{"data":{"id":"us-tx/tex.-insurance-code-1272.060","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1272.060","heading":"UTILIZATION REVIEW.","body":"A delegation agreement required by Section 1272.052 must provide that:\n(1) enrollees shall receive notification at the time of enrollment of which entity is responsible for performing utilization review;\n(2) the delegated entity or third party performing utilization review shall perform that review in accordance with Chapter 4201; and\n(3) the delegated entity or third party shall forward utilization review decisions made by the entity or third party to the health maintenance organization on a monthly basis.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.\nAmended by:\nActs 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2G.004, eff. April 1, 2009.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE C. MANAGED CARE","CHAPTER 1272. DELEGATION OF CERTAIN FUNCTIONS BY HEALTH MAINTENANCE ORGANIZATION","SUBCHAPTER B. DELEGATION AGREEMENTS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1272.htm#1272.060","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"d834b5645fb48f073b37bbc7f34070007efea1690e2ecf69b8be12e95bca8148","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1272.059","next":"us-tx/tex.-insurance-code-1272.061"},"notice":"GroundRules: Original legal text. Not legal advice."}