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Texas Statutes
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Insurance Code
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Title 8. Health Insurance and Other Health Coverages
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Subtitle D. Provider Plans
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Chapter 1301. Preferred Provider Benefit Plans
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Subchapter A. General Provisions
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Section 1301.001. Definitions
Section 1301.002. Nonapplicability to Dental Care Benefits
Section 1301.003. Preferred Provider Benefit Plans and Exclusive Provider Benefit Plans Permitted
Section 1301.0041. Applicability
Section 1301.0042. Applicability of Insurance Law
Section 1301.0045. Construction of Chapter
Section 1301.0046. Coinsurance Requirements for Services of Nonpreferred Providers
Section 1301.005. Availability of Preferred Providers; Service Area Limitations
Section 1301.0051. Exclusive Provider Benefit Plans: Quality Improvement and Utilization Management
Section 1301.0052. Exclusive Provider Benefit Plans: Referrals for Medically Necessary Services
Section 1301.0053. Exclusive Provider Benefit Plans: Emergency Care
Section 1301.0055. Network Adequacy Standards
Section 1301.00553. Maximum Travel Time and Distance Standards by Preferred Provider Type
Section 1301.00554. Other Maximum Distance Standard Requirements; Commissioner Authority
Section 1301.00555. Maximum Appointment Wait Time Standards
Section 1301.0056. Examinations and Fees
Section 1301.00565. Public Hearing On Network Adequacy Standards Waivers
Section 1301.00566. Effect of Network Adequacy Standards Waiver On Balance Billing Prohibitions
Section 1301.0057. Access to Out-of-network Providers
Section 1301.0058. Protected Communications by Preferred Providers
Section 1301.006. Availability of and Accessibility to Health Care Services
Section 1301.0061. Terms of Enrollee Eligibility
Section 1301.007. Rules
Section 1301.008. Conflict with Other Law
Section 1301.009. Annual Report
Section 1301.010. Balance Billing Prohibition Notice