Text of section effective until April 01, 2025
Sec. 531.021191. MEDICAID ENROLLMENT OF CERTAIN EYE HEALTH CARE PROVIDERS. (a) This section applies only to:
(1) an optometrist who is licensed by the Texas Optometry Board;
(2) a therapeutic optometrist who is licensed by the Texas Optometry Board;
(3) an ophthalmologist who is licensed by the Texas Medical Board; and
(4) an institution of higher education that provides an accredited program for:
(A) training as a Doctor of Optometry or an optometrist residency; or
(B) training as an ophthalmologist or an ophthalmologist residency.
(b) The commission may not prevent a provider to whom this section applies from enrolling as a Medicaid provider if the provider:
(1) either:
(A) joins an established practice of a health care provider or provider group that has a contract with a managed care organization to provide health care services to recipients under Chapter 533; or
(B) is employed by or otherwise compensated for providing training at an institution of higher education described by Subsection (a)(4);
(2) applies to be an enrolled provider under Medicaid;
(3) if applicable, complies with the requirements of the contract between the provider or the provider's group and the applicable managed care organization; and
(4) complies with all other applicable requirements related to being a Medicaid provider.
(c) The commission may not prevent an institution of higher education from enrolling as a Medicaid provider if the institution:
(1) has a contract with a managed care organization to provide health care services to recipients under Chapter 533;
(2) applies to be an enrolled provider under Medicaid;
(3) complies with the requirements of the contract between the provider and the applicable managed care organization; and
(4) complies with all other applicable requirements related to being a Medicaid provider.
Added by Acts 2017, 85th Leg., R.S., Ch. 901 (H.B. 3675), Sec. 2, eff. September 1, 2017.
Repealed by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 3.01, eff. April 1, 2025.