Sec. 4201.202. OBSERVING OR PARTICIPATING IN PATIENT'S CARE. (a) Unless approved for an individual patient by the provider of record or modified by contract, a utilization review agent shall be prohibited from observing, participating in, or otherwise being present during a patient's examination, treatment, procedure, or therapy.
(b) This subchapter, Subchapters D and F, and Section 4201.102(b) may not be construed to otherwise limit or deny contact with a patient for purposes of conducting utilization review unless otherwise specifically prohibited by law.
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Structure Texas Statutes
Title 14 - Utilization Review and Independent Review
Chapter 4201 - Utilization Review Agents
Subchapter E. Utilization Review: Relations With Patients and Health Care Providers
Section 4201.201. Repetitive Contacts With Health Care Provider or Patient; Frequency of Reviews
Section 4201.202. Observing or Participating in Patient's Care
Section 4201.203. Mental Health Therapy
Section 4201.204. Complaint System
Section 4201.205. Designated Initial Contact
Section 4201.206. Opportunity to Discuss Treatment Before Adverse Determination
Section 4201.207. Charges by Health Care Provider for Providing Medical Information