An HCC must notify all affected payors in writing of a material change in the payment arrangement for physicians, health care providers, or both within 30 days of any change in the type of payment arrangement for any type of service (for example, from capitation to fee-for-service, from fee-for-service to capitation). The notification of the change must include a description of the payment arrangement that has been changed and a description of the new payment arrangement.

Source Note: The provisions of this §13.471 adopted to be effective March 31, 2013, 38 TexReg 2100