The bill, S.B. No. 1266, aims to enhance the Medicaid provider enrollment and credentialing processes in Texas by introducing new support mechanisms and requirements for provider communication. It adds two new sections to the Government Code, specifically Sections 532.01511 and 532.01512. Section 532.01511 mandates the establishment of a dedicated support team to assist current and prospective Medicaid providers with the enrollment and credentialing processes, aiming to reduce administrative burdens. Additionally, the Health and Human Services Commission is required to evaluate the performance of this support team annually and post a summary report on its website. The section also establishes a procedure for providers to electronically submit complaints and feedback regarding the enrollment processes.

Section 532.01512 introduces new requirements for notifying Medicaid providers prior to disenrollment during their enrollment revalidation period. It stipulates that providers must receive written notice of disenrollment at least 30 days in advance, along with an opportunity to address any deficiencies in their revalidation application. The bill also includes a provision that allows for a delay in implementation if a federal waiver is needed. The initial evaluation of the support team is to be conducted by September 1, 2026, and the act is set to take effect on September 1, 2025.