Sec. 1272.063. ENROLLEE COMPLAINTS. (a) A delegation agreement required by Section 1272.052 must provide that:
(1) if the delegated entity receives a complaint that does not involve emergency care, the entity shall report the complaint to the health maintenance organization not later than the second business day after the date the entity receives the complaint; and
(2) if the delegated entity receives a complaint involving emergency care, the entity shall immediately forward the complaint to the health maintenance organization.
(b) Subsection (a) does not prohibit a delegated entity from attempting to resolve a complaint.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Section: Previous 1272.056 1272.057 1272.058 1272.059 1272.060 1272.061 1272.062 1272.063 1272.064 1272.101 1272.102 1272.103 1272.151 1272.152 1272.153 NextLast modified: September 28, 2016