Sec. 4201.651. DEFINITIONS. (a) In this subchapter, "preauthorization" means a determination by a health maintenance organization, insurer, or person contracting with a health maintenance organization or insurer that health care services proposed to be provided to a patient are medically necessary and appropriate.
(b) In this subchapter, terms defined by Section 843.002, including "health care services," "physician," and "provider," have the meanings assigned by that section.
Added by Acts 2021, 87th Leg., R.S., Ch. 1018 (H.B. 3459), Sec. 5, eff. September 1, 2021.
Structure Texas Statutes
Title 14 - Utilization Review and Independent Review
Chapter 4201 - Utilization Review Agents
Section 4201.652. Applicability of Subchapter
Section 4201.654. Duration of Preauthorization Exemption
Section 4201.655. Denial or Rescission of Preauthorization Exemption
Section 4201.656. Independent Review of Exemption Determination
Section 4201.657. Effect of Appeal or Independent Review Determination