Texas Insurance Code 1452.203 – Eligibility Requirements
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Terms Used In Texas Insurance Code 1452.203
- Contract: A legal written agreement that becomes binding when signed.
To qualify for expedited credentialing under this subchapter and payment under Section 1452.204, an applicant therapeutic optometrist must:
(1) be licensed in this state by, and in good standing with, the Texas Optometry Board;
(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 therapeutic optometrist 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 therapeutic optometrist’s established professional practice.