Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 3 - LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
Subchapter Y - STANDARDS FOR LONG-TERM CARE INSURANCE, NON-PARTNERSHIP AND PARTNERSHIP LONG-TERM CARE INSURANCE COVERAGE UNDER INDIVIDUAL AND GROUP POLICIES AND ANNUITY CONTRACTS, AND LIFE INSURANCE POLICIES THAT PROVIDE LONG-TERM CARE BENEFITS WITHIN THE POLICY
Division 2 - NON-PARTNERSHIP AND PARTNERSHIP LONG-TERM CARE INSURANCE
Section 3.3812 - Policy Standards for Provider

Universal Citation: 28 TX Admin Code § 3.3812

Current through Reg. 50, No. 13; March 28, 2025

(a) A provider of services, including, but not limited to, assisted living facility, skilled nursing facility, extended care facility, intermediate care facility, convalescent nursing home, maintenance or personal care facility, and home health care agency, shall be defined in relation to the services and facilities required to be available and the licensure or degree status of those providing or supervising the services. Such definitions may not be more restrictive than definitions for the same or similar facilities contained in the Insurance Code or otherwise in legislative enactments for the State of Texas.

(b) The terms, "assisted living facility," "convalescent nursing home," "extended care facility," "intermediate care facility," or "skilled nursing facility," shall be defined in relation to status, facilities, and available services.

(1) A definition of such home or facility may not be more restrictive than one requiring that it be operated pursuant to state and federal law.

(2) The definition of such home or facility may exclude:
(A) any home, facility, or part thereof used primarily for rest;

(B) a home or facility for the aged or for the care of drug addicts or alcoholics; or

(C) a home or facility primarily used for the care and treatment of mental diseases or disorders, or custodial or educational care.

Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.