Tex. Ins. Code § 1272.060 · Subchapter B. DELEGATION AGREEMENTS
UTILIZATION REVIEW.
Text — Current through the 89th 2nd Called Legislative Session, 2025
A delegation agreement required by Section 1272.052 must provide that:
(1) enrollees shall receive notification at the time of enrollment of which entity is responsible for performing utilization review;
(2) the delegated entity or third party performing utilization review shall perform that review in accordance with Chapter 4201; and
(3) the delegated entity or third party shall forward utilization review decisions made by the entity or third party to the health maintenance organization on a monthly basis.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2G.004, eff. April 1, 2009.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1272.htm
- Text hash
- sha256 b1ec6031c14067cc598b32fd91ef691dd609256d636a399807f5ea3cebfba897
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.