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Current as of January 01, 2024 | Updated by Findlaw Staff
As an alternative to the procedures prescribed by Section 843.315, a health maintenance organization may request approval from the department of a capitation payment system that ensures:
(1) immediate availability and accessibility of a primary care physician or primary care provider; and
(2) payment to a primary care physician or primary care provider of a capitated amount certified by a qualified actuary to be actuarially sufficient to compensate the primary care physician or primary care provider for the risk assumed.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 843.316. Alternative Capitation System - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-843-316/
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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