Tex. Ins. Code Section 1452.006
Rules Related to Selection of Physicians and Providers by Health Maintenance Organization

A rule adopted by the commissioner under Section 843.102 (Health Maintenance Organization Quality Assurance) that relates to implementation and maintenance by a health maintenance organization of a process for selecting and retaining affiliated physicians and providers must comply with:

(1)

this subchapter; and

(2)

standards adopted by the National Committee for Quality Assurance, to the extent those standards do not conflict with other laws of this state.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Source: Section 1452.006 — Rules Related to Selection of Physicians and Providers by Health Maintenance Organization, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1452.htm#1452.006 (accessed Jun. 5, 2024).

1452.001
Applicability of Certain Definitions 1452.002
Verification of Physician’s License or Certificate 1452.003
Site Visit for Initial Credentialing 1452.004
Limitation on Commissioner’s Authority 1452.005
Site Visit for Cause Not Precluded 1452.006
Rules Related to Selection of Physicians and Providers by Health Maintenance Organization 1452.051
Definitions 1452.052
Standardized Form for Verification of Credentials 1452.101
Definitions 1452.102
Applicability 1452.103
Eligibility Requirements 1452.104
Payment of Applicant Physician During Credentialing Process 1452.105
Directory Entries 1452.106
Effect of Failure to Meet Credentialing Requirements 1452.107
Enrollee Held Harmless 1452.108
Limitation on Managed Care Issuer Liability 1452.151
Definitions 1452.152
Applicability 1452.153
Eligibility Requirements 1452.154
Payment of Applicant Podiatrist During Credentialing Process 1452.155
Directory Entries 1452.156
Effect of Failure to Meet Credentialing Requirements 1452.157
Enrollee Held Harmless 1452.158
Limitation on Managed Care Issuer Liability 1452.201
Definitions 1452.202
Applicability 1452.203
Eligibility Requirements 1452.204
Payment of Applicant Therapeutic Optometrist During Credentialing Process 1452.205
Directory Entries 1452.206
Effect of Failure to Meet Credentialing Requirements 1452.207
Enrollee Held Harmless 1452.208
Limitation on Managed Care Issuer Liability

Accessed:
Jun. 5, 2024

§ 1452.006’s source at texas.gov

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Location: https://texas.public.law/statutes/tex._ins._code_section_1452.006

Original Source: Section 1452.006 — Rules Related to Selection of Physicians and Providers by Health Maintenance Organization, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1452.htm#1452.006 (last accessed Jun. 5, 2024).