Sec. 1452.151. DEFINITIONS. In this subchapter:
(1) "Applicant podiatrist" means a podiatrist applying for expedited credentialing under this subchapter.
(2) "Enrollee" means an individual who is eligible to receive health care services under a managed care plan.
(3) "Health care provider" means:
(A) an individual who is licensed, certified, or otherwise authorized to provide health care services in this state; or
(B) a hospital, emergency clinic, outpatient clinic, or other facility providing health care services.
(4) "Managed care plan" means a health benefit plan under which health care services are provided to enrollees through contracts with health care providers and that requires enrollees to use participating providers or that provides a different level of coverage for enrollees who use participating providers. The term includes a health benefit plan issued by:
(A) a health maintenance organization;
(B) a preferred provider benefit plan issuer; or
(C) any other entity that issues a health benefit plan, including an insurance company.
(5) "Participating provider" means a health care provider who has contracted with a health benefit plan issuer to provide services to enrollees.
(6) "Professional practice" means a business entity that is owned by one or more podiatrists or physicians.
Added by Acts 2013, 83rd Leg., R.S., Ch. 79 (S.B. 365), Sec. 1, eff. September 1, 2013.
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