| |
| |
|
|
A BILL TO BE ENTITLED
|
|
|
AN ACT
|
|
|
relating to the enrollment of health care providers in Medicaid. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Section 531.02118, Government Code, is amended |
|
|
by adding Subsections (e), (f), and (g) to read as follows: |
|
|
(e) The commission shall enroll a provider as a Medicaid |
|
|
provider, without requiring the provider to separately apply for |
|
|
enrollment through the entity serving as the state's Medicaid |
|
|
claims administrator, if the provider is: |
|
|
(1) credentialed by a managed care organization that |
|
|
contracts with the commission under Chapter 533; or |
|
|
(2) enrolled as a Medicare provider. |
|
|
(f) The commission shall track the number of providers that |
|
|
enroll as Medicaid providers through each type of enrollment |
|
|
process described by Subsection (e), including the enrollment |
|
|
process through the entity serving as the state's Medicaid claims |
|
|
administrator. |
|
|
(g) The commission shall develop a process to streamline the |
|
|
Medicaid enrollment of a provider who: |
|
|
(1) provides services to a recipient who is also |
|
|
enrolled in a private group health benefit plan; and |
|
|
(2) is enrolled as a provider in that group health |
|
|
benefit plan. |
|
|
SECTION 2. 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 3. This Act takes effect September 1, 2019. |