Texas § 1452.004 LIMITATION ON COMMISSIONER'S AUTHORITY.

Texas Statutes

§ 1452.004 — LIMITATION ON COMMISSIONER'S AUTHORITY.

Texas § 1452.004

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Bluebook

Tex. Insurance Code Code Ann. § 1452.004 (2026).

Text

Sec. 1452.004. LIMITATION ON COMMISSIONER'S AUTHORITY. The commissioner may not require a health maintenance organization to:

(1)formally recredential a physician or provider more frequently than once in any three-year period;

(2)verify the validity of a license or certificate held by a physician as of a date other than the date of initial credentialing or recredentialing of the physician;

(3)use clinical personnel to perform a site visit for initial credentialing of a physician or provider unless clinical review is needed during the site visit; or

(4)require a site visit be performed for the purpose of recredentialing of a physician or provider.

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Sec. 1452.004. LIMITATION ON COMMISSIONER'S AUTHORITY. The commissioner may not require a health maintenance organization to:
(1) formally recredential a physician or provider more frequently than once in any three-year period;
(2) verify the validity of a license or certificate held by a physician as of a date other than the date of initial credentialing or recredentialing of the physician;
(3) use clinical personnel to perform a site visit for initial credentialing of a physician or provider unless clinical review is needed during the site visit; or
(4) require a site visit be performed for the purpose of recredentialing of a physician or provider.