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Ex. AGY-ST-INSURANCE-BANKING-020 Order Primary source read

Commissioner's Bulletin # B-0004-21

Coronavirus (COVID-19) - authorizing pharmacy prescriptions and resuming medical billing timelines

Cassie Brown, Commissioner of Workers' Compensation · Texas; Texas Department of Insurance, Division of Workers' Compensation (Sector regulator)

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The record

Jurisdiction
Texas; Texas Department of Insurance, Division of Workers' Compensation · Texas
Level
Sector regulator
Authority
Tex. Labor Code § 402.00111
Issued
2021-01-29 Jan. 29, 2021
Effective
2021-03-01 (lifting date) (read as 2021-03-01)
End
Supersedes the pharmacy and billing provisions of B-0010-20 as of March 1, 2021 (read as 2021-03-01)
In force
Mar. 1, 2021 to Mar. 1, 2021
Quarters
2021 Q1
Limitation types
Other
Addressees
  • all Texas workers' compensation system participants
Functions reached
  • IN workers' compensation carriers
  • OF billing functions of health care providers (tolling ran Mar. 25, 2020 to Mar. 1, 2021)
Collection
State insurance and banking regulators AGY-ST-INSURANCE-BANKING

Operative words

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 'clock' for submitting a medical bill will resume 'ticking' 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

Notes

Fixes the end date of the B-0010-20 tolling: eleven months.