Texas Statutes
Chapter 413 - Medical Review
Subchapter B. Medical Services and Fees

Section 413.011. Reimbursement Policies and Guidelines; Treatment Guidelines and Protocols - Sec. 413.011. REIMBURSEMENT POLICIES AND GUIDELINES; TREATMENT GUIDELINES AND PROTOCOLS....

Section 413.0111. Processing Agents - Sec. 413.0111. PROCESSING AGENTS. The rules adopted by the commissioner...

Section 413.0112. Reimbursement of Federal Military Treatment Facility - Sec. 413.0112. REIMBURSEMENT OF FEDERAL MILITARY TREATMENT FACILITY. (a) In...

Section 413.0115. Requirements for Certain Voluntary or Informal Networks - Sec. 413.0115. REQUIREMENTS FOR CERTAIN VOLUNTARY OR INFORMAL NETWORKS. (a)...

Section 413.012. Medical Policy and Guideline Updates Required - Sec. 413.012. MEDICAL POLICY AND GUIDELINE UPDATES REQUIRED. The medical...

Section 413.013. Programs - Sec. 413.013. PROGRAMS. The commissioner by rule shall establish: (1)...

Section 413.014. Preauthorization Requirements; Concurrent Review and Certification of Health Care - Sec. 413.014. PREAUTHORIZATION REQUIREMENTS; CONCURRENT REVIEW AND CERTIFICATION OF HEALTH...

Section 413.0141. Initial Pharmaceutical Coverage - Sec. 413.0141. INITIAL PHARMACEUTICAL COVERAGE. The commissioner may by rule...

Section 413.015. Payment by Insurance Carriers; Audit and Review - Sec. 413.015. PAYMENT BY INSURANCE CARRIERS; AUDIT AND REVIEW. (a)...

Section 413.016. Payments in Violation of Medical Policies and Fee Guidelines - Sec. 413.016. PAYMENTS IN VIOLATION OF MEDICAL POLICIES AND FEE...

Section 413.017. Presumption of Reasonableness - Sec. 413.017. PRESUMPTION OF REASONABLENESS. The following medical services are...

Section 413.018. Review of Medical Care if Guidelines Exceeded - Sec. 413.018. REVIEW OF MEDICAL CARE IF GUIDELINES EXCEEDED. (a)...

Section 413.019. Interest Earned for Delayed Payment, Refund, or Overpayment - Sec. 413.019. INTEREST EARNED FOR DELAYED PAYMENT, REFUND, OR OVERPAYMENT....

Section 413.020. Division Charges - Sec. 413.020. DIVISION CHARGES. The commissioner by rule shall establish...

Section 413.021. Return-to-Work Coordination Services - Sec. 413.021. RETURN-TO-WORK COORDINATION SERVICES. (a) An insurance carrier shall,...

Section 413.022. Return-to-Work Reimbursement Program for Employers; Fund - Sec. 413.022. RETURN-TO-WORK REIMBURSEMENT PROGRAM FOR EMPLOYERS; FUND. (a) In...

Section 413.023. Information to Employers - Sec. 413.023. INFORMATION TO EMPLOYERS. (a) The division shall provide...

Section 413.024. Information to Employees - Sec. 413.024. INFORMATION TO EMPLOYEES. The division shall provide injured...

Section 413.025. Return-to-Work Goals and Assistance - Sec. 413.025. RETURN-TO-WORK GOALS AND ASSISTANCE. (a) The division shall...