TX HB5512

Requires the Health and Human Services Commission to establish a dedicated support team to assist current and prospective Medicaid providers with enrollment and credentialing processes, with annual performance evaluations posted by September 1 each year

Mandates 30-day advance written notice (both electronic and mail) to providers before disenrollment during revalidation periods, allowing providers time to address application deficiencies

Prohibits Medicaid managed care organizations from using subcontracted vision plans or third-party administrators to establish network inclusion, contract with, or deny participation of eye health care providers who meet requirements

Requires entities providing eye health care or vision care services under Medicaid managed care plans to reimburse providers at rates at least equal to the Medicaid fee-for-service rate

Mandates that managed care organizations include in their provider networks all optometrists, therapeutic optometrists, and ophthalmologists who seek participation, agree to terms, accept contract rates, meet standards of care, and are enrolled Medicaid providers