WY LEG Provider Enrollment Standards

Published on: Mar 4, 2025

On Feb. 24, WY LEG enacted bill on health care provider credentialing.

  • WY LEG enacted bill HB 82 regarding health care provider credentialing guidelines.
  • Amends WY INS 26 by adding Sections 26-56-101 and 26-56-102 on credentialing.
  • Document dated Feb. 24, 2025, received from WY LEG Feb. 26, summarized Mar. 4.
  • Bill Provisions
  • Requires health insurance carriers to follow specific timelines regarding health care provider applications for credentialing, carriers shall complete process within 60 days.
  • Health carrier to reimburse applicant for all covered reimbursable health care services provided after receiving a completed credentialing application from the applicant.
  • The Department of Insurance is required to promulgate rules providing for a uniform credentialing application that shall be used by applicants and health insurance carriers.
  • Dental insurance and vision insurance are exempt from using the uniform application.
  • Applies to applications for credentialing submitted to carriers on or after Jul. 1, 2025.
  • Legislative History
  • On Jan. 14, 2025, bill was introduced in House; on Jan. 20, 2025, bill passed House.
  • On Feb. 10, 2025, bill was introduced in Senate; on Feb. 18, 2025, bill passed Senate.
  • On Feb. 24, 2025, bill was signed by the governor and was assigned Chapter 39.
  • Effectiveness
  • Bill provisions become effective on Jul. 1, 2025.
Regulators
WY LEG
Entity Types
Ins
Reference
Ch. 39, HEA No. 0012, Bill HB0082, 2/24/2025; Citation: WY INS 26;
Functions
Claims/Accelerated Benefits; Compliance; Legal; Operations; Registration/Licensing
Countries
United States of America
Category
State
N/A
Products
Dental; Insurance; Insurance-Health; Vision
Rule Type
Final
Regions
Am
Rule Date
Feb 24, 2025
Effective Date
Jul 1, 2025
Rule ID
245458
Linked to
N/A
Reg. Last Update
Feb 24, 2025
Report Section
US Insurance