Texas Government Code 531.02118 – Streamlining Medicaid Provider Enrollment and Credentialing Processes
Current as of: 2024 | Check for updates
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(a) The commission shall streamline provider enrollment and credentialing processes under Medicaid.
(b) In streamlining the Medicaid provider enrollment process, the commission shall establish a centralized Internet portal through which providers may enroll in Medicaid. The commission may use the Internet portal created under this subsection to create a single, consolidated Medicaid provider enrollment and credentialing process.
Terms Used In Texas Government Code 531.02118
- Contract: A legal written agreement that becomes binding when signed.
(c) In streamlining the Medicaid provider credentialing process under this section, the commission may designate a centralized credentialing entity and may:
(1) share information in the database established under Subchapter C, Chapter 32, Human Resources Code, with the centralized credentialing entity; and
(2) require all managed care organizations contracting with the commission to provide health care services to Medicaid recipients under a managed care plan issued by the organization to use the centralized credentialing entity as a hub for the collection and sharing of information.
(d) If cost-effective, the commission may contract with a third party to develop the single, consolidated Medicaid provider enrollment and credentialing process authorized under Subsection (b).
Text of section effective until April 01, 2025