235.979           Mandating Private Payer Coverage for Delegated Credentialing by Certified Verification Organizations and Extending Delegated Credentialing to Medicaid, Including Managed Medicaid Plans

235.979           Mandating Private Payer Coverage for Delegated Credentialing by Certified Verification Organizations and Extending Delegated Credentialing to Medicaid, Including Managed Medicaid Plans

The Medical Society of the State of New York (MSSNY) will advocate for the establishment of regulations mandating insurance private payers to provide coverage for the cost of performing delegated credentialing by certified verification organizations.

MSSNY supports efforts to extend delegated credentialing to all Medicaid programs, including managed Medicaid plans, to ensure a standardized and streamlined credentialing process for healthcare providers participating in these programs.

MSSNY will bring this issue to the AMA to promote equitable, efficient, and standardized credentialing processes across the healthcare landscape. (HOD 2024 – 251)