WASHINGTON – Demonstrating a commitment to improving healthcare quality, Texas Governor Greg Abbott (R) recently signed a bill into law that will require Medicaid managed plans to be accredited. With the enactment of SB 2138, Texas becomes the 30th state to require accreditation for managed care.
“As a physician still licensed in Texas, I am happy to see the state recognize the important role of accreditation in driving quality care for patients. Medicaid managed care has evolved to become not only the primary care delivery system for some of our most vulnerable populations but also an innovator in national efforts to transform our delivery system,” said URAC president and CEO, Shawn Griffin, M.D.
Federal regulations outlined at 42 CFR 438 outline quality requirements for states that contract with managed care plans, including managed care organizations (MCOs) and prepaid inpatient health plans (PIHPs). Under the nonduplication provision of the federal rules, states may use information from an accreditation review to satisfy some of the EQR requirements.
“Accreditation is a valuable tool to not only improve quality but reduce the administrative burden on plans and the state government. As an accreditor with experience accrediting Texas Medicaid plans, we look forward to working with regulators and the MCOs to build on the great work being done,” said Dr. Griffin.
To learn more about URAC’s Health Plan Accreditation
Founded in 1990, URAC is the independent leader in advancing healthcare quality through leadership, accreditation, measurement and innovation. URAC offers a wide range of quality benchmarking programs that reflect the latest changes in healthcare and provide a symbol of excellence for organizations to showcase their validated commitment to quality and accountability. URAC’s evidence-based measures and standards are developed through inclusive engagement with a broad range of stakeholders committed to improving the quality of healthcare. For more information, visit .
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