(a) The office and each licensing authority that requires the submission of fingerprints for the purpose of conducting a criminal history record information check of a health care professional shall enter into a memorandum of understanding to ensure that only persons who are licensed and in good standing as health care professionals participate as providers in Medicaid. The memorandum under this section may be combined with a memorandum authorized under § 531.1031(c-1) and must include a process by which:
(1) the office may confirm with a licensing authority that a health care professional is licensed and in good standing for purposes of determining eligibility to participate in Medicaid; and
(2) the licensing authority immediately notifies the office if:
(A) a provider’s license has been revoked or suspended; or
(B) the licensing authority has taken disciplinary action against a provider.
(b) The office may not, for purposes of determining a health care professional’s eligibility to participate in Medicaid as a provider, conduct a criminal history record information check of a health care professional who the office has confirmed under Subsection (a) is licensed and in good standing. This subsection does not prohibit the office from performing a criminal history record information check of a provider that is required or appropriate for other reasons, including for conducting an investigation of fraud, waste, or abuse.


Text of section effective until April 01, 2025

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Terms Used In Texas Government Code 531.1032

  • Fraud: Intentional deception resulting in injury to another.