Section 11.1801 - Entities Covered(a) As used in this subchapter, a managed care organization is an entity holding a certificate of authority to operate as an HMO under Insurance Code Chapter 843 (concerning Health Maintenance Organizations) and Insurance Code Chapter 1271 (concerning Benefits Provided by Health Maintenance Evidence of Coverage; Charges), or as an ANHC under Insurance Code Chapter 844 (concerning Certification of Certain Nonprofit Health Corporations).(b) Any managed care organization or other entity providing the services specified in 42 United States Code § 1396b(m)(2)(A) and participating in the State Medicaid Program or Children's Health Insurance Program (CHIP) (MCO) must comply with the requirements of Insurance Code § 843.403 (concerning Minimum Net Worth) and § 7.402 of this title (relating to Risk-Based Capital and Surplus Requirements for Insurers and HMOs).28 Tex. Admin. Code § 11.1801
The provisions of this §11.1801 adopted to be effective December 3, 1996, 21 TexReg 11377; 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 2261, eff. 8/1/2017