Bring Insurance Credentialing into Legal Compliance on Maintenance of Certification

Year: 2020

Resolution Number: 31

Action Taken: Referred to the Board

Status: Pending HOD Consideration

Author(s): Megan Edison, MD

Sponsor: David Whalen, MD, Regional Delegation Chair

On behalf of: Kent County Delegation

Committee: A (Medical Care Delivery)

Resolved Section(s):
RESOLVED: That MSMS work with Michigan health insurance companies to change credentialing requirements to be in compliance with Public Act 487 of 2018, by requiring only initial board certification for the credentialing of in-network physicians specializing in family medicine, internal medicine, and pediatrics; and be it furtherRESOLVED: That MSMS pursue legal action against Michigan health insurance companies that refuse to work with MSMS to bring the health insurance company’s credentialing requirements into legal compliance with Public Act 487 of 2018 and continue to discriminate against family medicine, internal medicine, and pediatric physicians for not participating in or purchasing a maintenance of certification product.

Fiscal Note: $100,000+

Resolution: View PDF for Bring Insurance Credentialing into Legal Compliance on Maintenance of Certification

For More Information, Contact:

Virginia Gibson , Deputy Chief of Staff
Payer and Employer Relations
517-336-5730
vgibson@msms.org