Application of Managed Care Procedures

Tex. Insurance Code § 1501.317, under Health Insurance Portability and Availability Act.

Tex. Insurance Code § 1501.317

Sec. 1501.317. APPLICATION OF MANAGED CARE PROCEDURES. Except as provided by the plan of operation, a reinsured health benefit plan issuer shall apply consistently with respect to reinsured and nonreinsured business all managed care procedures, including utilization review, individual case management, preferred provider provisions, and other managed care provisions or methods of operation. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.