| (a) Every two years, the commissioner will renew the
certificate of registration of each organization that meets the standards
as an IRO.
(b) An IRO must apply for renewal of its certificate
of registration every two years, no later than the anniversary date
of the issuance of the registration. The IRO application form must
be used for this purpose. The IRO application form may be obtained
from the department's website and from the address listed in §12.102(c)
of this chapter. The completed IRO application form, renewal fee,
and a certification that no material changes exist that have not already
been filed with the department must be submitted to the department
at the address listed in §12.101 of this chapter.
(c) An IRO may continue to operate under its certificate
of registration after a completed application form and renewal fee
have been received by the department and until the renewal is finally
denied or granted by the department. However, independent reviews
will not be assigned to an IRO during the 30 days before the anniversary
date of the issuance of the IRO's certificate of registration unless
a completed renewal application form and the application fee have
been received by the department.
(d) If a completed renewal application form is not
received before the anniversary date of the year in which the certificate
of registration must be renewed, the certificate of registration will
automatically expire and the IRO must complete and submit a new application
for certificate of registration.
(e) Until the certificate of registration renewal application
process is complete or the certificate of registration expires, an
IRO must:
(1) continue to perform its duties in compliance with
Insurance Code Chapter 4202, the Labor Code, and department and TDI-DWC
rules, including maintenance and retention of medical records and
patient-specific information under §12.208 of this chapter; and
(2) in regard to reviews of the medical necessity of
a health care service provided under Labor Code Title 5 or Insurance
Code Chapter 1305, make responses to requests for letters of clarification
under §133.308 of this title.
|
| Source Note: The provisions of this §12.108 adopted to be effective November 26, 1997, 22 TexReg 11363; amended to be effective December 26, 2010, 35 TexReg 11281; amended to be effective July 7, 2015, 40 TexReg 2538 |
