Texas § 843.316 ALTERNATIVE CAPITATION SYSTEM.

Texas Statutes

§ 843.316 — ALTERNATIVE CAPITATION SYSTEM.

Texas § 843.316

Code INInsurance Code

This text of Texas § 843.316 (ALTERNATIVE CAPITATION SYSTEM.) 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. § 843.316 (2026).

Text

Sec. 843.316. ALTERNATIVE CAPITATION SYSTEM. As an alternative to the procedures prescribed by Section 843.315 , a health maintenance organization may request approval from the department of a capitation payment system that ensures:

(1)immediate availability and accessibility of a primary care physician or primary care provider; and

(2)payment to a primary care physician or primary care provider of a capitated amount certified by a qualified actuary to be actuarially sufficient to compensate the primary care physician or primary care provider for the risk assumed.

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Sec. 843.316. ALTERNATIVE CAPITATION SYSTEM. As an alternative to the procedures prescribed by Section 843.315 , a health maintenance organization may request approval from the department of a capitation payment system that ensures:
(1) immediate availability and accessibility of a primary care physician or primary care provider; and
(2) payment to a primary care physician or primary care provider of a capitated amount certified by a qualified actuary to be actuarially sufficient to compensate the primary care physician or primary care provider for the risk assumed.