Texas House Bill HB2221

Texas 2019 - 86th Regular

Caption

Relating to a single Internet portal through which Medicaid providers may submit and receive information.

Impact

The implementation of HB2221 is designed to improve the prompt payment and proper reimbursement of providers by managed care organizations. It includes several mandates, such as the need for standardization in claims submission and processing, provider education, and a clear definition of network standards. The bill requires the Health and Human Services Commission to develop this portal by specific timelines, aiming to facilitate quicker and more accurate interactions between Medicaid providers and managed care entities, supporting better healthcare delivery for Texas residents.

Summary

House Bill 2221 aims to streamline communication between Medicaid providers and managed care organizations by establishing a single Internet portal for submission and receipt of relevant information. The bill amends the Government Code, specifically Section 533.0055, to include provisions that outline a streamlined process for Medicaid providers to submit electronic claims, prior authorization requests, and obtain necessary documentation through this centralized portal. This initiative is expected to enhance efficiency and reduce the administrative burden currently faced by healthcare providers in Texas.

Contention

While the bill is largely seen as a positive step toward modernizing Medicaid administration, there are points of contention related to the robustness of the system required to support such a portal. Some legislators express concerns regarding the potential costs of implementation, the choice of contractors to operate the portal, and whether adequate measures will be in place to protect patient information and ensure compliance with existing regulations. The focus on a centralized system may also raise questions about accessibility and the capacity of smaller providers to adapt to new technologies and processes.