Section 1451.154 - Participation of Therapeutic Optometrist(a) In this section: (1) "Medical panel" means the health care practitioners who are listed as participating providers in a managed care plan or who a patient seeking diagnosis or treatment of a medical disease, disorder, or condition is encouraged or required to use under a managed care plan.(2) "Vision panel" means the optometrists and therapeutic optometrists who are listed as participating providers for routine eye examinations under a managed care plan or who a patient seeking a routine eye examination is encouraged or required to use under a managed care plan. (b) A managed care plan must allow a therapeutic optometrist who is on one or more of the plan's vision panels to be a fully participating provider on the plan's medical panels to the full extent of the therapeutic optometrist's license to practice therapeutic optometry.(c) A therapeutic optometrist who is included in a managed care plan's medical panels under Subsection (b) must: (1) abide by the terms and conditions of the managed care plan; (2) satisfy the managed care plan's credentialing standards for therapeutic optometrists; and (3) provide proof that the Texas Optometry Board considers the therapeutic optometrist's license to practice therapeutic optometry to be in good standing .
(d) [Repealed by 2023 amendment] Tex. Ins. Code § 1451.154
Amended by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 898,Sec. 10, eff. 9/1/2023, app. only to a contract between a managed care plan or vision care plan and an optometrist or a therapeutic optometrist entered into or renewed, or a managed care plan or vision care plan delivered, issued for delivery, or renewed, on or after January 1, 2024.Amended by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 898,Sec. 5, eff. 9/1/2023, app. only to a contract between a managed care plan or vision care plan and an optometrist or a therapeutic optometrist entered into or renewed, or a managed care plan or vision care plan delivered, issued for delivery, or renewed, on or after January 1, 2024.Amended by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 898,Sec. 4, eff. 9/1/2023, app. only to a contract between a managed care plan or vision care plan and an optometrist or a therapeutic optometrist entered into or renewed, or a managed care plan or vision care plan delivered, issued for delivery, or renewed, on or after January 1, 2024.Added by Acts 2005, 79th Leg., Ch. 728, Sec. 11.044(a), eff. 9/1/2005.