Tex.
Ins. Code Section 4201.652
Applicability of Subchapter
(1)
a health benefit plan offered by a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations), except that this subchapter does not apply to:(A)
the child health plan program under Chapter 62 (Child Health Plan for Certain Low-income Children), Health and Safety Code, or the health benefits plan for children under Chapter 63 (Health Benefits Plan for Certain Children), Health and Safety Code; or(B)
the state Medicaid program, including the Medicaid managed care program operated under Chapter 533, Government Code;(2)
a preferred provider benefit plan or exclusive provider benefit plan offered by an insurer under Chapter 1301 (Preferred Provider Benefit Plans); and(3)
a person who contracts with a health maintenance organization or insurer to issue preauthorization determinations or perform the functions described in this subchapter for a health benefit plan to which this subchapter applies.(1)
a health benefit plan offered by a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations), except that this subchapter does not apply to:(A)
the child health plan program under Chapter 62 (Child Health Plan for Certain Low-income Children), Health and Safety Code, or the health benefits plan for children under Chapter 63 (Health Benefits Plan for Certain Children), Health and Safety Code; or(B)
the state Medicaid program, including the Medicaid managed care program operated under Chapter 540 (Medicaid Managed Care Program) or 540A (Medicaid Managed Transportation Services), Government Code, as applicable;(2)
a preferred provider benefit plan or exclusive provider benefit plan offered by an insurer under Chapter 1301 (Preferred Provider Benefit Plans); and(3)
a person who contracts with a health maintenance organization or insurer to issue preauthorization determinations or perform the functions described in this subchapter for a health benefit plan to which this subchapter applies.
Source:
Section 4201.652 — Applicability of Subchapter, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4201.htm#4201.652 (accessed Apr. 29, 2024).
