(a) Reporting worksheet. An issuer must report the data required by this section within the "MH/SUD Parity Rule Division 2 Data Collection Reporting Form" template in the worksheet titled "Reimbursement Rates."
(b) Categories of providers and billing codes. An issuer must report average plan reimbursement rates separately for in-network and out-of-network providers for services provided by the following categories of providers for the billing codes specified by TDI in the worksheet:
(1) orthopedic surgeons;
(2) cardiologists;
(3) internists;
(4) endocrinologists;
(5) gastroenterologists;
(6) neurologists;
(7) pediatricians;
(8) dermatologists;
(9) psychiatrists;
(10) psychologists;
(11) licensed clinical social workers;
(12) podiatrists;
(13) chiropractors;
(14) occupational therapists; and
(15) physical therapists.
Source Note: The provisions of this §21.2427 adopted to be effective September 7, 2021, 46 TexReg 5571