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TX SB2450
Bill
Status
3/13/2025
Primary Sponsor
Bryan Hughes
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AI Summary
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Requires the Health and Human Services Commission to establish a dedicated support team to assist Medicaid providers with enrollment and credentialing processes, with annual performance evaluations posted by September 1 of each year
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Mandates 30-day advance written notice (electronic and mail) to providers before disenrollment during revalidation periods, with opportunity to address application deficiencies
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Prohibits Medicaid managed care organizations from using subcontracted vision plans or third-party administrators to control eye health care provider network participation, contracting, or scope of services
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Requires reimbursement of eye health care providers at rates at least equal to Medicaid fee-for-service rates for the same or similar services
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Mandates that managed care organizations include in their networks all optometrists, therapeutic optometrists, and ophthalmologists who seek participation, agree to contract terms and rates, meet standards of care, and are enrolled Medicaid providers
Legislative Description
Relating to the participation and reimbursement of and requirements affecting certain providers, including providers of eye health care and vision care services, under Medicaid.
Electronic Information Systems
Last Action
Left pending in committee
4/30/2025