Tex. Ins. Code § 1575.164

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.

Section 1575.164 - Disease Management Services

(a) In this section, "disease management services" means services to assist an individual manage a disease or other chronic health condition, such as heart disease, diabetes, respiratory illness, end-stage renal disease, HIV infection, or AIDS, and with respect to which the Teacher Retirement System of Texas identifies populations requiring disease management.

(b) A health benefit plan provided under this chapter, other than a Medicare Advantage plan or a Medicare prescription drug plan, must provide disease management services or coverage for disease management services in the manner required by the Teacher Retirement System of Texas, including:

(1) patient self-management education;

(2) provider education;

(3) evidence-based models and minimum standards of care;

(4) standardized protocols and participation criteria; and

(5) physician-directed or physician-supervised care.

Tex. Ins. Code § 1575.164

Amended by Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 712,Sec. 16, eff. 9/1/2017.

Renumbered from Insurance Code, Section 1575.162 by Acts 2005, 79th Leg., Ch. 728, Sec. 23.001(62), eff. 9/1/2005.

Added by Acts 2003, 78th Leg., ch. 589, Sec. 4, eff. 6/20/2003.

See Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 712, Sec. 25.