Sec. 1301.00553.  MAXIMUM TRAVEL TIME AND DISTANCE STANDARDS BY PREFERRED PROVIDER TYPE.  (a)  In this section, "maximum distance" means the miles calculated to drive by automobile within a service area to a particular type of preferred provider.
(b)  For purposes of this section, each county in this state is classified as a large metro, metro, micro, or rural county, or a county with extreme access considerations as determined by the federal Centers for Medicare and Medicaid Services by population and density thresholds as of March 1, 2023.
(c)  Maximum travel time in minutes and maximum distance in miles for preferred provider benefit plans by preferred provider type for each large metro county are:
(1)  for the following physicians, as designated by physician specialty:
(2)  for health care practitioners in the following disciplines:
(3)  for the following types of institutional providers:
(4)  for the following settings:
(d)  Maximum travel time in minutes and maximum distance in miles for preferred provider benefit plans by preferred provider type for each metro county are:
(1)  for the following physicians, as designated by physician specialty:
(2)  for health care practitioners in the following disciplines:
(3)  for the following types of institutional providers:
(4)  for the following settings:
(e)  Maximum travel time in minutes and maximum distance in miles for preferred provider benefit plans by preferred provider type for each micro county are:
(1)  for the following physicians, as designated by physician specialty:
(2)  for health care practitioners in the following disciplines:
(3)  for the following types of institutional providers:
(4)  for the following settings:
(f)  Maximum travel time in minutes and maximum distance in miles for preferred provider benefit plans by preferred provider type for each rural county are:
(1)  for the following physicians, as designated by physician specialty:
(2)  for health care practitioners in the following disciplines:
(3)  for the following types of institutional providers:
(4)  for the following settings:
(g)  Maximum travel time in minutes and maximum distance in miles for preferred provider benefit plans by preferred provider type for each county with extreme access considerations are:
(1)  for the following physicians, as designated by physician specialty:
(2)  for health care practitioners in the following disciplines:
(3)  for the following institutional providers:
(4)  for the following settings:
Added by Acts 2023, 88th Leg., R.S., Ch. 740 (H.B. 3359), Sec. 6, eff. September 1, 2023.