Sec. 1452.004. LIMITATION ON COMMISSIONER'S AUTHORITY

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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.

                    
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