IC 27-8-11-7.5: Provisional credentialing for independent primary care practice physicians; criteria

Sec. 7.5. (a) A physician licensed under IC 25-22.5 who was credentialed to provide services under Medicaid within the previous twelve (12) months shall be considered provisionally credentialed if the physician:

(1) is in good standing with the office or a managed care organization or contractor of the office; and

(2) establishes or joins an independent primary care practice.

(b) The insurer shall complete the credentialing process for an individual who is provisionally credentialed under subsection (a).