TX HB4585

Establishes strict payment timelines for Medicaid managed care organizations: 10 days for nursing facility/intermediate care claims, 30 days for long-term services and supports claims, and 45 days for all other clean claims

Requires managed care organizations to disclose claims processing addresses, contact phone numbers, names of delegated entities handling claim payments, and provide 61 days written notice before any changes to this information

Guarantees physicians and providers at least 95 days from the date of service to submit claims for payment, with provisions that cannot be waived or modified by contract

Prohibits utilization review agents and their contracted personnel from delegating utilization review to artificial intelligence applications or similar computer software

Creates a binding independent review organization process overseen by the Health and Human Services Commission to resolve claims disputes that remain unresolved after initial provider appeals