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Texas Insurance Code - INS § 4201.652. Applicability of Subchapter

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

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 540 or 540A, Government Code, as applicable;

(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.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 4201.652. Applicability of Subchapter - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-4201-652/

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