(a) A delegating HMO must:
- (1) identify all responsibilities relating to the function being delegated;
- (2) create an agreement that enables the HMO and department to monitor both the delegated entity's financial solvency and performance or subsequent delegation of all delegated functions; and
- (3) retain ultimate responsibility for ensuring that all delegated functions are performed in compliance with applicable statutes and rules.
- (b) This subchapter applies to all contracts entered into or renewed on and after the effective date of these rules.
- (c) This subchapter does not apply to a group model HMO, as defined in Insurance Code §843.111 (concerning Group Model Health Maintenance Organizations).
Source Note:The provisions of this §11.2601 adopted to be effective August 1, 2017, 42 TexReg 2169.