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Texas Insurance Code - INS § 845.055. Provision of Administrative and Health Care Services

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

(a) The system shall contract with or otherwise arrange for local health care provider networks composed of not more than 19 counties to deliver health care services to enrollees residing in the rural areas of the territorial jurisdiction of the participating hospital providers.

(b) If the local health care provider networks under contract or arrangement with the system as provided by Subsection (a) are unable to provide the type and quality of health care services required by the enrollees, the system may contract with health care practitioners who are not local health care providers.

(c) The system may:

(1) enter into a contract or joint venture to provide administrative services under this chapter;

(2) enter into an intergovernmental or interlocal agreement;  or

(3) provide technical assistance and management services to local health care providers as necessary to deliver health care services.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 845.055. Provision of Administrative and Health Care Services - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-845-055/

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