Relating to expedited credentialing for certain licensed clinical social workers under the Medicaid managed care program.
Impact
The bill's implications for state laws are significant as it alters the manner in which credentialing is conducted for social workers operating within Medicaid managed care programs. It establishes eligibility criteria and outlines a payment process that enables these professionals to receive compensation while their full credentialing is being finalized. Consequently, it aims to enhance the accessibility of mental health services to recipients under Medicaid, addressing what has been a persistent bottleneck in service delivery due to lengthy credentialing processes.
Summary
SB1402 is introduced to establish an expedited credentialing process for licensed clinical social workers under the Medicaid managed care program in Texas. By amending Chapter 533 of the Government Code and adding Subchapter G, the bill specifically targets licensed clinical social workers who join social work medical groups that already have contracts with managed care organizations. This change is expected to streamline and simplify the credentialing process for these providers, allowing them to begin providing services more quickly to Medicaid recipients.
Contention
Despite its potential benefits, the bill may face opposition regarding its approach to credentialing and the responsibilities imposed on managed care organizations. Critics may argue that while the expedited process has benefits for providers, it could lead to inconsistencies in service quality or accountability if credentialing requirements are not thoroughly vetted. Additionally, there may be concerns regarding the implications of the proposed billing practices, especially if they lead to complications in the reimbursement process or disputes about the status of social workers as in-network providers.
Final_note
The bill is set to take effect on September 1, 2015, signaling legislative intent to address ongoing issues in social work service access in Texas. Proponents of SB1402 may emphasize the need for swift action to improve mental health service availability, particularly amidst rising demands for such services across the state.
Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.