TX
Texas Senate Bill SB951

Texas 2021 - 87th Regular

Texas Senate Bill SB951

Caption

Relating to improvements to the Texas Medicaid Provider Procedures Manual designed to prevent fraud, waste, or abuse in the provision of Medicaid dental services.

Impact

The bill supports an initiative to streamline Medicaid operations and potentially reduce unnecessary costs linked to fraud and waste. By amending the Provider Procedures Manual, the state government aims to ensure that dental providers adhere to best practices, thereby optimizing the healthcare delivery system for Medicaid recipients. It lays the groundwork for establishing clearer guidelines and standards, which may positively impact both providers and patients by ensuring the integrity of Medicaid services.

Summary

Senate Bill 951 aims to improve the Texas Medicaid Provider Procedures Manual with a focus on preventing fraud, waste, or abuse within the provision of dental services under Medicaid. The bill establishes a work group tasked with reviewing existing provisions related to dental services, identifying those that could be revised or eliminated to enhance operational integrity and efficiency. Members of the work group will include representatives from various stakeholder groups, including managed care organizations and dental professionals, reflecting a collaborative effort to address potential vulnerabilities in the current system.

Contention

A notable point of contention surrounding SB951 may relate to the balance between regulatory oversight and provider autonomy. While the intention is to minimize fraud and abuse, stakeholders might express concerns that excessive regulations could hinder access to necessary dental services or place undue burden on providers. As the work group develops recommendations, there could be debate on which provisions to revise or eliminate, especially if proposed changes are perceived to impact service delivery negatively. Furthermore, discussions regarding federal authorization may come into play, as certain provisions could require federal compliance or waivers before implementation.

Companion Bills

TX HB1629

Same As Relating to improvements to the Texas Medicaid Provider Procedures Manual designed to prevent fraud, waste, or abuse in the provision of Medicaid dental services.

Previously Filed As

TX HB4611

Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.

TX HB1397

Relating to the provision of community recovery organization peer-to-peer services under Medicaid.

TX HB5014

Relating to the establishment of the Autism Medicaid Services Program Advisory Council to evaluate the provision of applied behavior analysis services under Medicaid.

TX SB2178

Relating to the establishment of the Autism Medicaid Services Program Advisory Council to evaluate the provision of applied behavior analysis services under Medicaid.

TX HB1238

Relating to the school health and related services program, including parental consent for program services, the establishment of a school health and related services program advisory council, and the publication of the School Health and Related Services (SHARS) Handbook portion of the Texas Medicaid Provider Procedures Manual.

TX HB4823

Relating to the provision and delivery of benefits to certain recipients under Medicaid.

TX SB2145

Relating to the provision and delivery of benefits to certain recipients under Medicaid.

TX SB745

Relating to fraud prevention under certain health care programs.

TX HB2727

Relating to the provision of home telemonitoring services under Medicaid.

TX HB3779

Relating to fraud prevention under certain health care programs.

Similar Bills

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AR SB518

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AR SB515

To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act.

UT HB0463

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