This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:49 GMT
(a) Reporting worksheet. An issuer must report the data required by this section within the "MH/SUD Parity Rule Division 2 Data Collection Reporting Form" template in the worksheet titled "Reimbursement Rates."(b) Categories of providers and billing codes. An issuer must report average plan reimbursement rates separately for in-network and out-of-network providers for services provided by the following categories of providers for the billing codes specified by TDI in the worksheet:(1) orthopedic surgeons;(2) cardiologists;(3) internists;(4) endocrinologists;(5) gastroenterologists;(6) neurologists;(7) pediatricians;(8) dermatologists;(9) psychiatrists;(10) psychologists;(11) licensed clinical social workers;(12) podiatrists;(13) chiropractors;(14) occupational therapists; and(15) physical therapists.