaid for our providers" but would encourage more providers to serve Medicaid patients.
The committee heard the presentation and a short Q&A; no formal vote or further action was recorded during the session.
