<?xml version='1.0' encoding='utf-8'?>
<section article="ghg" article_name="Health - General" number="15-103.6" title_number="15" title_name="Assistance Programs" subtitle_number="1" subtitle_name="Medical and Pharmacy Assistance Programs">
  <level label="a">
    <text>A managed care organization may deem a health care provider credentialed for a period of not more than 6 months from the date of receipt of a completed application if:</text>
    <level label="1">
      <text>The health care provider:</text>
      <level label="i">
        <text>Has been credentialed by another entity in the State that is required to credential health care providers; and</text>
      </level>
      <level label="ii">
        <text>Has submitted an application to participate in the managed care organization’s provider panel; and</text>
      </level>
    </level>
    <level label="2">
      <text>The managed care organization verifies that the health care provider was credentialed and remains in good standing with at least one entity that credentialed the health care provider.</text>
    </level>
  </level>
  <level label="b">
    <text>An entity that has credentialed a health care provider may not refuse a request by a managed care organization to verify that the health care provider is credentialed and in good standing.</text>
  </level>
  <level label="c">
    <text>Nothing in this section may be construed to relieve the managed care organization from fully credentialing its health care providers.</text>
  </level>
</section>
