New Jersey legislation · 2026-2027 Regular Session
New Jersey S2777: Physicians in good standing-req automatic issuance of credential, provide svcs
Status: Introduced, October 5, 2026
Modifies process to credential licensed health care professionals in carrier provider network.*
What the bill says
An Act concerning certain health care credentials and amending P.L.1997, c.192 and amending and supplementing P.L.2001, c.88. 1. Section 7 of P.L.1997, c.192 (C.26:2S-7) is amended to read as follows: 7. [ADDED: a. (1)] Each application for [participation] [ADDED: initial credentialing or credential renewal] by a licensed health care professional that is submitted to a carrier which offers a managed care plan shall be reviewed by a committee of the carrier that includes appropriate representation of health care professionals with knowledge in the applicant's scope of professional practice. [AD.
From the committee substitute text, October 5, 2026:
An Act concerning certain health care credentials and amending P.L.1997, c.192 and amending and supplementing P.L.2001, c.88. 1. Section 7 of P.L.1997, c.192 (C.26:2S-7) is amended to read as follows: 7. [ADDED: a. (1)] Each application for [participation] [ADDED: initial credentialing or credential renewal] by a licensed health care professional that is submitted to a carrier which offers a managed care plan shall be reviewed by a committee of the carrier that includes appropriate representation of health care professionals with knowledge in the applicant's scope of professional practice. [ADDED: (2) A carrier shall make available on its Internet website: ] [ADDED: (a) the universal application for initial credentialing and renewal forms; and] [ADDED: (b) an explanation of the credentialing process, including a list of all the documents required for initial credentialing and renewal, and any relevant timelines.] [ADDED: b. Upon receipt of an application submitted by a licensed health care professional for initial credentialing or credential renewal, a committee shall: ] [ADDED: (1) deem the application approved if the information included as part of the application demonstrates the license of the health care professional as issued by the relevant State licensing board is in good standing; or] [ADDED: (2) if the application is incomplete, notify the applicant health care professional, within 45 days after the submission of a hardcopy application …