Bill Text: TX HB3884 | 2017-2018 | 85th Legislature | Introduced
Bill Title: Relating to the establishment of a schedule for the payment of reimbursable claims under the Medicaid managed care program.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2017-03-31 - Referred to Human Services [HB3884 Detail]
Download: Texas-2017-HB3884-Introduced.html
85R14946 JG-D | ||
By: Muñoz, Jr. | H.B. No. 3884 |
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relating to the establishment of a schedule for the payment of | ||
reimbursable claims under the Medicaid managed care program. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter A, Chapter 533, Government Code, is | ||
amended by adding Section 533.0067 to read as follows: | ||
Sec. 533.0067. REQUIRED CONTRACT PROVISIONS; SCHEDULE FOR | ||
PAYMENT OF REIMBURSABLE CLAIMS. (a) A managed care organization | ||
that contracts with the commission to provide health care services | ||
to recipients shall establish a schedule for the payment of | ||
reimbursable claims that complies with Sections 533.005(a)(7) and | ||
(7-a) and include the schedule in a contract between the managed | ||
care organization and a health care provider in the managed care | ||
organization's provider network. | ||
(b) If a managed care organization to which this section | ||
applies delegates the payment of reimbursable claims to a third | ||
party through a subcontract or otherwise, the third party shall | ||
also pay those claims according to the schedule described by | ||
Subsection (a). | ||
SECTION 2. If before implementing any provision of this Act | ||
a state agency determines that a waiver or authorization from a | ||
federal agency is necessary for implementation of that provision, | ||
the agency affected by the provision shall request the waiver or | ||
authorization and may delay implementing that provision until the | ||
waiver or authorization is granted. | ||
SECTION 3. The change in law made by this Act applies only | ||
to a contract between a managed care organization and a health care | ||
provider entered into or renewed on or after the effective date of | ||
this Act. A contract between a managed care organization and a | ||
health care provider entered into or renewed before the effective | ||
date of this Act is governed by the law applicable to the contract | ||
immediately before the effective date of this Act, and that law is | ||
continued in effect for that purpose. | ||
SECTION 4. This Act takes effect September 1, 2017. |