Texas Medicaid Bond

Complete Guide to Bonding for DMEPOS Providers in Texas
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What is a Texas Medicaid Bond?

The Texas Medicaid Bond is a requirement set by the Texas Health and Human Services Commission. Its purpose is to protect the state from financial fraud on the side of Medicaid providers, including companies and health providers offering Medicaid as an insurance option for patients.

Medicaid providers in Texas need to obtain a Texas Medicaid bond in order to be allowed to operate legally in the state. The requirement is set forth in the Texas Administrative Code, Title 1, Part 15, Chapter 352, Rule §352.15.

Just like other Texas surety bonds, the Texas Medicaid bond is a contractual agreement between three entities. The principal is your Medicaid provider business, which has to post the bond. The Texas Health and Human Services Commission is the obligee that enforces the requirement. The surety is the third party that underwrites the bond and backs your company.

The bond functions as a guarantee that providers will act lawfully, and won’t commit financial fraud against the state, represented by the Texas Medicaid and Healthcare Partnership (TMHP). More specifically, if Medicaid providers fail to return excessive payments back to the state, or require larger sums than the actual medical expenses of patients, the bond can be used to compensate the state for the losses.

Who Needs to Obtain a Texas Medicaid Bond?

Any health provider that would like to operate as a Medicaid provider in Texas needs to undergo the Texas Medicaid provider enrollment procedure. The Medicaid bond is required for the company to operate as a Medicaid provider. You can find the Texas Medicaid surety bond form online.

We once assisted a new clinic from Western Texas that was navigating the complexities of obtaining their Texas Medicaid Bond. The clinic, though rich in medical expertise, was unfamiliar with the surety bond process and apprehensive about potential delays in their Medicaid provider enrollment. We guided them through the bond application, emphasizing the importance of detailed financial records and the implications of the bond for their operations. We successfully expedited the bonding process, ensuring the clinic met the state's regulatory requirements without hindering their opening schedule.

How Much Does a Texas Medicaid Bond Cost?

The cost of your surety bond is calculated as a percentage of the bond’s amount which, in Texas, is set at $50,000.

This bond amount may seem considerable, but your bond premium is only a small percentage of it. Should you have a good credit history, you’ll need to pay only 1% - 5% of this amount, which can be as little as $500, to get your Texas Medicaid surety bond.

Your exact bond price is calculated based on your personal and business finances. When you apply for a bond, your surety examines your personal credit score, business finances, assets and liquidity, as well as professional experience. The more stable your overall profile is, the lower your bond cost will be.

Our surety bond cost page offers a full overview of how your surety bond cost is set, so you can consult it if you’d like to get a deeper insight.
 

Bond Cost Based on Credit Score

Bond Type Surety Bond Amount Credit Sсore
Above 700 Between 600-699 Below 599
Texas Medicaid Bond $50,000 $500-$1,500 $1,500-$2,500 $2,500-$5,000

 

* This table provides a ballpark estimate of potential bond costs. Bond pricing can fluctuate over time due to a number of factors. For exact pricing, please complete an application.

  

Can I get a Texas Medicaid bond with bad credit?

Healthcare providers with problematic finances can still get bonded. Lance Surety Bonds operates its Bad Credit Surety Bonds program to allow applicants with low credit scores, tax liens, bankruptcies, or civil judgments obtain the Medicaid bond they need.

If your finances are not stellar, the bonding rates are typically in the range of 4% - 7.5%. The higher bond cost compensates for the risk level of bad credit bonding. Since we work with numerous A-rated, T-listed surety companies, we can still get you a top bonding price. We can shop around and select the best match for your particular circumstances.

How do I get my Texas Medicaid bond?

You can get your free Texas Medicaid bond quote right away by applying online. Once you complete the full bond application, you can also obtain an exact bond price from us.

Want to learn more about the bonding process? Make sure to check out our How to Get Bonded page.

If you have any questions, call us at (877) 514-5146. Lance Surety Bonds’ experts will gladly help you out.

What happens in case of a claim against me?

Your Texas Medicaid bond is not protection for your business, so it doesn’t work like insurance. Instead, it protects the state from financial fraud you might engage in. For example, if you fail to return overpayments on Medicaid insurance to the state, or you demand higher payments than needed, you can face a claim on your bond.

If the case is proven, you need to reimburse the state for the losses. The maximum penalty is the amount you have been bonded for. Initially, it is your surety that takes care of the costs, but you need to repay it afterwards. This means that bond claims are a serious financial threat and should be avoided as much as possible.


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About Us

Lance Surety Bonds
Lance Surety Bond Associates, Inc. is a Pennsylvania-based surety bond agency that offers bonding at competitive rates in all 50 states. Established in 2010, our company has grown to become one of the top online bond producers in the country. Working exclusively with A-rated and T-listed bonding companies gives us the confidence to offer a 100% money-back guarantee. read more

What Our Clients Have To Say?

Kimberlee Ables

Quick response times and turn around for issuing bonds. Great customer service and very knowledgeable. We have used Lance Surety multiple times and have never been disappointed. Highly recommend them and Collette!

Andrew Poincot

Long story short, these guys cut through the B.S. and get the job done. Responsiveness, excellent! Communication, excellent! Respect for their industry partners, excellent! John, Collette, Ryan, you're all-stars! Thank you!

Margie Martinez

We decided for Lance Surety Bond's quote for 2 reasons; Price and Customer Service. Our Representative Ryan was just SUPERB!! [...] I highly recommend Lance Surety Bond for all your Bonding needs! I'll definitely come back for all of mine. :-) Thanks Ryan!

Kimberlee Ables

Quick response times and turn around for issuing bonds. Great customer service and very knowledgeable. We have used Lance Surety multiple times and have never been disappointed. Highly recommend them and Collette!

Andrew Poincot

Long story short, these guys cut through the B.S. and get the job done. Responsiveness, excellent! Communication, excellent! Respect for their industry partners, excellent! John, Collette, Ryan, you're all-stars! Thank you!

Margie Martinez

We decided for Lance Surety Bond's quote for 2 reasons; Price and Customer Service. Our Representative Ryan was just SUPERB!! [...] I highly recommend Lance Surety Bond for all your Bonding needs! I'll definitely come back for all of mine. :-) Thanks Ryan!

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