Sec. 1271.201. DESIGNATION OF SPECIALIST AS PRIMARY CARE PHYSICIAN. (a) An evidence of coverage must provide that an enrollee with a chronic, disabling, or life-threatening illness may apply to the health maintenance organization's medical director to use a nonprimary care physician specialist as the enrollee's primary care physician.
(b) The application must:
(1) include information specified by the health maintenance organization, including certification of the medical need; and
(2) be signed by the enrollee and the nonprimary care physician specialist interested in serving as the enrollee's primary care physician.
(c) To be eligible to serve as the enrollee's primary care physician, a physician specialist must:
(1) meet the health maintenance organization's requirements for primary care physician participation; and
(2) agree to accept the responsibility to coordinate all of the enrollee's health care needs.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Section: Previous 1271.104 1271.151 1271.152 1271.153 1271.154 1271.155 1271.156 1271.201 1271.202 1271.203 1271.251 1271.252 1271.253 1271.301 1271.302 NextLast modified: September 28, 2016