Texas Insurance Code Title 8, Chapter 1352 - Brain Injury
- Texas Section 1352.001 - Applicability Of Chapter
(a) This chapter applies only to a health benefit plan, including, subject to this chapter, a small employer health benefit plan written under Chapter 1501,...
- Texas Section 1352.002 - Exception; Application To Qualified Health Plan
(a) This chapter does not apply to: (1) a plan that provides coverage: (A) only for a specified disease or for another limited benefit other...
- Texas Section 1352.003 - Required Coverages--health Benefit Plans Other Than Small Employer Health Benefit Plans
(a) A health benefit plan must include coverage for cognitive rehabilitation therapy, cognitive communication therapy, neurocognitive therapy and rehabilitation, neurobehavioral, neurophysiological, neuropsychological, and psychophysiological testing...
- Texas Section 1352.0035 - Required Coverages--small Employer Health Benefit Plans
(a) A small employer health benefit plan may not exclude coverage for cognitive rehabilitation therapy, cognitive communication therapy, neurocognitive therapy and rehabilitation, neurobehavioral, neurophysiological, neuropsychological,...
- Texas Section 1352.004 - Training For Certain Personnel Required
(a) In this section, "preauthorization" means the provision of a reliable representation to a physician or health care provider of whether a health benefit plan...
- Texas Section 1352.005 - Notice To Insureds And Enrollees
(a) A health benefit plan issuer subject to this chapter, other than a small employer health benefit plan issuer, must annually notify each insured or...
- Texas Section 1352.006 - Determination Of Medical Necessity; Extension Of Coverage
(a) In this section, "utilization review" has the meaning assigned by Section 4201.002. (b) Notwithstanding Chapter 4201 or any other law relating to the determination...
- Texas Section 1352.007 - Treatment Facilities
(a) A health benefit plan may not deny coverage under this chapter based solely on the fact that the treatment or services are provided at...
- Texas Section 1352.008 - Consumer Information
The commissioner shall prepare information for use by consumers, purchasers of health benefit plan coverage, and self-insurers regarding coverages recommended for acquired brain injuries. The...
Last modified: September 28, 2016