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Network Adequacy Waiver Request - Vision
This dataset includes information related to network adequacy waiver requests filed by vision plans. Related datasets are available for major medical PPO and EPO plans:
Major medical
•Network Adequacy Waiver Request - Facility based Physicians & Providers. This dataset relates to waiver requests for networks used for major medical PPO and EPO plans and includes data on facility-based physicians and providers.
• Network Adequacy Waiver Request - Major Medical. This dataset relates to waiver requests for networks used for major medical PPO and EPO plans and includes data on physicians, providers, and facilities, other than facility-based physicians and providers.
Insurers offering vision benefits through a preferred or exclusive provider benefit plan (also called PPO and EPO plans) are required to demonstrate that the health insurance network meets Texas network adequacy standards. When a network does not meet these requirements and has a deficiency in a county for a specific physician or provider specialty type, an insurer may apply for a waiver to continue operating within its service area. The commissioner of the Texas Department of Insurance (TDI) may grant the waiver following a public hearing and consideration of relevant testimony and information.
Anyone may attend the public hearing and offer testimony. Learn more about how to submit information related to a waiver request or participate in a hearing here: Network Adequacy Standards Waivers.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{
"fn": "TDI ODP Administrator",
"@type": "vcard:Contact",
"hasEmail": "mailto:no-reply@data.texas.gov"
}
|
| description | This dataset includes information related to network adequacy waiver requests filed by vision plans. Related datasets are available for major medical PPO and EPO plans: <strong>Major medical</strong> •<a href="https://data.texas.gov/dataset/Network-Adequacy-Waiver-Request-Facility-based-Phy/e597-cvix/about_data" target="_blank"><u>Network Adequacy Waiver Request - Facility based Physicians & Providers</u></a>. This dataset relates to waiver requests for networks used for major medical PPO and EPO plans and includes data on facility-based physicians and providers. •<a href="https://data.texas.gov/dataset/Network-Adequacy-Waiver-Request-Major-Medical/yfeb-xw4b/about_data" target="_blank"><u> Network Adequacy Waiver Request - Major Medical</u></a>. This dataset relates to waiver requests for networks used for major medical PPO and EPO plans and includes data on physicians, providers, and facilities, other than facility-based physicians and providers. Insurers offering vision benefits through a preferred or exclusive provider benefit plan (also called PPO and EPO plans) are required to demonstrate that the health insurance network meets Texas network adequacy standards. When a network does not meet these requirements and has a deficiency in a county for a specific physician or provider specialty type, an insurer may apply for a waiver to continue operating within its service area. The commissioner of the Texas Department of Insurance (TDI) may grant the waiver following a public hearing and consideration of relevant testimony and information. Anyone may attend the public hearing and offer testimony. Learn more about how to submit information related to a waiver request or participate in a hearing here: <a href="https://www.tdi.texas.gov/hmo/mcqa/network-adequacy-standards-waivers.html" target="_blank"><u>Network Adequacy Standards Waivers</u></a>. |
| distribution |
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|
| identifier | https://data.austintexas.gov/api/views/2zru-e4u3 |
| issued | 2025-05-02 |
| keyword |
[
"county",
"health",
"hearing",
"insurance",
"network",
"network adequacy",
"ophthalmologist",
"optometrist",
"providers",
"serff",
"specialty",
"status",
"tdi",
"therapeutic optometrist",
"vision",
"waiver"
]
|
| landingPage | https://data.austintexas.gov/d/2zru-e4u3 |
| modified | 2026-01-28 |
| publisher |
{
"name": "data.austintexas.gov",
"@type": "org:Organization"
}
|
| title | Network Adequacy Waiver Request - Vision |
