| |
| |
|
|
A BILL TO BE ENTITLED
|
|
|
AN ACT
|
|
|
relating to an expedited credentialing process for certain Medicaid |
|
|
providers. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Section 531.001, Government Code, is amended by |
|
|
adding Subdivision (4-c) to read as follows: |
|
|
(4-c) "Medicaid managed care organization" means a |
|
|
managed care organization as defined by Section 533.001 that |
|
|
contracts with the commission under Chapter 533 to provide health |
|
|
care services to Medicaid recipients. |
|
|
SECTION 2. Section 531.02118, Government Code, is amended |
|
|
by amending Subsection (c) and adding Subsection (e) to read as |
|
|
follows: |
|
|
(c) In streamlining the Medicaid provider credentialing |
|
|
process under this section, the commission may designate a |
|
|
centralized credentialing entity and may: |
|
|
(1) share information in the database established |
|
|
under Subchapter C, Chapter 32, Human Resources Code, with the |
|
|
centralized credentialing entity; and |
|
|
(2) require all Medicaid managed care organizations |
|
|
[contracting with the commission to provide health care services to
|
|
|
Medicaid recipients under a managed care plan issued by the
|
|
|
organization] to use the centralized credentialing entity as a hub |
|
|
for the collection and sharing of information. |
|
|
(e) The commission shall develop an expedited credentialing |
|
|
process for a physician licensed in this state and require all |
|
|
Medicaid managed care organizations to use the process. |
|
|
SECTION 3. As soon as practicable after the effective date |
|
|
of this Act, the executive commissioner of the Health and Human |
|
|
Services Commission shall develop and implement the expedited |
|
|
credentialing process described by Section 531.02118(e), |
|
|
Government Code, as added by this Act. |
|
|
SECTION 4. If before implementing any provision of this Act |
|
|
a state agency determines that a waiver or authorization from a |
|
|
federal agency is necessary for implementation of that provision, |
|
|
the agency affected by the provision shall request the waiver or |
|
|
authorization and may delay implementing that provision until the |
|
|
waiver or authorization is granted. |
|
|
SECTION 5. This Act takes effect immediately if it receives |
|
|
a vote of two-thirds of all the members elected to each house, as |
|
|
provided by Section 39, Article III, Texas Constitution. If this |
|
|
Act does not receive the vote necessary for immediate effect, this |
|
|
Act takes effect September 1, 2019. |