Texas Insurance Code
§ 843.3481 — POSTING OF PREAUTHORIZATION REQUIREMENTS
IN § 843.3481Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES · Part C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES · Ch. 843. HEALTH MAINTENANCE ORGANIZATIONS · Art. J. PAYMENT OF CLAIMS TO PHYSICIANS AND PROVIDERS
Statute text
View on source(a)A health maintenance organization that uses a preauthorization process for health care services shall make the requirements and information about the preauthorization process readily accessible to enrollees, physicians, providers, and the general public by posting the requirements and information on the health maintenance organization's Internet website.
(b)The preauthorization requirements and information described by Subsection (a) must:
(1)be posted:
(A)except as provided by Subsection (c) or (d), conspicuously in a location on the Internet website that does not require the use of a log-in or other input of personal information to view the information; and
(B)in a format that is easily searchable and accessible;
(2)except for the screening criteria under Subdivision (4)(C), be written in plain language that is easily understandable by enrollees, physicians, providers, and the general public;
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Legislative history
Added by Acts 2019, 86th Leg., R.S., Ch. 1218 (S.B. 1742), Sec. 2.02, eff. September 1, 2019.