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TX HB4845

Bill

Status

Introduced

3/13/2025

Primary Sponsor

Robert Guerra

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Requires the Health and Human Services Commission to provide written notice to Medicaid providers at least 120 days before their enrollment period expires, including the expiration date, revalidation process details, required documentation, and suggested submission timeline

  • Mandates the commission review revalidation applications submitted at least 90 days before enrollment expiration to identify obvious deficiencies and notify providers at least 60 days before expiration if issues are found

  • Gives providers at least 10 days to correct any identified application deficiencies, with the commission required to review corrected applications in time to address additional issues before enrollment expires

  • Requires the commission to finalize revalidation applications before enrollment expires for providers who submit in good faith and comply with all correction deadlines, regardless of how many corrections were needed

  • Applies to Medicaid providers whose enrollment periods expire on or after January 1, 2026, with an effective date of September 1, 2025

Legislative Description

Relating to Medicaid provider enrollment revalidation.

Health Care Providers

Last Action

Left pending in committee

4/29/2025

Committee Referrals

Human Services4/3/2025

Full Bill Text

No bill text available