Insurance Code § 845.055

Sec. 845.055. PROVISION OF ADMINISTRATIVE AND HEALTH CARE SERVICES. (a) The system shall contract with or otherwise arrange for local health care provider networks composed of not more than 19 counties to deliver health care services to enrollees residing in the rural areas of the territorial jurisdiction of the participating hospital providers. (b) If the local health care provider networks under contract or arrangement with the system as provided by Subsection (a) are unable to provide the type and quality of health care services required by the enrollees, the system may contract with health care practitioners who are not local health care providers. (c) The system may: (1) enter into a contract or joint venture to provide administrative services under this chapter; (2) enter into an intergovernmental or interlocal agreement; or (3) provide technical assistance and management services to local health care providers as necessary to deliver health care services. Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.