86R10369 LED-D
By: Buckingham S.B. No. 1235
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.