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Texas Administrative Code

TITLE 28 INSURANCE
PART 1 TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21 TRADE PRACTICES
SUBCHAPTER P MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY

Rules

§21.2401 Purpose and Scope
§21.2402 Applicability
§21.2403 Coordination of Statutory Language
§21.2404 Differences from Federal Rules
§21.2405 Corrective Action; Severability
§21.2406 Definitions
§21.2407 Parity Requirements with Respect to Aggregate Lifetime and Annual Dollar Limits
§21.2408 Parity Requirements with Respect to Financial Requirements and Treatment Limitations
§21.2409 Nonquantitative Treatment Limitations
§21.2411 Availability of Plan Information
§21.2413 Sale of Nonparity Health Benefit Plans
§21.2414 Source-of-Injury Exclusions
§21.2421 Definitions - Division 2
§21.2422 Deadline for Reporting Data
§21.2423 Collecting and Reporting Data
§21.2424 Issuer and Plan Information
§21.2425 Claims and Utilization Review: Reporting Classifications
§21.2426 Claims and Utilization Review: Aggregate Data Fields
§21.2427 Plan Reimbursement Rates Compared with Medicare Rates
§21.2431 Required Analyses for Quantitative and Nonquantitative Parity; Alternative Tools
§21.2432 Due Dates for Analyses
§21.2433 Compliance Analysis for Quantitative Parity: General Requirements
§21.2434 Quantitative Parity Analysis: Issuer and Plan Information
§21.2435 Quantitative Parity Analysis: Methodology for Determining Expected Payments
§21.2436 Quantitative Parity Analysis: Covered Benefits
§21.2437 Quantitative Parity Analysis: "Substantially All" and "Predominant" Tests
§21.2438 Compliance Analysis for Nonquantitative Parity: General Instructions
§21.2439 Nonquantitative Treatment Limitations Generally
§21.2440 Nonquantitative Parity Analysis: Issuer and Plan Information
§21.2441 Four-Step Analysis of Nonquantitative Treatment Limitations
§21.2451 Applicability
§21.2452 Coordination of Provisions in Insurance Code Chapter 1355, Concerning Benefits for Certain Mental Disorders

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