28 Tex. Admin. Code § 21.2814
If a prescription benefit does not require authorization by an HMO or preferred provider carrier, the statutory claims payment period shall begin on the date of affirmative adjudication of a claim for a prescription benefit that is electronically transmitted.
Source Note:The provisions of this §21.2814 adopted to be effective May 23, 2000, 25 TexReg 4543; amended to be effective October 5, 2003, 28 TexReg 8647.