Bill > SB1266

This bill enhances the Medicaid provider enrollment and credentialing processes in Texas by establishing several key requirements for the Health and Human Services Commission (HHSC). The bill mandates that HHSC create a support team for their online portal to assist current and prospective Medicaid providers in completing enrollment and credentialing, with the goal of reducing administrative burdens. HHSC must annually evaluate this support team's performance and publish a report on their website by September 1st each year. Additionally, the bill requires HHSC to develop an electronic system for providers to submit complaints and feedback about the enrollment processes. The bill also introduces a new notice requirement for provider disenrollment, stipulating that HHSC must provide both electronic and mailed written notice at least 30 days before disenrolling a provider for failing to complete the enrollment revalidation process, and must allow the provider an opportunity to address any application deficiencies. The bill is set to take effect on September 1, 2025, with the first performance evaluation report due by September 1, 2026, and HHSC is required to establish the support team and adopt necessary rules as soon as possible after the effective date.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB1266