HB 4115

The Act makes changes to how often DHS and OHA may require caregivers to get a new background check. The Act requires a CCO to pay certain providers back to the date that the provider enrolled in the state Medicaid program. The Act makes other changes related to the process for vetting certain health care providers. (Flesch Readability Score: 62.4). Provides that a criminal records check on certain caregivers shall last for three years, subject to exceptions. Requires certain valid criminal records checks to be portable to other care settings. Requires the authority to publish information about when a credentialed behavioral health provider must undergo a new background check. Requires a coordinated care organization to reimburse a<b> contracted</b> behavioral health provider retroactively to the date the provider submitted a successful application for enrollment in the state medical assistance program. Prohibits a coordinated care organization from requiring a credentialed behavioral health provider to submit a new credentialing application when the provider changes employer. Takes effect on the 91st day following adjournment sine die.