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Texas Statutes (Last Updated: January 4, 2014) |
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INSURANCE CODE |
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Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
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Subtitle C. MANAGED CARE |
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Chapter 1272. DELEGATION OF CERTAIN FUNCTIONS BY HEALTH MAINTENANCE ORGANIZATION |
| Subchapter A. GENERAL PROVISIONS |
| § 1272.001. DEFINITIONS |
| § 1272.002. COMPLIANCE OF LIMITED PROVIDER NETWORK OR DELEGATED ENTITY WITH CERTAIN LEGAL REQUIREMENTS |
| Subchapter B. DELEGATION AGREEMENTS |
| § 1272.051. APPLICABILITY OF SUBCHAPTER |
| § 1272.052. DELEGATION AGREEMENT REQUIRED |
| § 1272.053. MONITORING PLAN |
| § 1272.054. REQUIREMENTS FOR TERMINATION WITHOUT CAUSE |
| § 1272.055. COLLECTION OF PAYMENTS |
| § 1272.056. COMPLIANCE WITH STATUTORY AND REGULATORY REQUIREMENTS |
| § 1272.057. EXAMINATION BY COMMISSIONER |
| § 1272.058. INFORMATION RELATING TO DELEGATED THIRD PARTY |
| § 1272.059. CONTRACTS WITH DELEGATED THIRD PARTY |
| § 1272.060. UTILIZATION REVIEW |
| § 1272.061. RIGHTS AND DUTIES OF DELEGATED ENTITY AND HEALTH MAINTENANCE ORGANIZATION |
| § 1272.062. INFORMATION TO BE PROVIDED BY DELEGATED ENTITY TO HEALTH MAINTENANCE ORGANIZATION |
| § 1272.063. ENROLLEE COMPLAINTS |
| § 1272.064. RULES |
| Subchapter C. INFORMATION REPORTING TO DELEGATED ENTITY |
| § 1272.101. APPLICABILITY OF SUBCHAPTER |
| § 1272.102. REPORTING REQUIRED |
| § 1272.103. RULES |
| Subchapter D. RESERVE REQUIREMENTS |
| § 1272.151. APPLICABILITY OF SUBCHAPTER |
| § 1272.152. GENERAL RESERVE REQUIREMENTS |
| § 1272.153. RESERVE REQUIREMENTS FOR MEDICAL CARE AND HOSPITAL OR INSTITUTIONAL SERVICES |
| § 1272.154. RESERVE REQUIREMENTS FOR PRESCRIPTION DRUGS |
| § 1272.155. FORM OF RESERVES |
| § 1272.156. ESCROW ACCOUNT |
| Subchapter E. COMPLIANCE |
| § 1272.201. APPLICABILITY OF SUBCHAPTER |
| § 1272.202. NOTICE OF NONCOMPLIANCE OR HAZARDOUS OPERATING CONDITION |
| § 1272.203. RESPONSE TO NOTICE |
| § 1272.204. COOPERATION OF HEALTH MAINTENANCE ORGANIZATION |
| § 1272.205. EXAMINATION BY DEPARTMENT; REPORT |
| § 1272.206. RESPONSE TO DEPARTMENT REPORT; CORRECTIVE PLAN |
| § 1272.207. REQUEST FOR CORRECTIVE ACTION |
| § 1272.208. AUTHORITY OF COMMISSIONER TO ISSUE ORDER |
| § 1272.209. PUBLIC DOCUMENTS |
| § 1272.210. RECORD OF COMPLAINTS; REPORT |
| § 1272.211. RULES |
| Subchapter F. PENALTIES |
| § 1272.251. APPLICABILITY OF SUBCHAPTER |
| § 1272.252. SUSPENSION OR REVOCATION OF LICENSE OF THIRD-PARTY ADMINISTRATOR OR UTILIZATION REVIEW AGENT |
| § 1272.253. SANCTIONS AND PENALTIES AGAINST HEALTH MAINTENANCE ORGANIZATION |
| § 1272.254. CONTRACTUAL PENALTIES REQUIRED |
| § 1272.255. RULES |
| Subchapter G. PROVISION OF SERVICES BY LIMITED PROVIDER NETWORK OR DELEGATED ENTITY |
| § 1272.301. ACCESS TO OUT-OF-NETWORK SERVICES |
| § 1272.302. CONTINUITY OF CARE |