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Texas Insurance Code - Not Codified - Article 3.50-7B. Disease Management Services

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Art. 3.50-7B. DISEASE MANAGEMENT SERVICES. (a) In this article, "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 coverage plan provided under Article 3.50-7 of this code 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. Added by Acts 2003, 78th Leg., ch. 589, Sec. 2, eff. June 20, 2003.

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Last modified: August 11, 2007