January 7, 2016
In 2015, the Texas Department of Insurance (“TDI”) took action against a number of companies for their failure to be properly licensed as a utilization review agent in Texas, as well as for their failure to comply with other Texas utilization review requirements. The details of these actions are summarized below.

These regulatory actions against unlicensed utilization review activity demonstrate the importance for utilization review organizations to be properly licensed in Texas and in other states requiring utilization review licensure, as well as for insurance companies to confirm that the utilization review entities they are contracted with are duly licensed as utilization review agents in Texas and in other required states.

To read the full alert, click here.