House Bill No. 5512 aims to enhance the participation and reimbursement processes for eye health care and vision care service providers under Medicaid in Texas. The bill 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, it requires that providers receive written notice at least 30 days before disenrollment during the revalidation period, allowing them to address any deficiencies in their applications.

Furthermore, the bill adds Sections 540.0281 and 540.0282, which stipulate that Medicaid managed care organizations must not only ensure the inclusion of eye health care providers in their networks but also guarantee that these providers are reimbursed at rates at least equal to the Medicaid fee-for-service rates for similar services. The bill also amends existing provisions to require managed care organizations to seek participation from various health care providers and to contract directly with optometrists and ophthalmologists who meet specified criteria. The Health and Human Services Commission is tasked with implementing these changes and ensuring compliance with the new requirements by September 1, 2025.