28 Tex. Admin. Code § 19.2012 - URA's Telephone Access and Procedures for Certain Drug Requests and Post-Stabilization Care
(a) A
URA must have appropriate personnel reasonably available by toll-free telephone
at least 40 hours per week during normal business hours in both Central Time
and Mountain Time, to discuss an injured employee's care and to respond to
telephone review requests.
(b) A
URA must have procedures that the URA will implement when responding to
requests for:
(1) drugs that require
preauthorization, in situations in which the injured employee has received or
is currently receiving the requested drugs and an adverse determination could
lead to a medical emergency; and
(2) post-stabilization care and pain
management medication immediately subsequent to surgery or emergency treatment,
as requested by the treating physician or provider of record.
Notes
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