Text of section effective on April 01, 2025
Sec. 532.0153. 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 Medicaid managed care organization to provide health care services to recipients under Chapter 540 or 540A; 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 Medicaid provider;
(3) if applicable, complies with the requirements of the contract described by Subdivision (1)(A); 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 540 or 540A;
(2) applies to be an enrolled Medicaid provider;
(3) complies with the requirements of the contract described by Subdivision (1); and
(4) complies with all other applicable requirements related to being a Medicaid provider.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.