Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 11 - HEALTH MAINTENANCE ORGANIZATIONS
Subchapter AA - DELEGATED ENTITIES
Section 11.2601 - General Provisions
Universal Citation: 28 TX Admin Code § 11.2601
Current through Reg. 50, No. 13; March 28, 2025
(a) A delegating HMO must:
(1) identify all responsibilities
relating to the function being delegated;
(2) create an agreement that enables the HMO
and department to monitor both the delegated entity's financial solvency and
performance or subsequent delegation of all delegated functions; and
(3) retain ultimate responsibility for
ensuring that all delegated functions are performed in compliance with
applicable statutes and rules.
(b) This subchapter applies to all contracts entered into or renewed on and after the effective date of these rules.
(c) This subchapter does not apply to a group model HMO, as defined in Insurance Code § 843.111 (concerning Group Model Health Maintenance Organizations).
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