- (a) A single health care service HMO that chooses to offer to an enrolled population a particular service shall comply with §11.1607(a) and (e) - (j) of this title (relating to Accessibility and Availability Requirements). Any single health care service shall be offered directly by the HMO or by contract.
- (b) A sufficient number of participating single health care physicians or dentists or other individual providers with appropriate hospital or inpatient facility admitting privileges shall be available and accessible 24 hours per day, seven days per week, within the HMO's service area, to ensure availability and accessibility of care, including inpatient admissions and care, as appropriate.
- (c) If a service offered by a single health care service HMO requires inpatient status for the management of a single health care condition the HMO shall provide for the appropriate inpatient facility according to the need by contracting with one or more general, or special hospitals; or home and community support services agencies for outpatient services.
Source Note:The provisions of this §11.2208 adopted to be effective February 24, 2005, 30 TexReg 854.