{"id":"AGY-ST-INSURANCE-BANKING-020","kind":"order","level":"sector-regulator","jurisdiction":"Texas; Texas Department of Insurance, Division of Workers\u0027 Compensation","state":"TX","metro":"","industry":"","agency":"ST-INSURANCE-BANKING","eco":"","issuer":"Cassie Brown, Commissioner of Workers\u0027 Compensation","authority":"Tex. Labor Code § 402.00111","instrument":"Commissioner\u0027s Bulletin # B-0004-21","title":"Coronavirus (COVID-19) - authorizing pharmacy prescriptions and resuming medical billing timelines","dateIssued":"2021-01-29","effective":"2021-03-01 (lifting date)","end":"Supersedes the pharmacy and billing provisions of B-0010-20 as of March 1, 2021","startDate":"2021-03-01","endDate":"2021-03-01","quarters":["2021Q1"],"types":["OTHER"],"addressees":["all Texas workers\u0027 compensation system participants"],"clause":"The bulletin required insurance carriers to authorize payments to pharmacies for up to a 90-day supply of any prescription medication and tolled (paused) medical billing deadlines. These specific requirements are no longer necessary, and the 90-day prescription requirement and the tolling of medical billing deadlines will be lifted effective March 1, 2021. The effect of lifting the tolling period means that the \u0027clock\u0027 for submitting a medical bill will resume \u0027ticking\u0027 on the effective date the tolling period is lifted. For example, if a medical service was provided on April 1, 2020, the 95-day billing deadline would begin to run on March 1, 2021","enforcement":"Tex. Labor Code ch. 415","functions":["IN workers\u0027 compensation carriers","OF billing functions of health care providers (tolling ran Mar. 25, 2020 to Mar. 1, 2021)"],"notes":"Fixes the end date of the B-0010-20 tolling: eleven months.","sourceUrl":"https://www.tdi.texas.gov/bulletins/2021/B-0004-21.html","snapshot":"","fileExists":true,"fileBytes":211140,"grade":"primary","character":"","description":"","collection":"AGY-ST-INSURANCE-BANKING","url":"/library/AGY-ST-INSURANCE-BANKING-020","exhibitUrl":"/exhibit/AGY-ST-INSURANCE-BANKING-020","citation":"Cassie Brown, Commissioner of Workers\u0027 Compensation, Commissioner\u0027s Bulletin # B-0004-21 (Jan. 29, 2021) (Ex. AGY-ST-INSURANCE-BANKING-020)","stateName":"Texas","related":[]}