TX INS MMI Exam by Telemedicine

Updated on: Feb 25, 2025

Latest Event


  • Feb. 21, 2025 TX INS State Register Final Rule
  • On Feb. 21, 2025, TX INS published adoption of updated proposal in the State register, with two changes to the proposed text published Dec. 6, 2024, effective Jun. 1, 2025.
  • Injured employee must have been examined by treating doctor for condition in question at least once before exam to certify MMI; employee must consent to exam.
  • Condition must qualify as minor injury, require no additional treatment, no impairment

On Jul. 15, TX INS proposed rule re MMI examination by telemedicine.

  • TX INS proposed changes to TX INS 28-2-133-B-133.30 re telemedicine, telehealth, teledentistry services to allow maximum medical improvement (MMI) by telemedicine.
  • Provided a redline of proposed amendments to telemedicine, health, dentistry services.
  • Bill Provisions
  • Modify the definition of telemedicine services to include an examination to certify MMI.
  • Also includes the evaluation of permanent impairment, clarifies billing requirements.
  • Comment Period
  • Comments on proposed telemedicine rule must be submitted by Aug. 12, 2024.
  • Dec. 3, 2024 TX INS Proposed Rulemaking
  • On Dec. 3, 2024, TX INS issued notice for proposed rule to allow treating doctors to perform maximum medical improvement examinations by telemedicine or telehealth.
  • Redline version of proposed rule amendments included in proposed rule documents.
  • Comments on proposed rule to allow MMI by telemedicine due by Jan. 13, 2025.
  • Dec. 6, 2024 TX LEG State Register Proposal
  • On Dec. 6, 2024, TX INS issued notice for proposed rule in the State Register.
  • Redline version of proposed rule amendments included beginning on page 9944.
  • Feb. 21, 2025 TX INS State Register Final Rule
  • On Feb. 21, 2025, TX INS published adoption of updated proposal in the State register, with two changes to the proposed text published Dec. 6, 2024, effective Jun. 1, 2025.
  • Injured employee must have been examined by treating doctor for condition in question at least once before exam to certify MMI; employee must consent to exam.
  • Condition must qualify as minor injury, require no additional treatment, no impairment
Regulators
TX INS
Entity Types
IB; Ins
Reference
TX SR Vol. 50, No. 8, p. 1030, 2/21/2025; TX SR Vol. 49 No. 49 pg. 9942, 12/6/2024; RF, 12/3/2024; PR, RF 28 TAC 133.30, 7/15/2024; Citation: TX INS 28-2-133-B-133.30;
Functions
Claims/Accelerated Benefits; Compliance; Product Administration; Reporting; Technology
Countries
United States of America
Category
State
N/A
Products
Dental; Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Jul 15, 2024
Effective Date
Jun 1, 2025
Rule ID
219562
Linked to
N/A
Reg. Last Update
Feb 21, 2025
Report Section
US Insurance