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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) An evidence of coverage must provide that an enrollee with a chronic, disabling, or life-threatening illness may apply to the health maintenance organization's medical director to use a nonprimary care physician specialist as the enrollee's primary care physician.
(b) The application must:
(1) include information specified by the health maintenance organization, including certification of the medical need; and
(2) be signed by the enrollee and the nonprimary care physician specialist interested in serving as the enrollee's primary care physician.
(c) To be eligible to serve as the enrollee's primary care physician, a physician specialist must:
(1) meet the health maintenance organization's requirements for primary care physician participation; and
(2) agree to accept the responsibility to coordinate all of the enrollee's health care needs.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 1271.201. Designation of Specialist as Primary Care Physician - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1271-201/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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