General Provisions | Midpage

Collections
Texas Statutes

Subchapter A

General Provisions

1301.001Definitions 1301.002Nonapplicability to Dental Care Benefits 1301.003Preferred Provider Benefit Plans and Exclusive Provider Benefit Plans Permitted 1301.0041Applicability 1301.0042Applicability of Insurance Law 1301.0045Construction of Chapter 1301.0046Coinsurance Requirements for Services of Nonpreferred Providers 1301.0047Incentives to Use Certain Physicians or Health Care Providers 1301.005Availability of Preferred Providers; Service Area Limitations 1301.0051Exclusive Provider Benefit Plans: Quality Improvement and Utilization Management 1301.0052Exclusive Provider Benefit Plans: Referrals for Medically Necessary Services 1301.0053Exclusive Provider Benefit Plans: Emergency Care 1301.0055Network Adequacy Standards 1301.00553Maximum Travel Time and Distance Standards by Preferred Provider Type 1301.00554Other Maximum Distance Standard Requirements; Commissioner Authority 1301.00555Maximum Appointment Wait Time Standards 1301.0056Examinations and Fees 1301.00565Public Hearing on Network Adequacy Standards Waivers 1301.00566Effect of Network Adequacy Standards Waiver on Balance Billing Prohibitions 1301.0057Access to Out-of-network Providers 1301.0058Protected Communications by Preferred Providers 1301.006Availability of and Accessibility to Health Care Services 1301.0061Terms of Enrollee Eligibility 1301.0065Value-based and Capitated Payment Arrangements with Primary Care Physicians or Primary Care Physician Groups Not Prohibited 1301.007Rules 1301.008Conflict with Other Law 1301.009Annual Report 1301.010Balance Billing Prohibition Notice