Sec. 1452.004. LIMITATION ON COMMISSIONER'S AUTHORITY. 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.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle F - Physicians and Health Care Providers
Chapter 1452 - Physician and Provider Credentials
Subchapter A. Credentialing of Physicians and Providers by Health Maintenance Organization
Section 1452.001. Applicability of Certain Definitions
Section 1452.002. Verification of Physician's License or Certificate
Section 1452.003. Site Visit for Initial Credentialing
Section 1452.004. Limitation on Commissioner's Authority