133.30
(a) This section applies to medical billing and reimbursement for telemedicine, telehealth, and teledentistry services provided on or after September 1, 2021, to injured employees in the Texas workers’ compensation system, including injured employees subject to a workers’ compensation health care network established under Insurance Code Chapter 1305. (b) For the purposes of this section: […]
120.2
(a) The employer shall report to the employer’s insurance carrier each death, each occupational disease of which the employer has received notice of injury or has knowledge, and each injury that results in more than one day’s absence from work for the injured employee. As used in this section, the term “knowledge” includes receipt of […]
131.5
(a) The Subsequent Injury Fund must confirm the following information before making a payment to the injured employee: (1) the injured employee is living; (2) lifetime income benefits are being received; and (3) the injured employee’s contact information is correct. (b) The injured employee must provide the information required by subsection (a)(1) – (3) to […]
134.500
The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise: (1) Brand-name drug–A drug marketed under a proprietary, trademark-protected name. (2) Certified workers’ compensation health care network (certified network)–An organization that is certified under Insurance Code Chapter 1305 and department rules. (3) Closed formulary–All available […]
134.501
(a) For injuries that occur on or after December 1, 2002, the insurance carrier must pay for specified pharmaceutical services sufficient for the first seven days following the date of injury, regardless of issues of liability for or compensability of the injury that the insurance carrier may have, if, before providing the pharmaceutical services, the […]
134.502
(a) A doctor providing care to an injured employee must prescribe for the employee medically necessary prescription drugs and over-the-counter medication alternatives as clinically appropriate and applicable in accordance with applicable state law and as provided by this section. (1) The doctor must indicate on the prescription that the prescription is related to a workers’ […]
134.503
(a) Applicability of this section is as follows: (1) This section applies to the reimbursement of prescription drugs and nonprescription drugs or over-the-counter medications as those terms are defined in §134.500 of this title (Definitions) for outpatient use in the Texas workers’ compensation system, which includes claims: (A) subject to a certified workers’ compensation health […]
134.504
(a) If an injured employee needs to purchase prescription drugs or over-the-counter alternatives to prescription drugs prescribed or ordered by the treating doctor or referral health care provider, the injured employee may request reimbursement from the insurance carrier as follows: (1) The injured employee must submit to the insurance carrier a letter requesting reimbursement along […]
134.506
Former Section, titled “Outpatient Open Formulary for Claims with Dates of Injury Prior to September 1, 2011”, had the following source: “The provisions of this 134.506 adopted to be effective January 3, 2002, 26 TexReg 10970; amended to be effective January 17, 2011, 35 TexReg 11344.” Repealed by __ TexReg ___, effective November 29, 2024.
134.510
Former Section, titled “Transition to the Use of the Closed Formulary for Claims with Dates of Injury Prior to September 1, 2011”, had the following source: “The provisions of this 134.510 adopted to be effective January 17, 2011, 35 TexReg 11344.” Repealed by __ TexReg ___, effective November 29, 2024.