This bulletin is to advise insurers to file their 2024 annual network adequacy reports no later than May 1, 2024. This bulletin applies to network adequacy reports that insurers must file with the Texas Department of Insurance (TDI) under 28 Texas Administrative Code §3.3709.
Several bills significantly affecting TDI's regulation of the managed care market were enacted by the 88th Legislature (2023), including HB 3359 (88R), which provides new network adequacy standards and requirements. Rules implementing these bills are necessary, and amendments of current rules are required in order to align the rules and ensure consistency within the market.
TDI has proposed amendments to 28 Texas Administrative Code, Chapter 3, Subchapters S and X, including modifications to filing requirements for annual network adequacy reports and waiver requests. During the remainder of the rulemaking process, these requirements could be further modified.
To prevent disruption of the market, TDI is providing notice through this bulletin that TDI is suspending enforcement of the 2024 filing deadline under 28 Texas Administrative Code §3.3709 until May 1, 2024. Insurers are encouraged to review the requirements under HB 3359 and ensure that annual filings demonstrate compliance with such requirements.
TDI contact:
For more information, contact Managed Care Quality Assurance at 512-676-6400 or by email at MCQA@tdi.texas.gov.