Texas HB5512 amends Medicaid managed care contracts to require reimbursement of eye health care services providers and establish provider enrollment.

HB5512 amends Medicaid managed care contracts to require reimbursement of eye health care services providers at a rate equal to or greater than the Medicaid fee-for-service rate. It also mandates that managed care organizations seek participation from specific providers, including those who have traditionally provided care to Medicaid recipients, disproportionate share hospitals, and specialized pediatric laboratories. The bill establishes procedures for provider enrollment and credentialing, including the creation of a support team to assist providers and a process for submitting complaints.

Texas HB5512 amends Medicaid managed care contracts to require reimbursement of eye health care services providers and establish provider enrollment.

HB5512 amends Medicaid managed care contracts to require reimbursement of eye health care services providers at a rate equal to or greater than the Medicaid fee-for-service rate. It also mandates that managed care organizations seek participation from specific providers, including those who have traditionally provided care to Medicaid recipients, disproportionate share hospitals, and specialized pediatric laboratories. The bill establishes procedures for provider enrollment and credentialing, including the creation of a support team to assist providers and a process for submitting complaints.