Maximum Appointment Wait Time Standards

Sec. 1301.00555. MAXIMUM APPOINTMENT WAIT TIME STANDARDS. An insurer must ensure that: (1) routine care is available and accessible from preferred providers: (A) within three weeks for medical conditions; and (B) within two weeks for behavioral health conditions; and (2) preventive health care services are available and accessible from preferred providers: (A) within two months for a child, or earlier if necessary for compliance with recommendations for specific preventive health care services; and (B) within three months for an adult. Added by Acts 2023, 88th Leg., R.S., Ch. 740 (H.B. 3359), Sec. 6, eff. September 1, 2023.