SECONDREGULARSESSION
HOUSEBILLNO.2199
101STGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVECOOK.
5027H.01I DANARADEMANMILLER,ChiefClerk
ANACT
Torepealsection376.1575,RSMo,andtoenactinlieuthereofonenewsectionrelatingtothe
credentialingofhealthcarepractitionersbyhealthcarriers.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Section376.1575,RSMo,isrepealedandonenewsectionenactedinlieu
2thereof,tobeknownassection376.1575,toreadasfollows:
376.1575.Asusedinsections376.1575to376.1580,thefollowingtermsshallmean:
2 (1)"Completedapplication",apractitioner'sapplicationtoahealthcarrierthatseeks
3thehealthcarrier'sauthorizationforthepractitionertoprovidepatientcareservicesasa
4memberofthehealthcarrier'snetworkanddoesnotomitanyinformationwhichisclearly
5requiredbytheapplicationformandtheaccompanyinginstructions;
6 (2)"Credentialing",ahealthcarrier'sprocessofassessingandvalidatingthe
7qualificationsofapractitionertoprovidepatientcareservicesandactasamemberofthe
8healthcarrier'sprovidernetwork;
9 (3)"Healthcarrier",thesamemeaningassuchtermisdefinedinsection376.1350.
10Theterm"healthcarrier"shallalsoincludeanyentitydescribedinsubdivision(4)of
11section354.700;
12 (4)"Practitioner":
13 (a)Aphysicianorphysicianassistanteligibletoprovidetreatmentservicesunder
14chapter334;
15 (b)Apharmacisteligibletoprovideservicesunderchapter338;
16 (c)Adentisteligibletoprovideservicesunderchapter332;
17 (d)Achiropractoreligibletoprovideservicesunderchapter331;
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18 (e)Anoptometristeligibletoprovideservicesunderchapter336;
19 (f)Apodiatristeligibletoprovideservicesunderchapter330;
20 (g)Apsychologistorlicensedclinicalsocialworkereligibletoprovideservices
21underchapter337;or
22 (h)Anadvancedpracticenurseeligibletoprovideservicesunderchapter335.
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