Texas House Bill HB3884

Texas 2017 - 85th Regular

Caption

Relating to the establishment of a schedule for the payment of reimbursable claims under the Medicaid managed care program.

Impact

By requiring MCOs to establish payment schedules, HB3884 seeks to address long-standing issues related to reimbursement delays that healthcare providers often face when dealing with managed care systems. This change may lead to more efficient cash flow for providers, potentially improving their ability to deliver services. Furthermore, the bill aims to standardize the reimbursement process throughout the state, minimizing variations between different managed care organizations and ultimately benefiting Medicaid recipients through improved service accessibility and quality.

Summary

House Bill 3884 establishes new provisions regarding the payment of reimbursable claims within the Medicaid managed care program in Texas. This legislation mandates that managed care organizations (MCOs) must create a clear payment schedule for reimbursable claims, which must be incorporated into contracts with healthcare providers in their networks. This requirement aims to enhance transparency and accountability in the reimbursement process, ensuring that healthcare providers receive timely payments for the services rendered to Medicaid recipients.

Contention

While the bill is largely seen as a positive step towards improving the Medicaid payment process, there may be concerns regarding the implementation of these new requirements by managed care organizations. Questions may arise about how MCOs will adapt to these mandates and whether they will adequately protect the interests of both healthcare providers and patients. Additionally, stakeholders in the healthcare sector may debate the feasibility of MCOs maintaining compliance with the established payment schedules. Ultimately, the successful execution of HB3884 will rely heavily on collaboration between state agencies and managed care organizations.