(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.

Terms Used In Texas Government Code 531.021191

  • Contract: A legal written agreement that becomes binding when signed.

(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.


Text of section effective until April 01, 2025