Bill Text: TX HB3223 | 2019-2020 | 86th Legislature | Introduced


Bill Title: Relating to the enrollment of health care providers in Medicaid.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced) 2019-03-13 - Referred to Human Services [HB3223 Detail]

Download: Texas-2019-HB3223-Introduced.html
  86R10369 LED-D
 
  By: Oliverson H.B. No. 3223
 
 
 
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.
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