Tex. Insurance Code § 1452.004: LIMITATION ON COMMISSIONER'S AUTHORITY.
Where this section sits in the code
- INSURANCE CODE
- TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
- SUBTITLE F. PHYSICIANS AND HEALTH CARE PROVIDERS
- CHAPTER 1452. PHYSICIAN AND PROVIDER CREDENTIALS
- SUBCHAPTER A. CREDENTIALING OF PHYSICIANS AND PROVIDERS BY HEALTH MAINTENANCE ORGANIZATION
The commissioner may not require a health maintenance organization to:
(1) formally recredential a physician or provider more frequently than once in any three-year period;
(2) verify the validity of a license or certificate held by a physician as of a date other than the date of initial credentialing or recredentialing of the physician;
(3) use clinical personnel to perform a site visit for initial credentialing of a physician or provider unless clinical review is needed during the site visit; or
(4) require a site visit be performed for the purpose of recredentialing of a physician or provider.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Collected 2026-08-27T01:47:21Z. Source file · JSON