Limitation On Commissioner'S Authority

Sec. 1452.004. LIMITATION ON COMMISSIONER'S AUTHORITY. The commissioner may not require a health maintenance organization to: (1) formally recredential a physician or provider more frequently than once in any three-year period; (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; (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 (4) require a site visit be performed for the purpose of recredentialing of a physician or provider. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.