Texas 2025 - 89th Regular

Texas Senate Bill SB2676 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	89R15296 LRM-D
2	2	By: Hinojosa of Hidalgo S.B. No. 2676
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7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to Medicaid provider enrollment revalidation.
10	10	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
11	11	SECTION 1. Subchapter D, Chapter 532, Government Code, as
12	12	effective April 1, 2025, is amended by adding Section 532.01511 to
13	13	read as follows:
14	14	Sec. 532.01511. REVALIDATION OF PROVIDER ENROLLMENT. (a)
15	15	At least 120 days before the date a Medicaid provider's Medicaid
16	16	enrollment period expires, the commission shall provide to the
17	17	provider written notice of the upcoming expiration. The notice must
18	18	include:
19	19	(1) the date on which the provider's enrollment will
20	20	expire; and
21	21	(2) information on the process for revalidating the
22	22	provider's enrollment, including:
23	23	(A) the form and manner for applying for
24	24	revalidation;
25	25	(B) the information and documentation the
26	26	provider must submit with an application for revalidation of
27	27	enrollment; and
28	28	(C) a suggested timeline for submitting the
29	29	application, including the required information and documentation,
30	30	to ensure timely reenrollment and avoid disenrollment for failure
31	31	to revalidate enrollment before the provider's enrollment period
32	32	expires.
33	33	(b) If a Medicaid provider submits an application for
34	34	revalidation of enrollment at least 90 days before the date a
35	35	Medicaid provider's Medicaid enrollment period expires, the
36	36	commission shall review the application to determine whether the
37	37	application contains any obvious deficiencies. If the commission
38	38	identifies a deficiency, the commission shall:
39	39	(1) notify the provider of the deficiency at least 60
40	40	days before the date the provider's enrollment period expires;
41	41	(2) provide the provider at least 10 days to correct
42	42	the deficiency; and
43	43	(3) if the provider corrects the deficiency within the
44	44	time provided under Subdivision (2), review the corrected
45	45	application in a timely manner to allow for any additional
46	46	deficiency to be determined and addressed before the date the
47	47	provider's enrollment period expires.
48	48	(c) If a Medicaid provider in good faith submits an
49	49	application for revalidation and complies with all specified
50	50	deadlines for corrections, the commission must finalize the
51	51	application before the provider's enrollment period expires,
52	52	regardless of the number of required corrections.
53	53	SECTION 2. Section 532.01511, Government Code, as added by
54	54	this Act, applies only to a Medicaid provider whose enrollment
55	55	period expires on or after January 1, 2026.
56	56	SECTION 3. If before implementing any provision of this Act
57	57	a state agency determines that a waiver or authorization from a
58	58	federal agency is necessary for implementation of that provision,
59	59	the agency affected by the provision shall request the waiver or
60	60	authorization and may delay implementing that provision until the
61	61	waiver or authorization is granted.
62	62	SECTION 4. This Act takes effect September 1, 2025.