Texas § 1272.060 UTILIZATION REVIEW.

Texas Statutes

§ 1272.060 — UTILIZATION REVIEW.

Texas § 1272.060

Code INInsurance Code

This text of Texas § 1272.060 (UTILIZATION REVIEW.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Insurance Code Code Ann. § 1272.060 (2026).

Text

Sec. 1272.060. UTILIZATION REVIEW. 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.

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Sec. 1272.060. UTILIZATION REVIEW. 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.

Legislative 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.