28 Tex. Admin. Code § 12.108 - Renewal of Certificate of Registration
(a) Every two years, the commissioner will
renew the certificate of registration of each organization that meets the
standards as an IRO.
(b) An IRO
must apply for renewal of its certificate of registration every two years, no
later than the anniversary date of the issuance of the registration. The IRO
application form must be used for this purpose. The IRO application form may be
obtained from the department's website and from the address listed in §
12.102(c) of
this chapter. The completed IRO application form, renewal fee, and a
certification that no material changes exist that have not already been filed
with the department must be submitted to the department at the address listed
in §
12.101 of this chapter.
(c) An IRO may continue to operate under its
certificate of registration after a completed application form and renewal fee
have been received by the department and until the renewal is finally denied or
granted by the department. However, independent reviews will not be assigned to
an IRO during the 30 days before the anniversary date of the issuance of the
IRO's certificate of registration unless a completed renewal application form
and the application fee have been received by the department.
(d) If a completed renewal application form
is not received before the anniversary date of the year in which the
certificate of registration must be renewed, the certificate of registration
will automatically expire and the IRO must complete and submit a new
application for certificate of registration.
(e) Until the certificate of registration
renewal application process is complete or the certificate of registration
expires, an IRO must:
(1) continue to perform
its duties in compliance with Insurance Code Chapter 4202, the Labor Code, and
department and TDI-DWC rules, including maintenance and retention of medical
records and patient-specific information under §
12.208 of this chapter;
and
(2) in regard to reviews of the
medical necessity of a health care service provided under Labor Code Title 5 or
Insurance Code Chapter 1305, make responses to requests for letters of
clarification under §
133.308 of this title.
Notes
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