Texas Code — 4201
Browse 83 sections in division 4201 of the Texas code. Each section page includes the full statutory text, official source links, and citation guidance.
Sections (showing up to 300)
- § IN.4201.001. PURPOSE
- § IN.4201.002. DEFINITIONS
- § IN.4201.003. RULES
- § IN.4201.004. TELEPHONE ACCESS
- § IN.4201.051. PERSONS PROVIDING INFORMATION ABOUT SCOPE OF COVERAGE OR BENEFITS
- § IN.4201.052. CERTAIN CONTRACTS WITH FEDERAL GOVERNMENT
- § IN.4201.053. MEDICAID AND OTHER STATE HEALTH OR MENTAL HEALTH PROGRAMS
- § IN.4201.054. WORKERS' COMPENSATION BENEFITS
- § IN.4201.055. HEALTH CARE SERVICE PROVIDED UNDER AUTOMOBILE INSURANCE POLICY
- § IN.4201.056. EMPLOYEE WELFARE BENEFIT PLANS
- § IN.4201.057. HEALTH MAINTENANCE ORGANIZATIONS
- § IN.4201.058. INSURERS
- § IN.4201.101. CERTIFICATE OF REGISTRATION REQUIRED
- § IN.4201.102. REQUIREMENTS FOR CERTIFICATION
- § IN.4201.103. CERTIFICATE RENEWAL
- § IN.4201.104. CERTIFICATION AND RENEWAL FORMS
- § IN.4201.105. FEES
- § IN.4201.106. CERTIFICATE NOT TRANSFERABLE
- § IN.4201.107. REPORTING MATERIAL CHANGES
- § IN.4201.108. LIST OF UTILIZATION REVIEW AGENTS
- § IN.4201.151. UTILIZATION REVIEW PLAN
- § IN.4201.152. UTILIZATION REVIEW UNDER DIRECTION OF PHYSICIAN
- § IN.4201.153. SCREENING CRITERIA AND REVIEW PROCEDURES
- § IN.4201.154. REVIEW AND INSPECTION OF SCREENING CRITERIA AND REVIEW PROCEDURES
- § IN.4201.155. LIMITATION ON NOTICE REQUIREMENTS AND REVIEW PROCEDURES
- § IN.4201.156. USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS
- § IN.4201.201. REPETITIVE CONTACTS WITH HEALTH CARE PROVIDER OR PATIENT
- § IN.4201.202. OBSERVING OR PARTICIPATING IN PATIENT'S CARE
- § IN.4201.203. MENTAL HEALTH THERAPY
- § IN.4201.204. COMPLAINT SYSTEM
- § IN.4201.205. DESIGNATED INITIAL CONTACT
- § IN.4201.206. OPPORTUNITY TO DISCUSS TREATMENT BEFORE ADVERSE DETERMINATION
- § IN.4201.207. CHARGES BY HEALTH CARE PROVIDER FOR PROVIDING MEDICAL INFORMATION
- § IN.4201.251. DELEGATION OF UTILIZATION REVIEW
- § IN.4201.252. PERSONNEL
- § IN.4201.253. PROHIBITED BASES FOR EMPLOYMENT, COMPENSATION, EVALUATIONS, OR PERFORMANCE STANDA
- § IN.4201.301. GENERAL DUTY TO NOTIFY
- § IN.4201.302. GENERAL TIME FOR NOTICE
- § IN.4201.303. ADVERSE DETERMINATION
- § IN.4201.304. TIME FOR NOTICE OF ADVERSE DETERMINATION
- § IN.4201.305. NOTICE OF ADVERSE DETERMINATION FOR RETROSPECTIVE UTILIZATION REVIEW
- § IN.4201.351. COMPLAINT AS APPEAL
- § IN.4201.352. WRITTEN DESCRIPTION OF APPEAL PROCEDURES
- § IN.4201.353. APPEAL PROCEDURES MUST BE REASONABLE
- § IN.4201.354. PERSONS OR ENTITIES WHO MAY APPEAL
- § IN.4201.355. ACKNOWLEDGMENT OF APPEAL
- § IN.4201.356. DECISION BY PHYSICIAN REQUIRED
- § IN.4201.357. EXPEDITED APPEAL FOR DENIAL OF EMERGENCY CARE, CONTINUED HOSPITALIZATION, PRESCRI
- § IN.4201.358. RESPONSE LETTER TO INTERESTED PERSONS
- § IN.4201.359. NOTICE OF APPEAL
- § IN.4201.360. IMMEDIATE APPEAL TO INDEPENDENT REVIEW ORGANIZATION IN LIFE-THREATENING CIRCUMSTA
- § IN.4201.3601. IMMEDIATE APPEAL TO INDEPENDENT REVIEW ORGANIZATION FOR DENIAL OF PRESCRIPTION DR
- § IN.4201.401. REVIEW BY INDEPENDENT REVIEW ORGANIZATION
- § IN.4201.402. INFORMATION PROVIDED TO INDEPENDENT REVIEW ORGANIZATION
- § IN.4201.403. PAYMENT FOR INDEPENDENT REVIEW
- § IN.4201.451. DEFINITION
- § IN.4201.452. INAPPLICABILITY OF CERTAIN OTHER LAW
- § IN.4201.453. UTILIZATION REVIEW PLAN
- § IN.4201.454. UTILIZATION REVIEW UNDER DIRECTION OF PROVIDER OF SAME SPECIALTY
- § IN.4201.455. PERSONNEL
- § IN.4201.456. OPPORTUNITY TO DISCUSS TREATMENT BEFORE ADVERSE DETERMINATION
- § IN.4201.457. APPEAL DECISIONS
- § IN.4201.551. GENERAL CONFIDENTIALITY REQUIREMENT
- § IN.4201.552. CONSENT REQUIREMENTS
- § IN.4201.553. PROVIDING INFORMATION TO AFFILIATED ENTITIES
- § IN.4201.554. PROVIDING INFORMATION TO COMMISSIONER
- § IN.4201.555. ACCESS TO RECORDED PERSONAL INFORMATION
- § IN.4201.556. PUBLISHING INFORMATION IDENTIFIABLE TO HEALTH CARE PROVIDER
- § IN.4201.557. REQUIREMENT TO MAINTAIN DATA IN CONFIDENTIAL MANNER
- § IN.4201.558. DESTRUCTION OF CERTAIN CONFIDENTIAL DOCUMENTS
- § IN.4201.601. NOTICE OF SUSPECTED VIOLATION
- § IN.4201.602. ENFORCEMENT PROCEEDING
- § IN.4201.603. REMEDIES AND PENALTIES FOR VIOLATION
- § IN.4201.651. DEFINITIONS
- § IN.4201.652. APPLICABILITY OF SUBCHAPTER
- § IN.4201.653. EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS FOR PHYSICIANS AND PROVIDERS PROVIDI
- § IN.4201.654. DURATION OF PREAUTHORIZATION EXEMPTION
- § IN.4201.655. DENIAL OR RESCISSION OF PREAUTHORIZATION EXEMPTION
- § IN.4201.656. INDEPENDENT REVIEW OF EXEMPTION DETERMINATION
- § IN.4201.657. EFFECT OF APPEAL OR INDEPENDENT REVIEW DETERMINATION
- § IN.4201.658. ELIGIBILITY FOR PREAUTHORIZATION EXEMPTION FOLLOWING FINALIZED EXEMPTION RESCISSI
- § IN.4201.659. EFFECT OF PREAUTHORIZATION EXEMPTION
- § IN.4201.660. REPORT