- (a) Prior to obtaining a certificate of authority under Section 534.101, Health and Safety Code (concerning Health Maintenance Organizations Certificate of Authority), an applicant CHMO must comply with each requirement for the issuance of a certificate of authority imposed on a limited health care service plan under the Insurance Code Chapter 20A; Chapter 11 of this title (relating to Health Maintenance Organizations); and applicable insurance laws and regulations of this state.
- (b) A CHMO with a certificate of authority must comply with all the appropriate requirements that a limited health care service plan must comply with under the Insurance Code, Chapter 20A; Chapter 11 of this title; and applicable insurance laws and regulations of this state to maintain a certificate of authority. A CHMO shall be subject to the same statutes and rules as a limited service HMO and considered a limited service HMO for purposes of regulation and regulatory enforcement.
- (c) Nothing in this subchapter precludes one or more community centers from forming a nonprofit corporation under Section 5.01, Medical Practice Act (Article 4495b, Vernon's Texas Civil Statutes), to provide services on a risk-sharing or capitated basis as permitted under Article 21.52F Insurance Code.
- (d) This subchapter does not apply to an activity exempt from regulation under Article 20A.26(f) Insurance Code.
Source Note:The provisions of this §11.2103 adopted to be effective June 10, 1999, 24 TexReg 4242.