As of September 1, 2016, the state of Texas eliminated the requirement for a Controlled Substances Registration (CSR) under the Texas Controlled Substances Act. While this change simplifies regulatory compliance, healthcare providers, practice managers, and clinic owners must still follow strict credentialing protocols. This ensures they stay enrolled with payers and avoid costly delays. Understanding the current Texas Provider Credentialing Requirements is essential.
What You No Longer Need
The removal of the Texas CSR streamlines workflows by eliminating redundant paperwork previously required for:
- Provider credentialing
- Insurance contracting
- Medical licensing
This change particularly benefits clinics handling multiple providers, significantly reducing administrative burdens.
What You Still Must Maintain
The elimination of the CSR does not remove the need for vigilance. You must maintain several critical, mandatory documents:
- DEA Registration Is Still Mandatory: Even without the CSR, a valid Drug Enforcement Administration (DEA) registration is required to prescribe controlled substances in Texas. Ensure your DEA license is active, matches your current Texas practice address, and is updated in all credentialing systems. Failing to maintain this leads to severe penalties.
- Active Texas Medical License: Your Texas state medical license remains a primary requirement for payer enrollment, insurance contracts, and hospital privileges. Therefore, renew it on time and keep your information current to avoid disruptions.
- CAQH Profile Must Be Accurate: Your CAQH ProView profile plays a critical role in provider credentialing. Keep it regularly attested and meticulously updated with current DEA, license, and practice location information. A complete and current CAQH profile accelerates enrollment.
- Submit All Standard Credentials to Payers: Insurance companies still demand core documents: the Texas medical license, DEA certificate, National Provider Identifier (NPI), malpractice insurance, and CAQH attestation.
Conclusion
While the Texas CSR is no longer a requirement, it doesn’t eliminate the need for vigilance. In summary, maintaining DEA registration, a current Texas medical license, and an accurate CAQH profile are still the cornerstone of compliant Texas Provider Credentialing Requirements.