Texas Labor Code
§ 413.014 — PREAUTHORIZATION REQUIREMENTS; CONCURRENT REVIEW AND CERTIFICATION OF HEALTH CARE
LA § 413.014Title 5. WORKERS' COMPENSATION · Part A. TEXAS WORKERS' COMPENSATION ACT · Ch. 413. MEDICAL REVIEW · Art. B. MEDICAL SERVICES AND FEES
Statute text
View on source(a)In this section, "investigational or experimental service or device" means a health care treatment, service, or device for which there is early, developing scientific or clinical evidence demonstrating the potential efficacy of the treatment, service, or device but that is not yet broadly accepted as the prevailing standard of care.
(b)The commissioner by rule shall specify which health care treatments and services require express preauthorization or concurrent review by the insurance carrier. Treatments and services for a medical emergency do not require express preauthorization.
(c)The commissioner's rules adopted under this section must provide that preauthorization and concurrent review are required at a minimum for:
(1)spinal surgery, as provided by Section 408.026;
(2)work-hardening or work-conditioning services;
(3)inpatient hospitalization, including any procedure and length of stay;
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Legislative history
Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.236, eff. September 1, 2005. Acts 2017, 85th Leg., R.S., Ch. 73 (S.B. 1494), Sec. 1, eff. September 1, 2017.