Texas Insurance Code
§ 843.305 — ANNUAL APPLICATION PERIOD FOR PHYSICIANS AND PROVIDERS TO CONTRACT
IN § 843.305Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES · Part C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES · Ch. 843. HEALTH MAINTENANCE ORGANIZATIONS · Art. I. RELATIONS WITH PHYSICIANS AND PROVIDERS
Statute text
View on source(a)This section applies only to a health maintenance organization that provides coverage for health care services through:
(1)one or more physicians or providers who are not partners or employees of the health maintenance organization; or
(2)one or more physicians or providers who are not owned or operated by the health maintenance organization.
(b)A health maintenance organization shall provide a period of 20 calendar days each calendar year during which any physician or provider in a service area may, under the terms established by the health maintenance organization for the provision of services and the designation of physicians and providers, apply to participate in providing health care services.
(c)A health maintenance organization that denies the application of a physician or provider shall notify the physician or provider in writing of the reason for the denial.
(d)This section does not require that a health maintenance organization:
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Legislative history
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.