Each network shall adopt treatment guidelines, return-to-work guidelines, and individual treatment protocols. The treatment guidelines and individual treatment protocols must be evidence-based, scientifically valid, and outcome-focused and be designed to reduce inappropriate or unnecessary health care while safeguarding necessary care. Treatment may not be denied solely on the basis that the treatment for the compensable injury in question is not specifically addressed by the treatment guidelines used by the insurance carrier or network.
Tex. Ins. Code § 1305.304
GUIDELINES AND PROTOCOLS
Known as the Workers' Compensation Health Care Network Act
The act spans §§ 1305.001 to 1305.552 (49 sections).
Added by Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 4.02, eff
Official source: Texas Constitution and Statutes. Reproduced from public-domain Texas statutes; confirm against the official source for the current text. Not legal advice.