Database of Medical Assistance Program Providers

Sec. 32.102. DATABASE OF MEDICAL ASSISTANCE PROGRAM PROVIDERS. (a) The executive commissioner shall establish and administer an electronic, searchable, Internet-based database of all participating providers in the medical assistance program. (b) The database must include, as applicable, at least the following information regarding each participating provider: (1) the provider's: (A) name; (B) specialty; (C) location; (D) office hours, including any office hours outside of regular business hours; and (E) telephone number; (2) whether the provider: (A) is accepting new recipients, and if the provider is accepting new recipients and if applicable, the managed care organization or managed care plan under which new recipients are being accepted; (B) has any practice limitations, including specific age range limitations; and (C) speaks any languages other than English; (3) a list of the medical assistance program services offered by the provider; and (4) any waiver program or other program within the medical assistance program in which the provider is a participant, including the Texas Health Steps program. (c) In establishing the database, the executive commissioner shall ensure that the database: (1) allows a person to search a managed care organization by name and by participating provider within each of the managed care plans offered by that managed care organization; (2) allows a participating provider to electronically access and change or update the information required by Subsection (b)(1), (2), or (3); and (3) is available and accessible to each participating provider and each recipient. (d) The executive commissioner shall ensure that the database is updated continually and at least once a month. Added by Acts 2007, 80th Leg., R.S., Ch. 883 (H.B. 2042), Sec. 1, eff. June 15, 2007.