GroundRules
Tex. Government Code § 532.0152: USE OF NATIONAL PROVIDER IDENTIFIER NUMBER.
Where this section sits in the code
- GOVERNMENT CODE
- TITLE 4. EXECUTIVE BRANCH
- SUBTITLE I. HEALTH AND HUMAN SERVICES
- CHAPTER 532. MEDICAID ADMINISTRATION AND OPERATION IN GENERAL
- SUBCHAPTER D. PROVIDERS
(a) In this section, "national provider identifier number" means the national provider identifier number required under Section 1128J(e) of the Social Security Act (42 U.S.C. Section 1320a-7k(e)).
(b) The commission shall transition from using a state-issued provider identifier number to using only a national provider identifier number in accordance with this section.
(c) The commission shall implement a Medicaid provider management and enrollment system and, following that implementation, use only a national provider identifier number to enroll a provider in Medicaid.
(d) The commission shall implement a modernized claims processing system and, following that implementation, use only a national provider identifier number to process claims for and authorize Medicaid services.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.
Collected 2026-08-27T01:47:16Z. Source file · JSON