NOTICE OF DECISION ON APPEAL
Known as the Texas Health Maintenance Organization Act
The act spans §§ 843–843 (146 sections).
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff
(a) A health maintenance organization shall include in a notice of the final decision on an appeal a statement of the specific medical determination, clinical basis, and contractual criteria used to reach the final decision.
(b) The notice must include the toll-free telephone number and address of the department.
Official source: Texas Constitution and Statutes. Reproduced from public-domain Texas statutes; confirm against the official source for the current text. Not legal advice.