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    • This is a Non-Federal dataset covered by different Terms of Use than Data.gov. See Terms

    Network Adequacy Waiver Request - Facility-based Physicians & Providers

    Metadata Updated: March 25, 2026

    This dataset includes information related to network adequacy waiver requests filed by major medical health benefit plans. It includes data on facility-based physicians and providers. Related datasets are available for major medical (non-facility-based providers) and vision plans: 

     •  <strong>Major medical:</strong> <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.

 •  <strong>Vision: </strong><a href="https://data.texas.gov/dataset/Network-Adequacy-Waiver-Request-Vision/2zru-e4u3/about_data"  target="_blank"><u>Network Adequacy Waiver Request - Vision</u></a>. This dataset relates to waiver requests for networks used for vision PPO and EPO plans.

    Insurers offering health 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.

    Access & Use Information

    Public: This dataset is intended for public access and use. Non-Federal: This dataset is covered by different Terms of Use than Data.gov. See Terms License: No license information was provided.

    Downloads & Resources

    Dates

    Metadata Created Date April 25, 2024
    Metadata Updated Date March 25, 2026

    Metadata Source

    Harvested from City of Austin Data.json

    Other Data Resources

    Additional Metadata

    Resource Type Dataset
    Metadata Created Date April 25, 2024
    Metadata Updated Date March 25, 2026
    Publisher data.austintexas.gov
    Maintainer
    Identifier https://data.austintexas.gov/api/views/e597-cvix
    Data First Published 2025-03-12
    Data Last Modified 2026-03-20
    Public Access Level public
    Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
    Metadata Catalog ID https://data.austintexas.gov/data.json
    Schema Version https://project-open-data.cio.gov/v1.1/schema
    Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
    Harvest Object Id 161e35f5-d39c-4c46-9545-b9c61ebcd938
    Harvest Source Id 3b6df381-c8b4-40be-954e-84552dfba592
    Harvest Source Title City of Austin Data.json
    Homepage URL https://data.austintexas.gov/d/e597-cvix
    Source Datajson Identifier True
    Source Hash ee883702e8175ff1fac10952cf0a0420aa3151cbb0787762670207935050e831
    Source Schema Version 1.1

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