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TX HB4845
Bill
Status
3/13/2025
Primary Sponsor
Robert Guerra
Click for details
AI Summary
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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
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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
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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
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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
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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