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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 21. TRADE PRACTICES |
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SUBCHAPTER P. MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY |
| DIVISION 1. GENERAL PROVISIONS AND PARITY REQUIREMENTS |
| § 21.2401. Purpose and Scope |
| § 21.2402. Applicability |
| § 21.2403. Coordination of Statutory Language |
| § 21.2404. Differences from Federal Rules |
| § 21.2405. Corrective Action; Severability |
| § 21.2406. Definitions |
| § 21.2407. Parity Requirements with Respect to Aggregate Lifetime and Annual Dollar Limits |
| § 21.2408. Parity Requirements with Respect to Financial Requirements and Treatment Limitations |
| § 21.2409. Nonquantitative Treatment Limitations |
| § 21.2411. Availability of Plan Information |
| § 21.2413. Sale of Nonparity Health Benefit Plans |
| § 21.2414. Source-of-Injury Exclusions |
| DIVISION 2. PLAN INFORMATION AND DATA COLLECTION |
| § 21.2421. Definitions - Division 2 |
| § 21.2422. Deadline for Reporting Data |
| § 21.2423. Collecting and Reporting Data |
| § 21.2424. Issuer and Plan Information |
| § 21.2425. Claims and Utilization Review: Reporting Classifications |
| § 21.2426. Claims and Utilization Review: Aggregate Data Fields |
| § 21.2427. Plan Reimbursement Rates Compared with Medicare Rates |
| DIVISION 3. COMPLIANCE ANALYSIS FOR MH/SUD PARITY |
| § 21.2431. Required Analyses for Quantitative and Nonquantitative Parity; Alternative Tools |
| § 21.2432. Due Dates for Analyses |
| § 21.2433. Compliance Analysis for Quantitative Parity: General Requirements |
| § 21.2434. Quantitative Parity Analysis: Issuer and Plan Information |
| § 21.2435. Quantitative Parity Analysis: Methodology for Determining Expected Payments |
| § 21.2436. Quantitative Parity Analysis: Covered Benefits |
| § 21.2437. Quantitative Parity Analysis: "Substantially All" and "Predominant" Tests |
| § 21.2438. Compliance Analysis for Nonquantitative Parity: General Instructions |
| § 21.2439. Nonquantitative Treatment Limitations Generally |
| § 21.2440. Nonquantitative Parity Analysis: Issuer and Plan Information |
| § 21.2441. Four-Step Analysis of Nonquantitative Treatment Limitations |
| DIVISION 4. AUTISM SPECTRUM DISORDER |
| § 21.2451. Applicability |
| § 21.2452. Coordination of Provisions in Insurance Code Chapter 1355, Concerning Benefits for Certain Mental Disorders |