Sec. 1452.004.  LIMITATION ON COMMISSIONER'S AUTHORITY.  The commissioner may not require a health maintenance organization to:
(1)  formally recredential a physician or provider more frequently than once in any three-year period;
(2)  verify the validity of a license or certificate held by a physician as of a date other than the date of initial credentialing or recredentialing of the physician;
(3)  use clinical personnel to perform a site visit for initial credentialing of a physician or provider unless clinical review is needed during the site visit;  or
(4)  require a site visit be performed for the purpose of recredentialing of a physician or provider.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.