Section 1271.156 - Benefits for Rehabilitation Services and Therapies(a) If benefits are provided for rehabilitation services and therapies under an evidence of coverage, the provision of a rehabilitation service or therapy that, in the opinion of a physician, is medically necessary may not be denied, limited, or terminated if the service or therapy meets or exceeds treatment goals for the enrollee.(b) For an enrollee with a physical disability, treatment goals may include maintenance of functioning or prevention of or slowing of further deterioration.Tex. Ins. Code § 1271.156
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.