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Amend CSSB 5, at page 92, between lines 45 and 46, Section
1305.106 by adding the following subsets:
(b)(2)(A) A health care provider whom is denied access to a
network can appeal that denial to the TDWC and is entitled to a BCCH
under Sec. 410.151-410.209.
(B) The TDWC shall use the following criteria in
determining whether the health care provider should be allowed into
the network:
(i) geographic accessibility; is there a
need for more specialists in this area;
(ii) other providers of same speciality
already within the network;
(iii) providers willingness to meet outcome
based and evidence based standards;
(iv) providers appropriately credentialed
through verifying agencies such as CARF;
(v) providers license restricted or under
probation from accrediting board of examiners;
(vi) Other criteria the commissioner feels
appropriate but should ensure fairness to doctors of ALL
specialties.