28 Tex. Admin. Code § 11.2103
Requirements for Issuance of Certificate of Authority to a CHMO
Effective Nov 15, 200631 TexReg 9298Source Note: The provisions of this §11.2103 adopted to be effective June 10, 1999, 24 TexReg 4242; amended to be effective February 24, 2005, 30 TexReg 854; amended to be effective November 15, 2006, 31 TexReg 9298.Texas Secretary of State
- (a) Prior to obtaining a certificate of authority under Section 534.101 of the 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 Chapters 1271 and 843; this chapter; 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 Chapters 1271 and 843; this chapter; 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 §162.001, Medical Practice Act, Chapters 151- 164, Occupations Code, to provide services on a risk-sharing or capitated basis as permitted under Insurance Code Chapter 844.
- (d) This subchapter does not apply to an activity exempt from regulation under Insurance Code §§843.051, 843.053, 843.073, and 843.318.
Source Note:The provisions of this §11.2103 adopted to be effective June 10, 1999, 24 TexReg 4242; amended to be effective February 24, 2005, 30 TexReg 854; amended to be effective November 15, 2006, 31 TexReg 9298.