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Summary: HB 2158 seeks to clarify when a Medicaid provider becomes ineligible for a Medicaid program to better ensure fraudulent providers are not able to provide services and defraud the Texas Medicaid system. HB 2158 does this by stating “the period of ineligibility for a physician, a physician organization, or an individual licensed by a health care regulatory agency begins on the date on which the determination that the physician, physician organization, or individual is liable becomes final and all appeals relating to that determination are exhausted or waived.”
HB 2158 would clearly delineate when providers are ineligible to provide Medicaid services. This has the potential to deter Medicaid fraud simply by removing ambiguity from the code. Support HB 2158.