TX HB1642

Requires managed care plan issuers to treat chiropractors as in-network participating providers for payment purposes while their credentialing application is pending, provided the chiropractor joins an established professional practice that already has a contract with the plan

Chiropractors must be licensed and in good standing with the Texas Board of Chiropractic Examiners, submit all required credentialing documentation, and agree to comply with the existing provider contract terms to qualify for expedited credentialing

During the credentialing process, chiropractors can collect copayments from enrollees and receive payments from the managed care plan, though issuers may exclude them from provider directories until fully approved

If a chiropractor ultimately fails to meet credentialing requirements, the managed care plan issuer may recover the difference between in-network and out-of-network payment rates from the chiropractor or their practice

Enrollees are held harmless and cannot be charged for any difference between in-network copayments paid and out-of-network rates if the chiropractor is later determined ineligible for network participation