Sec. 1351.006. REIMBURSEMENT FOR HOME HEALTH SERVICES: PHYSICIAN CERTIFICATION REQUIRED. A group health benefit plan issuer may not provide reimbursement for home health services provided under the plan unless the attending physician certifies that hospitalization or confinement in a skilled facility would be required if a treatment plan for home health care were not provided.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Chapter 1351 - Home Health Services
Section 1351.002. Applicability of Chapter
Section 1351.003. Applicability of General Provisions of Other Law
Section 1351.005. Coverage Required
Section 1351.006. Reimbursement for Home Health Services: Physician Certification Required
Section 1351.007. Limitations and Exclusions on Coverage Permitted
Section 1351.008. Rejection of Coverage by Plan Holder; Negotiation of Alternative Coverage