Texas SB267 allows any physician to apply to be a participating provider in a managed care plan, with mandatory reimbursement rates.

Texas SB267 amends the Insurance Code to allow any physician to apply for designation as a participating provider in a managed care plan. Managed care plans must accept any physician who applies and designate them as a participating provider. The bill applies to various health benefit plans, including basic coverage plans and the Medicaid managed care program. Managed care plans must reimburse participating physicians at a rate of 90 percent of the highest contracted rate for the same service. The provisions of this Act take effect September 1, 2025.

Texas SB267 allows any physician to apply to be a participating provider in a managed care plan, with mandatory reimbursement rates.

Texas SB267 amends the Insurance Code to allow any physician to apply for designation as a participating provider in a managed care plan. Managed care plans must accept any physician who applies and designate them as a participating provider. The bill applies to various health benefit plans, including basic coverage plans and the Medicaid managed care program. Managed care plans must reimburse participating physicians at a rate of 90 percent of the highest contracted rate for the same service. The provisions of this Act take effect September 1, 2025.