28 Tex. Admin. Code § 11.2601 - General Provisions

(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).

Notes

28 Tex. Admin. Code § 11.2601

The provisions of this §11.2601 adopted to be effective October 13, 2002, 27 TexReg 9585; amended to be effective February 24, 2005, 30 TexReg 854; amended to be effective November 15, 2006, 31 TexReg 9298; Adopted by Texas Register, Volume 42, Number 16, April 21, 2017, TexReg 2266, eff. 8/1/2017