In addition to any other requirements set forth in this subchapter, HMOs that contract with delegated networks shall ensure that the delegated network complies with Texas Insurance Code Art. 20A.18D. The HMO's agreement with the delegated network shall include a provision:
- (1) that records related to the requirements of Texas Insurance Code Art. 20A.18D shall be accessible at all times to the HMO;
- (2) requiring all financial records and related information necessary to show the delegated network's compliance with the requirements of Texas Insurance Code Art. 20A.18D;
- (3) making the records described in paragraph (1) of this section available to the department upon request; and
- (4) that records be kept providing evidence that the HMO has adequately monitored the delegated network for compliance with the requirements of Texas Insurance Code Art. 20A.18D.
Source Note:The provisions of this §11.2609 adopted to be effective October 13, 2002, 27 TexReg 9585.