Relating to Medicaid provider enrollment and credentialing processes.

Contracts

• Vendor MSAs (Billing/Credentialing): You must amend Master Services Agreements with third-party credentialing or revenue cycle vendors. Insert a clause requiring notification to your internal compliance officer within 24 hours of the vendor receiving a statutory "30-day disenrollment notice."
• Liability Clauses: Shift liability to the vendor for lost revenue if they fail to act on the 30-day cure period provided by this statute.

Hiring/Training

• Credentialing Staff: Train staff to utilize the new, statutorily mandated "Support Team" rather than general customer service. Staff must be trained to document ticket numbers for every interaction to build a record for the new complaint process.
• Mailroom/Portal Management: Update Standard Operating Procedures (SOPs) to treat any "Notice of Pending Disenrollment" as a priority legal document, not routine correspondence.

Reporting & Record-Keeping

• Defensive Documentation: You must retain the 30-day warning notice and your proof of submission (the "cure") indefinitely. These documents are now your primary defense against retroactive payment recoupment in the event of a wrongful disenrollment.
• Complaint Logging: Utilize the new electronic complaint procedure for any portal failures. This creates an official paper trail that protects your enrollment date if the system glitches.

Fees & Costs

• No New Fees: The bill does not impose new fees on providers.
• Internal Costs: Budget for legal review of vendor contracts and potential administrative time to audit your contact information in the Provider Enrollment and Management System (PEMS).