Tex.
Gov't Code Section 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.
Source:
Section 531.021191 — Medicaid Enrollment of Certain Eye Health Care Providers, https://statutes.capitol.texas.gov/Docs/GV/htm/GV.531.htm#531.021191 (accessed Jun. 5, 2024).
