Texas Statutes
Subchapter N. Exemption From Preauthorization Requirements for Physicians and Providers Providing Certain Health Care Services
Section 4201.652. Applicability of Subchapter

Sec. 4201.652. APPLICABILITY OF SUBCHAPTER. This subchapter applies only to:
(1) a health benefit plan offered by a health maintenance organization operating under Chapter 843, except that this subchapter does not apply to:
(A) the child health plan program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code; or
(B) the state Medicaid program, including the Medicaid managed care program operated under Chapter 533, Government Code;
(2) a preferred provider benefit plan or exclusive provider benefit plan offered by an insurer under Chapter 1301; and
(3) a person who contracts with a health maintenance organization or insurer to issue preauthorization determinations or perform the functions described in this subchapter for a health benefit plan to which this subchapter applies.
Added by Acts 2021, 87th Leg., R.S., Ch. 1018 (H.B. 3459), Sec. 5, eff. September 1, 2021.

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