(a) The forms identified in § 21.2103 of this title (relating to Mandatory Benefit Notices) are included in subsection (b) of this section in their entirety. The forms can be obtained from the TDI website, www.tdi.texas.gov.(b) The forms referenced in this chapter are: (2) Figure Number 2: Form Number 1764 Reconstructive Surgery After Mastectomy-Enrollment: Attached Graphic
(3) Figure Number 3: Form Number 1764 Reconstructive Surgery After Mastectomy-Annual: Attached Graphic
(6) Figure Number 6: Form Number 1467 Colorectal Cancer Screening: Attached Graphic
(7) Figure Number 7: Form Number LHL391 Human Papillomavirus, Ovarian Cancer, and Cervical Cancer Screening: Attached Graphic
28 Tex. Admin. Code § 21.2106
The provisions of this §21.2106 adopted to be effective March 29, 1998, 23 TexReg 3009; amended to be effective April 14, 1999, 24 TexReg 3356; amended to be effective January 8, 2001, 26 TexReg 202; amended to be effective April 2, 2002, 27 TexReg 2506; amended to be effective January 19, 2006, 31 TexReg 295; Amended by Texas Register, Volume 41, Number 44, October 28, 2016, TexReg 8610, eff. 11/2/2016; Amended by Texas Register, Volume 46, Number 44, October 29, 2021, TexReg 7419, eff. 11/7/2021