Sec. 1272.208. AUTHORITY OF COMMISSIONER TO ISSUE ORDER. (a) Regardless of whether a delegated entity complies with a request for corrective action under Section 1272.207 , the commissioner may order a health maintenance organization with which the entity has entered into a delegation agreement to take any action the commissioner determines is necessary to ensure that the health maintenance organization is complying with this chapter, Chapter 843 , 1271 , or 1367 , Subchapter A , Chapter 1452 , or Subchapter B, Chapter 1507 . (b) Actions the commissioner may order a health maintenance organization to take under this section include: (1) reassuming the functions delegated to the delegated entity, including claims payments for services previously provided to enrollees; (2) temporarily or permanently ceasing assignment of new enrollees to the entity; (3) temporarily or permanently transferring enrollees to alternative delivery systems to receive services; or (4) terminating the delegation agreement with the entity.
‹ Prev All Texas sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.