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TITLE 28 | INSURANCE |
PART 1 | TEXAS DEPARTMENT OF INSURANCE |
CHAPTER 11 | HEALTH MAINTENANCE ORGANIZATIONS |
SUBCHAPTER Q | OTHER REQUIREMENTS |
RULE §11.1603 | Notification of Change in Payment Arrangements |
An HMO must provide written notification to affected group contract holders of a substantive change in the payment arrangement for physicians and providers within 30 days of any change in the type of payment arrangement; for example, a change from capitation to fee for service, or from fee for service to capitation, for any type of service. The notification of the change must include a description of the changed payment arrangement and a description of the new payment arrangement. |
Source Note: The provisions of this §11.1603 adopted to be effective August 1, 2017, 42 TexReg 2169 |