TITLE: Relating to prior authorization or precertification for the repair of complex rehabilitation technology equipment under Medicaid.

SUMMARY: Relating to prior authorization or precertification for the repair of complex rehabilitation technology equipment under Medicaid.

FULL TEXT:
AN ACT relating to prior authorization or precertification for the repair of complex rehabilitation technology equipment under Medicaid. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 32, Human Resources Code, is amended by adding Section 32.031401 to read as follows: Sec. 32.031401. REIMBURSEMENT FOR REPAIR OF COMPLEX REHABILITATION TECHNOLOGY EQUIPMENT. (a) In this section, "complex rehabilitation technology equipment" has the meaning assigned by Section 532.0455, Government Code. (b) The executive commissioner by rule shall establish a reimbursement methodology for the repair of complex rehabilitation technology equipment prescribed to a recipient under the medical assistance program. (c) The commission shall provide medical assistance reimbursement for the repair of complex rehabilitation technology equipment without requiring a medical assistance recipient or health care provider to obtain prior authorization or precertification for the repair. 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. This Act takes effect September 1, 2025.