{"data":{"id":"us-tx/tex.-insurance-code-1452.004","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1452.004","heading":"LIMITATION ON COMMISSIONER'S AUTHORITY.","body":"The commissioner may not require a health maintenance organization to:\n(1) formally recredential a physician or provider more frequently than once in any three-year period;\n(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;\n(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\n(4) require a site visit be performed for the purpose of recredentialing of a physician or provider.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.","path":["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"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1452.htm#1452.004","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"9c8ba1f8e1cde1707ad5847ba6a973344446b82c79dd5f21bd2051c989c01e2b","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1452.003","next":"us-tx/tex.-insurance-code-1452.005"},"notice":"GroundRules: Original legal text. Not legal advice."}