Texas Statutes
§ 413.05115 — MEDICAL QUALITY REVIEW PROCESS.
Texas § 413.05115
JurisdictionTexas
Code LALabor Code
This text of Texas § 413.05115 (MEDICAL QUALITY REVIEW PROCESS.) 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. Labor Code Code Ann. § 413.05115 (2026).
Text
Sec. 413.05115. MEDICAL QUALITY REVIEW PROCESS.
(a)The division shall develop, and the commissioner shall adopt, criteria concerning the medical case review process under this subchapter. In developing the criteria, and before adopting the criteria, the division and the commissioner, as applicable, must consult with the medical advisor and seek input from potentially affected parties, including health care providers and insurance carriers.
(b)The criteria developed and adopted under this section must establish a clear process or processes:
(1)for handling complaint-based medical case reviews; and
(2)through which the division selects health care providers or other entities for a compliance audit or review.
(c)The division shall make the criteria developed and adopted under this sectio
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Legislative History
Added by Acts 2011, 82nd Leg., R.S., Ch. 1162 (H.B. 2605 ), Sec. 24, eff. September 1, 2011.
Nearby Sections
15
§ 413.002
MEDICAL REVIEW.§ 413.003
AUTHORITY TO CONTRACT.§ 413.004
COORDINATION WITH PROVIDERS.§ 413.006
ADVISORY COMMITTEES.§ 413.007
INFORMATION MAINTAINED BY DIVISION.§ 413.0111
PROCESSING AGENTS.§ 413.013
PROGRAMS.§ 413.0141
INITIAL PHARMACEUTICAL COVERAGE.Cite This Page — Counsel Stack
Bluebook (online)
Texas § 413.05115, Counsel Stack Legal Research, https://law.counselstack.com/statute/tx/LA/413.05115.