Bill Text: TX HB3230 | 2019-2020 | 86th Legislature | Introduced


Bill Title: Relating to an expedited credentialing process for certain Medicaid providers.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2019-03-13 - Referred to Human Services [HB3230 Detail]

Download: Texas-2019-HB3230-Introduced.html
  86R11657 MM-D
 
  By: J. Johnson of Dallas H.B. No. 3230
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to an expedited credentialing process for certain Medicaid
  providers.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 531.001, Government Code, is amended by
  adding Subdivision (4-c) to read as follows:
               (4-c)  "Medicaid managed care organization" means a
  managed care organization as defined by Section 533.001 that
  contracts with the commission under Chapter 533 to provide health
  care services to Medicaid recipients.
         SECTION 2.  Section 531.02118, Government Code, is amended
  by amending Subsection (c) and adding Subsection (e) to read as
  follows:
         (c)  In streamlining the Medicaid provider credentialing
  process under this section, the commission may designate a
  centralized credentialing entity and may:
               (1)  share information in the database established
  under Subchapter C, Chapter 32, Human Resources Code, with the
  centralized credentialing entity; and
               (2)  require all Medicaid managed care organizations
  [contracting with the commission to provide health care services to
  Medicaid recipients under a managed care plan issued by the
  organization] to use the centralized credentialing entity as a hub
  for the collection and sharing of information.
         (e)  The commission shall develop an expedited credentialing
  process for a physician licensed in this state and require all
  Medicaid managed care organizations to use the process.
         SECTION 3.  As soon as practicable after the effective date
  of this Act, the executive commissioner of the Health and Human
  Services Commission shall develop and implement the expedited
  credentialing process described by Section 531.02118(e),
  Government Code, as added by this Act.
         SECTION 4.  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 5.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2019.
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