The bill, S.B. No. 832, introduces a new subchapter to Chapter 1452 of the Texas Insurance Code, focusing on the expedited credentialing process for certain chiropractors by managed care plan issuers. It defines key terms such as "applicant," "enrollee," "health care provider," "managed care plan," "participating provider," and "professional practice." The subchapter applies specifically to chiropractors who join established professional practices that have contracts with managed care plans. To qualify for expedited credentialing, chiropractors must be licensed and in good standing, submit required documentation, and agree to comply with the terms of the managed care plan's contract.
Additionally, the bill outlines provisions for payment during the credentialing process, stating that applicants will be treated as participating providers for payment purposes once they submit the necessary information. It also includes stipulations regarding directory entries, the consequences of failing to meet credentialing requirements, and protections for enrollees against unexpected charges. Managed care plan issuers that comply with the new regulations will not be held liable for payments made to chiropractors treated as participating providers during the credentialing process. The act is set to take effect on September 1, 2025.
Statutes affected: Introduced: ()