Added by Stats. 2025, Ch. 630, Sec. 2. (AB 1041) Effective January 1, 2026.
(a)(1) Notwithstanding any other law, except as provided in Section 1374.197, on and after January 1, 2028,
a full service health care service plan or its
delegate shall subscribe to and use the most recent version of the Council for Affordable Quality Healthcare (CAQH) credentialing form, and shall comply with the CAQH credentialing processes.
(2)A full service health care service plan or its delegate shall only request additional information from a provider to clarify and confirm information that is provided on the
CAQH credentialing form, including verification of information not specifically disclosed on the provider’s application. The provider shall respond to the request within 10 business days. A health care service plan or its delegate
shall minimize the number of requests for additional information from providers. A provider shall submit their credentialing form and maintain their credentialing information in the CAQH database in a manner consistent with CAQH standards.
(b)This section does not apply to contracts with the State Department of Health Care Services pursuant to Chapter 7 (commencing with Section 14000) or Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code.
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