Sec. 408.0282. REQUIREMENTS FOR CERTAIN INFORMAL OR VOLUNTARY NETWORKS. (a) Each informal or voluntary network described by Section 408.0281 or 408.0284 shall, not later than the 30th day after the date the network is established, report the following information to the division:
(1) the name of the informal or voluntary network and federal employer identification number;
(2) an executive contact for official correspondence for the informal or voluntary network;
(3) a toll-free telephone number by which a health care provider may contact the informal or voluntary network;
(4) a list of each insurance carrier with whom the informal or voluntary network contracts, including the carrier's federal employer identification number; and
(5) a list of, and contact information for, each entity with which the informal or voluntary network has a contract or other business relationship that benefits or is entered into on behalf of an insurance carrier, including an insurance carrier's authorized agent or a subsidiary or other affiliate of the network.
(b) Each informal or voluntary network shall report any changes to the information provided under Subsection (a) to the division not later than the 30th day after the effective date of the change.
(c) An informal or voluntary network shall submit a report required under this section, including a report of changes required under Subsection (b), to the division through the division's online reporting system available through the division's Internet website.
(d) An informal or voluntary network commits an administrative violation if the informal or voluntary network violates any provision of this section.
Added by Acts 2011, 82nd Leg., R.S., Ch. 705 (H.B. 528), Sec. 3, eff. June 17, 2011.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1202 (S.B. 1322), Sec. 2, eff. September 1, 2013.
Structure Texas Statutes
Title 5 - Workers' Compensation
Subtitle A - Texas Workers' Compensation Act
Chapter 408 - Workers' Compensation Benefits
Subchapter B. Medical Benefits
Section 408.021. Entitlement to Medical Benefits
Section 408.022. Selection of Doctor
Section 408.0221. Request for Description of Employment
Section 408.023. List of Approved Doctors; Duties of Treating Doctors
Section 408.024. Noncompliance With Selection Requirements
Section 408.025. Reports and Records Required From Health Care Providers
Section 408.0251. Electronic Billing Requirements
Section 408.0252. Underserved Areas
Section 408.026. Spinal Surgery
Section 408.027. Payment of Health Care Provider
Section 408.0271. Reimbursement by Health Care Provider
Section 408.0272. Certain Exceptions for Untimely Submission of Claim
Section 408.028. Pharmaceutical Services
Section 408.0281. Reimbursement for Pharmaceutical Services; Administrative Violation
Section 408.0282. Requirements for Certain Informal or Voluntary Networks