Sec. 4201.155. LIMITATION ON NOTICE REQUIREMENTS AND REVIEW PROCEDURES. (a) A utilization review agent may not establish or impose a notice requirement or other review procedure that is contrary to the requirements of the health insurance policy or health benefit plan.
(b) This section may not be construed to release a health insurance policy or health benefit plan from full compliance with this chapter or other applicable law.
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Amended by:
Acts 2019, 86th Leg., R.S., Ch. 1218 (S.B. 1742), Sec. 3.03, eff. September 1, 2019.
Structure Texas Statutes
Title 14 - Utilization Review and Independent Review
Chapter 4201 - Utilization Review Agents
Subchapter D. Utilization Review: General Standards
Section 4201.151. Utilization Review Plan
Section 4201.152. Utilization Review Under Physician
Section 4201.153. Screening Criteria and Review Procedures
Section 4201.154. Review and Inspection of Screening Criteria and Review Procedures
Section 4201.155. Limitation on Notice Requirements and Review Procedures