Sec. 1579.107. DISEASE MANAGEMENT SERVICES. (a) In this section, "disease management services" means services to assist an individual manage a disease or other chronic health condition, such as heart disease, diabetes, respiratory illness, end-stage renal disease, HIV infection, or AIDS, and with respect to which the trustee identifies populations requiring disease management.
(b) A health coverage plan provided under this chapter must provide disease management services or coverage for disease management services in the manner required by the trustee, including:
(1) patient self-management education;
(2) provider education;
(3) evidence-based models and minimum standards of care;
(4) standardized protocols and participation criteria; and
(5) physician-directed or physician-supervised care.
Added by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 1G.003, eff. April 1, 2009.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle H - Health Benefits and Other Coverages for Governmental Employees
Chapter 1579 - Texas School Employees Uniform Group Health Coverage
Section 1579.101. Plans of Group Coverages
Section 1579.102. Catastrophic Care Coverage Plan
Section 1579.104. Optional Coverages
Section 1579.1045. Alternative Group Health Coverage Prohibited
Section 1579.105. Preexisting Condition Limitation
Section 1579.106. Prior Authorization for Certain Drugs
Section 1579.107. Disease Management Services
Section 1579.109. Emergency Care Payments
Section 1579.110. Out-of-Network Facility-Based Provider Payments
Section 1579.111. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments