Health Maintenance (HMO) bulletins
2024
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0018-24 |
October 31, 2024 |
Senate Bill 622 - extensions and exceptions for certain issuers |
Life and Health |
2023
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0005-23 |
June 5, 2023 |
Insurers and HMOs must update TDI contact information in documents |
Consumer |
2022
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0006-22 |
August 24, 2022 |
Insurer duty to act in good faith and to promptly pay settled claims |
Consumer |
2021
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0025-21 |
August 30, 2021 |
Utilization review and adverse determination requirements for experimental or investigational health care services |
Life and Health |
| B-0014-21 |
June 1, 2021 |
Affiliated provider agreements and Form D filing requirements |
Life and Health |
2020
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0034-20 |
August 4, 2020 |
Prompt pay requirements |
Life and Health |
| B-0032-20 |
July 7, 2020 |
Balance billing data reporting |
Life and Health |
| B-0031-20 |
June 25, 2020 |
Suspension of duplicate network adequacy reviews for CHIP and Medicaid networks |
Life and Health |
| B-0025-20 |
May 11, 2020 |
Extensions of prior authorizations |
Life and Health |
| B-0024-20 |
April 30, 2020 |
COVID-19: Delaying 2019 mandated health benefits data reporting |
Life and Health |
| B-0018-20 |
April 8, 2020 |
Corporate governance annual disclosure filings |
Financial |
| B-0017-20 |
April 1, 2020 |
Coverage for COVID-19 testing and network adequacy |
Life and Health |
| B-0014-20 |
March 27, 2020 |
Managed Care Quality Assurance filing requirements |
Life and Health |
| B-0015-20 |
March 27, 2020 |
COVID-19: Claim-submission deadlines |
Life and Health |
| B-0007-20 |
March 23, 2020 |
COVID-19: Claim-handling deadlines and premium payments |
Financial |
| B-0005-20 |
March 11, 2020 |
COVID-19 testing and preparation |
Life and Health |
| B-0004-20 |
March 5, 2020 |
New prompt pay database |
Life and Health |
2019
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0005-19 |
July 17, 2019 |
A portion of prompt pay penalties must be paid to the State of Texas |
Life and Health |
2018
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0005-18 |
March 30, 2018 |
2017 Mandated Benefits Data Call Relating to Data Collection under Texas Administrative Code, Title 28, §§21.3401 – 21.3409 |
Life and Health |
| B-0006-18 |
March 29, 2018 |
Call for House Bill 10 Data Collection under Insurance Code Chapter 1355, Subchapter F |
Life and Health |
| B-0003-18 |
March 7, 2018 |
Health Care Claims Reimbursement Rate Report Data Call |
Life and Health |
| B-0001-18 |
January 10, 2018 |
TRANSITION TO FEDERAL EXTERNAL REVIEW PROCESS |
Life and Health |
2016
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0022-16 |
September 15, 2016 |
Reporting of cybersecurity incidents |
Financial |
| B-0021-16 |
September 13, 2016 |
2016 Mandated Benefits Data Call Relating to Data Collection under Texas Administrative Code, Title 28, §§21.3401 – 21.3409 |
Life and Health |
| B-0003-16 |
March 8, 2016 |
TEMPORARY STANDARDS APPLICABLE TO EXTERNAL REVIEW PROCESS |
Financial |
2015
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0019-15 |
August 24, 2015 |
Legislation Enacted – 84th Legislative Regular Session |
Life and Health |
2013
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0026-13 |
October 22, 2013 |
Mandatory Data Call for Claims Processing Reports |
Financial |
| B-0024-13 |
October 7, 2013 |
2012 MANDATED BENEFITS DATA CALL RELATING TO DATA COLLECTION UNDER TEXAS ADMINISTRATIVE CODE, TITLE 28, SECTIONS 21.3401 - 21.3409 |
Life and Health |
