Sec. 1452.103. ELIGIBILITY REQUIREMENTS. To qualify for expedited credentialing under this subchapter and payment under Section 1452.104, an applicant physician must:
(1) be licensed in this state by, and in good standing with, the Texas Medical Board;
(2) submit all documentation and other information required by the issuer of the managed care plan as necessary to enable the issuer to begin the credentialing process required by the issuer to include a physician in the issuer's health benefit plan network; and
(3) agree to comply with the terms of the managed care plan's participating provider contract currently in force with the applicant physician's established medical group.
Added by Acts 2007, 80th Leg., R.S., Ch. 1203 (H.B. 1594), Sec. 1, eff. September 1, 2007.
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 C. Expedited Credentialing Process
Section 1452.102. Applicability
Section 1452.103. Eligibility Requirements
Section 1452.104. Payment of Applicant Physician During Credentialing Process
Section 1452.105. Directory Entries
Section 1452.106. Effect of Failure to Meet Credentialing Requirements
Section 1452.107. Enrollee Held Harmless
Section 1452.108. Limitation on Managed Care Issuer Liability