Texas Insurance Code Title 8, Chapter 1351 - Home Health Services

• Texas Section 1351.001 - Definitions
  In this chapter: (1) "Health services" includes: (A) skilled nursing by a registered nurse or a licensed vocational nurse under the supervision of at least...
• Texas Section 1351.002 - Applicability Of Chapter
  (a) This chapter applies to a group health benefit plan that is delivered or issued for delivery in this state and that is a group...
• Texas Section 1351.003 - Applicability Of General Provisions Of Other Law
  The provisions of Chapter 1201, including provisions relating to the applicability, purpose, and enforcement of that chapter, the construction of policies under that chapter, rulemaking...
• Texas Section 1351.004 - Exception
  This chapter does not apply to: (1) a group policy of accident and health insurance that provides coverage only for: (A) a specified disease or...
• Texas Section 1351.005 - Coverage Required
  Except as provided by Section 1351.008, a group health benefit plan must provide coverage for home health services provided by a home health agency. Added...
• Texas Section 1351.006 - Reimbursement For Home Health Services: Physician Certification Required
  A group health benefit plan issuer may not provide reimbursement for home health services provided under the plan unless the attending physician certifies that hospitalization...
• Texas Section 1351.007 - Limitations And Exclusions On Coverage Permitted
  (a) A group health benefit plan may include: (1) a limitation on the number of visits for home health services for which benefits are payable,...
• Texas Section 1351.008 - Rejection Of Coverage By Plan Holder; Negotiation Of Alternative Coverage
  (a) If the holder of a group health benefit plan rejects in writing the coverage required under this chapter, the plan issuer: (1) may not...
• Texas Section 1351.009 - Additional Coverage Not Precluded
  This chapter does not preclude a group health benefit plan issuer from providing coverage for home health services that exceeds the coverage required under this...

Last modified: September 28, 2016