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Texas Administrative Code (Last Updated: March 27,2024) |
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TITLE 28. INSURANCE |
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PART 1. TEXAS DEPARTMENT OF INSURANCE |
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CHAPTER 13. MISCELLANEOUS INSURERS AND OTHER REGULATED ENTITIES |
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SUBCHAPTER E. HEALTH CARE COLLABORATIVES |
| DIVISION 1. GENERAL PROVISIONS |
| § 13.401. Purpose |
| § 13.402. Definitions |
| § 13.403. Filing and Required Forms; How to Obtain Forms |
| § 13.404. Use of the Term "HCC;" Service Mark; Trademarks; d/b/a |
| DIVISION 2. APPLICATION FOR CERTIFICATE OF AUTHORITY |
| § 13.411. Filing Fee; Annual Assessments; Open Records |
| § 13.412. Revisions During Review Process |
| § 13.413. Contents of the Application |
| § 13.414. Limited Exemption from Certain Information Filing Requirements |
| § 13.415. Documents to be Available for Quality of Care and Financial Examinations |
| § 13.416. Review of Original or Renewal Application; Commissioner Discretion |
| § 13.417. Withdrawal of an Application |
| DIVISION 3. EXAMINATIONS; REGULATORY REQUIREMENTS FOR AN HCC AFTER ISSUANCE OF CERTIFICATE OF AUTHORITY; AND ADVERTISING AND SALES MATERIAL |
| § 13.421. Examination; Fee for Expenses |
| § 13.422. Filing Requirements That Apply After Issuance of Certificate of Authority |
| § 13.423. Service Area Change Applications |
| § 13.424. Certificate of Authority Renewal Requirements |
| § 13.425. Compensation Arrangements |
| § 13.426. Confidentiality |
| § 13.429. HCCs Subject to Insurance Code Chapters 541 and 542 and Related Rules |
| DIVISION 4. FINANCIAL REQUIREMENTS |
| § 13.431. Reserves and Working Capital Requirements |
| § 13.432. Fiduciary Responsibility |
| DIVISION 5. HCC CONTRACT ARRANGEMENTS |
| § 13.441. General Provisions |
| DIVISION 6. CHANGE OF CONTROL BY ACQUISITION OF OR MERGER WITH HCC |
| § 13.451. Definitions |
| § 13.452. Determination of Control |
| § 13.453. Filing Requirements |
| § 13.454. Commissioner Action |
| § 13.455. Change of Control with Increased Market Share |
| DIVISION 7. ADMINISTRATIVE PROCEDURES |
| § 13.461. Commissioner's Authority to Require Additional Information |
| DIVISION 8. OTHER REQUIREMENTS |
| § 13.471. Notification of Change in Payment Arrangements |
| § 13.472. Requirements for Certain Delegation Contracts |
| § 13.473. Organization of an HCC |
| § 13.474. Requirements for HMO or Insurer Delegation of Functions to HCCs |
| DIVISION 9. QUALITY AND COST OF HEALTH CARE SERVICES |
| § 13.481. Quality Improvement Structure for HCCs |
| § 13.482. Quality Assurance and Quality Improvement |
| § 13.483. Credentialing |
| DIVISION 10. COMPLAINT SYSTEMS; RIGHTS OF PHYSICIANS; LIMITATIONS ON PARTICIPATION |
| § 13.491. Complaint Systems |
| § 13.492. Complaints; Deadlines for Response and Resolution |
| § 13.493. Rights of Physicians |
| § 13.494. Limitations and Prohibition |