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Texas Statutes (Last Updated: January 4, 2014) |
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INSURANCE CODE |
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Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES |
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Subtitle C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES |
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Chapter 843. HEALTH MAINTENANCE ORGANIZATIONS |
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Subchapter C. AUTHORITY TO ENGAGE IN BUSINESS |
Sec. 843.073. CERTIFICATE OF AUTHORITY REQUIREMENT: APPLICABILITY TO PHYSICIANS AND PROVIDERS
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(a) A person is not required to obtain a certificate of authority under this chapter to the extent that the person is:
(1) a physician engaged in the delivery of medical care; or
(2) a provider engaged in the delivery of health care services other than medical care as part of a health maintenance organization delivery network.
(b) Except as provided by Section 843.101 or 843.318(a), a physician or provider that employs or enters into a contractual arrangement with a provider or group of providers to provide basic or limited health care services or a single health care service is subject to this chapter and the following provisions and is required to obtain a certificate of authority under this chapter:
(1) Section 1367.053;
(2) Subchapter A, Chapter 1452;
(3) Subchapter B, Chapter 1507;
(4) Chapters 222, 251, and 258, as applicable to a health maintenance organization; and
(5) Chapters 1271 and 1272.