Bill > HB4667

This bill modifies the Texas Human Resources Code to establish new rules for reimbursing repairs of complex rehabilitation technology equipment (CRTE) under Medicaid. Specifically, the bill requires the executive commissioner to create a reimbursement methodology for CRTE repairs and mandates that medical assistance reimbursement for such repairs will be provided without requiring prior authorization or precertification from medical assistance recipients or healthcare providers. The bill defines CRTE by referencing a definition in the Government Code, which suggests these are specialized medical devices used by individuals with significant disabilities or complex medical needs. If federal waivers or authorizations are needed to implement the bill, the relevant state agency can request them and delay implementation until approval is received. The bill is set to take effect on September 1, 2025, which gives state agencies time to prepare and establish the new reimbursement process, ultimately aiming to make repairs of critical medical equipment more accessible and streamlined for Medicaid recipients.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4667