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Texas Insurance Code - INS § 1368.007. Treatment Standards

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) Coverage provided under this chapter for necessary care and treatment in a chemical dependency treatment center must be provided as if the care and treatment were provided in a hospital.

(b) The department by rule shall adopt standards formulated and approved by the department and the Texas Commission on Alcohol and Drug Abuse for use by insurers, other third-party reimbursement sources, and chemical dependency treatment centers.

(c) Standards adopted under this section must provide for:

(1) reasonable control of costs necessary for inpatient and outpatient treatment of chemical dependency, including guidelines for treatment periods; and

(2) appropriate utilization review of treatment as well as necessary extensions of treatment.

(d) Coverage required under this chapter is subject to the standards adopted under this section.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1368.007. Treatment Standards - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1368-007/

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