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Subchapter A. Credentialing of Physicians and Providers by Health Maintenance Organization
Section 1452.001. Applicability of Certain Definitions - Sec. 1452.001. APPLICABILITY OF CERTAIN DEFINITIONS. In this subchapter, a...
Section 1452.002. Verification of Physician's License or Certificate - Sec. 1452.002. VERIFICATION OF PHYSICIAN'S LICENSE OR CERTIFICATE. The commissioner...
Section 1452.003. Site Visit for Initial Credentialing - Sec. 1452.003. SITE VISIT FOR INITIAL CREDENTIALING. (a) The commissioner...
Section 1452.004. Limitation on Commissioner's Authority - Sec. 1452.004. LIMITATION ON COMMISSIONER'S AUTHORITY. The commissioner may not...
Section 1452.005. Site Visit for Cause Not Precluded - Sec. 1452.005. SITE VISIT FOR CAUSE NOT PRECLUDED. This subchapter...
Section 1452.006. Rules Related to Selection of Physicians and Providers by Health Maintenance Organization - Sec. 1452.006. RULES RELATED TO SELECTION OF PHYSICIANS AND PROVIDERS...
Subchapter B. Standardized Forms
Section 1452.051. Definitions - Sec. 1452.051. DEFINITIONS. In this subchapter: (1) "Advanced practice nurse"...
Section 1452.052. Standardized Form for Verification of Credentials - Sec. 1452.052. STANDARDIZED FORM FOR VERIFICATION OF CREDENTIALS. (a) The...
Subchapter C. Expedited Credentialing Process
Section 1452.101. Definitions - Sec. 1452.101. DEFINITIONS. In this subchapter: (1) "Applicant physician" means...
Section 1452.102. Applicability - Sec. 1452.102. APPLICABILITY. This subchapter applies only to a physician...
Section 1452.103. Eligibility Requirements - Sec. 1452.103. ELIGIBILITY REQUIREMENTS. To qualify for expedited credentialing under...
Section 1452.104. Payment of Applicant Physician During Credentialing Process - Sec. 1452.104. PAYMENT OF APPLICANT PHYSICIAN DURING CREDENTIALING PROCESS. On...
Section 1452.105. Directory Entries - Sec. 1452.105. DIRECTORY ENTRIES. Pending the approval of an application...
Section 1452.106. Effect of Failure to Meet Credentialing Requirements - Sec. 1452.106. EFFECT OF FAILURE TO MEET CREDENTIALING REQUIREMENTS. If,...
Section 1452.107. Enrollee Held Harmless - Sec. 1452.107. ENROLLEE HELD HARMLESS. An enrollee in the managed...
Section 1452.108. Limitation on Managed Care Issuer Liability - Sec. 1452.108. LIMITATION ON MANAGED CARE ISSUER LIABILITY. A managed...
Subchapter D. Expedited Credentialing Process
Section 1452.151. Definitions - Sec. 1452.151. DEFINITIONS. In this subchapter: (1) "Applicant podiatrist" means...
Section 1452.152. Applicability - Sec. 1452.152. APPLICABILITY. This subchapter applies only to a podiatrist...
Section 1452.153. Eligibility Requirements - Sec. 1452.153. ELIGIBILITY REQUIREMENTS. To qualify for expedited credentialing under...
Section 1452.154. Payment of Applicant Podiatrist During Credentialing Process - Sec. 1452.154. PAYMENT OF APPLICANT PODIATRIST DURING CREDENTIALING PROCESS. On...
Section 1452.155. Directory Entries - Sec. 1452.155. DIRECTORY ENTRIES. Pending the approval of an application...
Section 1452.156. Effect of Failure to Meet Credentialing Requirements - Sec. 1452.156. EFFECT OF FAILURE TO MEET CREDENTIALING REQUIREMENTS. If,...
Section 1452.157. Enrollee Held Harmless - Sec. 1452.157. ENROLLEE HELD HARMLESS. An enrollee in the managed...
Section 1452.158. Limitation on Managed Care Issuer Liability - Sec. 1452.158. LIMITATION ON MANAGED CARE ISSUER LIABILITY. A managed...
Subchapter E. Expedited Credentialing Process
Section 1452.201. Definitions - Sec. 1452.201. DEFINITIONS. In this subchapter: (1) "Applicant therapeutic optometrist"...
Section 1452.202. Applicability - Sec. 1452.202. APPLICABILITY. This subchapter applies only to a therapeutic...
Section 1452.203. Eligibility Requirements - Sec. 1452.203. ELIGIBILITY REQUIREMENTS. To qualify for expedited credentialing under...
Section 1452.204. Payment of Applicant Therapeutic Optometrist During Credentialing Process - Sec. 1452.204. PAYMENT OF APPLICANT THERAPEUTIC OPTOMETRIST DURING CREDENTIALING PROCESS....
Section 1452.205. Directory Entries - Sec. 1452.205. DIRECTORY ENTRIES. Pending the approval of an application...
Section 1452.206. Effect of Failure to Meet Credentialing Requirements - Sec. 1452.206. EFFECT OF FAILURE TO MEET CREDENTIALING REQUIREMENTS. If,...
Section 1452.207. Enrollee Held Harmless - Sec. 1452.207. ENROLLEE HELD HARMLESS. An enrollee in the managed...
Section 1452.208. Limitation on Managed Care Issuer Liability - Sec. 1452.208. LIMITATION ON MANAGED CARE ISSUER LIABILITY. A managed...