88R27588 BDP-D
By: Klick, Raymond H.B. No. 4627
A BILL TO BE ENTITLED
AN ACT
relating to the alternative electronic visit verification system
recognized under Medicaid.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 531.024172, Government Code, is amended
by amending Subsections (g), (g-1), and (g-2) to read as follows:
(g) The commission may recognize an alternative [a health
care provider's proprietary] electronic visit verification system,
including a system [whether] purchased or developed by a health
care [the] provider, as complying with this section and allow a
[the] health care provider to use an alternative electronic visit
verification [that] system for a period determined by the
commission if the commission determines that the system:
(1) complies with all necessary data submission,
exchange, and reporting requirements established under this
section; and
(2) meets all other standards and requirements
established under this section.
(g-1) If feasible, the executive commissioner shall ensure
a health care provider that uses an alternative [the provider's
proprietary] electronic visit verification system recognized under
Subsection (g) is reimbursed for the use of that system.
(g-2) For purposes of facilitating the use of an alternative
[proprietary] electronic visit verification system [systems] by
health care providers under Subsection (g) and in consultation with
industry stakeholders and the work group established under
Subsection (h), the commission or the executive commissioner, as
appropriate, shall:
(1) develop an open model system that mitigates the
administrative burdens identified by providers required to use
electronic visit verification;
(2) allow providers to use emerging technologies,
including Internet-based, mobile telephone-based, and global
positioning-based technologies, in the alternative [providers'
proprietary] electronic visit verification system recognized under
Subsection (g) [systems]; and
(3) adopt rules governing:
(A) data submission; [and]
(B) provider reimbursement; and
(C) alternative electronic visit verification
system approval.
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, 2023.