| B-0015-13 |
July 11, 2013 |
Mandatory Data Call for Claims Processing Reports |
Life and Health |
| B-0009-13 |
April 1, 2013 |
Mandatory Data Call for Claims Processing Reports |
Life and Health |
| B-0008-13 |
March 15, 2013 |
DEPARTMENT APPROACH TO FORM AND RATE REVIEW IN ANTICIPATION OF CHANGES TO FEDERAL LAW THAT GO INTO EFFECT ON JANUARY 1, 2014; GEOGRAPHIC RATING AREAS FOR TEXAS UNDER FEDERAL LAW |
Life and Health |
health
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0008-13 |
March 15, 2013 |
DEPARTMENT APPROACH TO FORM AND RATE REVIEW IN ANTICIPATION OF CHANGES TO FEDERAL LAW THAT GO INTO EFFECT ON JANUARY 1, 2014; GEOGRAPHIC RATING AREAS FOR TEXAS UNDER FEDERAL LAW |
Life and Health |
2013
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0002-13 |
January 10, 2013 |
Mandatory Data Call for Claims Processing Reports DUE: February 15, 2013 - Fourth Quarter (October - December) 2012 |
Consumer |
2008
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0001-08 |
January 9, 2008 |
2007 Policy Count Exhibit |
Life and Health |
2007
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0043-07 |
October 22, 2007 |
REDUCTION IN FINGERPRINT PROCESSING FEE. |
Life Health and Licensing |
| B-0036-07 |
September 4, 2007 |
LEGISLATION ENACTED - 80TH LEGISLATIVE SESSION |
Life Health and Licensing |
| B-0030-07 |
July 17, 2007 |
MANDATORY USE DATE FOR CMS-1500 (08/05) AND UB-04 CMS-1450 CLAIM FORMS FOR SUBMISSION OF CLEAN HEALTH CARE CLAIMS IS JULY 18, 2007 |
Life and Health |
| B-0023-07 |
May 22, 2007 |
Consumer notice of toll-free telephone numbers and procedures for obtaining information and filing complaints |
Consumer |
| B-0003-07 |
January 24, 2007 |
Call for Reports Regarding Provider Claims Processing and Related Functions-DUE: February 15, 2007 - Fourth Quarter 2006 (October - December) Provider Claims Data |
Consumer |
2006
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0023-06 |
June 28, 2006 |
APPROPRIATE USE REQUIREMENTS FOR A DATA CONDITION IN PROFESSIONAL ASC X12N 837/ USE OF "REFERRING PROVIDER NAME" FIELD |
Life Health and Licensing |
| B-0004-06 |
February 10, 2006 |
UPDATES TO URA CERTIFICATION APPLICATIONS FOR UTILIZATION REVIEW AGENTS THAT PERFORM UTILIZATION REVIEW FOR WORKERS' COMPENSATION HEALTH CARE NETWORKS |
Consumer |
2002
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0066-02 |
November 12, 2002 |
77th Texas Legislature Actions Affecting Filing Requirements Of Certain Policy Forms, Rules, and Rates for For-Profit Nursing Homes |
Life and Health |
| B-0001-02 |
January 14, 2002 |
2001 Policy Count Exhibit |
Life Health and Licensing |
2000
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0057-00 |
October 11, 2000 |
Article 21.21-8 "Unfair Discrimination |
Life and Health |
1999
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0043-99 |
August 20, 1999 |
Medicare Beneficiaries' Right to Change Medicare Coverage |
Life and Health |
| B-0011-99 |
February 19, 1999 |
Balance Billing Enrollees for HMO Covered Services |
Life and Health |
| B-0001-99 |
January 7, 1999 |
1998 Policy Count Exhibit due no later than 2/1/99 |
Consumer |
1998
| Bulletin number | Date issued | Reference | Subject |
|---|
| B-0058-98 |
July 28, 1998 |
Article 21.58A of the Texas Insurance Code and Related Regulations Pertaining to the Independent Review of Adverse Determinations |
Life and Health |
| B-0007-98 |
February 4, 1998 |
Prompt Payment of First Party Claims |
Life and Health |
For more specific information on a particular bulletin, please refer to the contact person/division at the end of the bulletin. For copies of bulletins, please contact us at 512-676-6585 or via email at: ChiefClerk@tdi.texas.gov
