The bill, S.B. No. 2450, aims to enhance the participation and reimbursement processes for eye health care and vision care service providers under Medicaid in Texas. It introduces new sections to the Government Code, specifically Sections 532.01511 and 532.01512, which mandate the establishment of a dedicated support team to assist Medicaid providers with enrollment and credentialing processes, as well as a procedure for providers to electronically submit complaints and feedback. Additionally, the bill requires that providers receive written notice before disenrollment during their enrollment revalidation period, allowing them to address any deficiencies in their applications.
Furthermore, the bill adds Sections 540.0281 and 540.0282, which impose requirements on Medicaid managed care organizations regarding the administration and reimbursement of eye health care services. These sections prohibit managed care organizations from using different entities to limit or deny participation of eye health care providers in their networks and mandate that reimbursement rates for these providers be at least equal to the Medicaid fee-for-service rates. The bill also amends existing provisions to ensure compliance with these new requirements, with an effective date set for September 1, 2025.