Section 21.4901 - Purpose and Applicability(a) The purpose of this subchapter is to interpret and implement Insurance Code §§1271.157, 1271.158, 1275.052, 1275.053, 1301.164, 1301.165, 1551.229, 1551.230, 1575.172, 1575.173, 1579.110, and 1579.111; and Insurance Code Chapter 1467.(b) Section 21.4903 of this title is only applicable to a covered nonemergency health care or medical service or supply provided by: (1) a facility-based provider that is not a participating provider for a health benefit plan, if the service or supply is provided at a health care facility that is a participating provider; or(2) a diagnostic imaging provider or laboratory service provider that is not a participating provider for a health benefit plan, if the service or supply is provided in connection with a health care or medical service or supply provided by a participating provider.28 Tex. Admin. Code § 21.4901
Former 21.4901 to 21.4904 adopted by Texas Register, Volume 45, Number 01, January 3, 2020, TexReg 13, eff. 1/1/2020; Expired 4/30/2020; Current sections adopted by Texas Register, Volume 45, Number 25, June 19, 2020, TexReg 4204, eff. 6/25/2020; Amended by Texas Register, Volume 47, Number 07, February 18, 2022, TexReg 0793, eff. 2/20/2022