Sec. 1368.007. TREATMENT STANDARDS. (a) Coverage provided under this chapter for necessary care and treatment in a chemical dependency treatment center must be provided as if the care and treatment were provided in a hospital.
(b) The department by rule shall adopt standards formulated and approved by the department and the Texas Commission on Alcohol and Drug Abuse for use by insurers, other third-party reimbursement sources, and chemical dependency treatment centers.
(c) Standards adopted under this section must provide for:
(1) reasonable control of costs necessary for inpatient and outpatient treatment of chemical dependency, including guidelines for treatment periods; and
(2) appropriate utilization review of treatment as well as necessary extensions of treatment.
(d) Coverage required under this chapter is subject to the standards adopted under this section.
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 1368 - Availability of Chemical Dependency Coverage
Section 1368.002. Applicability of Chapter
Section 1368.004. Coverage Required
Section 1368.005. Minimum Coverage Requirements
Section 1368.006. Limitation on Coverage
Section 1368.007. Treatment Standards
Section 1368.008. Use of Endorsement or Rider to Comply With Chapter