Tex. Ins. Code § 1301.0051. Exclusive Provider Benefit Plans: Quality Improvement and Utilization Management: Preferred Provider Benefit Plans – Texas

Status: Enacted
Year Enacted: 2011
File: Download

n insurer that offers an exclusive provider benefit plan shall establish procedures to ensure that health care services are provided to insureds under reasonable standards of quality of care that are consistent with prevailing professionally recognized standards of care or practice. Measures focused on must include availability, affordability, and continuity of care.

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