Texas Insurance Code 1452.153 – Eligibility Requirements
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Terms Used In Texas Insurance Code 1452.153
- Contract: A legal written agreement that becomes binding when signed.
To qualify for expedited credentialing under this subchapter and payment under Section 1452.154, an applicant podiatrist must:
(1) be licensed as a podiatrist in this state by, and be in good standing with, the Texas Department of Licensing and Regulation;
(2) submit all documentation and other information required by the issuer of the managed care plan as necessary to enable the issuer to begin the credentialing process required by the issuer to include a podiatrist in the issuer’s health benefit plan network; and
(3) agree to comply with the terms of the managed care plan’s participating provider contract currently in force with the applicant podiatrist’s established professional practice.