EXCEPTION: DELEGATED ENTITIES.
Tex. INS Code § 848.002.
in effect(a) This section applies only to an entity, other than a health maintenance organization, that:
(1) by itself or through a subcontract with another entity, undertakes to arrange for or provide medical care or health care services to enrollees in exchange for predetermined payments on a prospective basis; and
(2) accepts responsibility for performing functions that are required by:
(A) Chapter 222 , 251 , 258 , or 1272 , as applicable, to a health maintenance organization; or
(B) Chapter 843 , Chapter 1271 , Section 1367.053 , Subchapter A , Chapter 1452 , or Subchapter B, Chapter 1507 , as applicable, solely on behalf of health maintenance organizations.
(b) An entity described by Subsection (a) is subject to Chapter 1272 and is not required to obtain a certificate of authority or determination of approval under this chapter.
Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7 ), Sec. 4.01, eff. September 28, 2011.