H.B. No. 3151 aims to expedite the credentialing process for certain health care providers, specifically federally qualified health centers (FQHCs), by Medicaid managed care organizations in Texas. The bill amends Sections 540.0656(a) and (d) of the Government Code to include definitions and requirements for "applicant providers," which now explicitly encompass FQHCs and their health care providers. To qualify for expedited credentialing, an applicant must have a current contract with a Medicaid managed care organization or be part of an established health care provider group or an FQHC that has such a contract. The bill also clarifies that the applicant must be a Medicaid-enrolled provider and agree to comply with the contract terms.

Additionally, the bill includes a provision that allows state agencies to delay the implementation of any part of the Act if a waiver or authorization from a federal agency is required. This ensures that the state can comply with federal regulations while working to improve the credentialing process for health care providers serving Medicaid patients. The Act is set to take effect on September 1, 2025.

Statutes affected:
Introduced: ()
House Committee Report: ()
Engrossed: Government Code 540.0656 (Government Code 540)
Senate Committee Report: Government Code 540.0656 (Government Code 540)
Enrolled: Government Code 540.0656 (Government Code 540)