{
  "@type": "dcat:Dataset",
  "accessLevel": "public",
  "contactPoint": {
    "@type": "vcard:Contact",
    "fn": "TDI ODP Administrator",
    "hasEmail": "mailto:no-reply@data.texas.gov"
  },
  "description": "This dataset includes information related to network adequacy waiver requests filed by major medical health benefit plans. It includes data on physicians, providers, and facilities, other than facility-based physicians and providers. Related datasets are available for major medical (facility-based providers) and vision plans:\n   \n     •\t<strong>Facility-based Physicians & Providers:</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. \n\n     •\t<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.\n\nInsurers 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.\n\nAnyone 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": [
    {
      "@type": "dcat:Distribution",
      "describedBy": "https://data.austintexas.gov/api/views/yfeb-xw4b/columns.json",
      "describedByType": "application/json",
      "downloadURL": "https://data.austintexas.gov/api/v3/views/yfeb-xw4b/query.json?accessType=DOWNLOAD",
      "mediaType": "application/json"
    },
    {
      "@type": "dcat:Distribution",
      "describedBy": "https://data.austintexas.gov/api/views/yfeb-xw4b/columns.xml",
      "describedByType": "application/xml",
      "downloadURL": "https://data.austintexas.gov/api/v3/views/yfeb-xw4b/query.xml?accessType=DOWNLOAD",
      "mediaType": "application/xml"
    },
    {
      "@type": "dcat:Distribution",
      "downloadURL": "https://data.austintexas.gov/api/v3/views/yfeb-xw4b/export.csv?accessType=DOWNLOAD",
      "mediaType": "text/csv"
    }
  ],
  "identifier": "https://data.austintexas.gov/api/views/yfeb-xw4b",
  "issued": "2025-05-02",
  "keyword": [
    "access plan",
    "county",
    "date",
    "health",
    "hearing",
    "insurance",
    "network",
    "network adequacy",
    "ophthalmologist",
    "optometrist",
    "provider",
    "serff",
    "specialty",
    "status",
    "tdi",
    "waiver"
  ],
  "landingPage": "https://data.austintexas.gov/d/yfeb-xw4b",
  "modified": "2026-07-24",
  "publisher": {
    "@type": "org:Organization",
    "name": "data.austintexas.gov"
  },
  "title": "Network Adequacy Waiver Request - Major Medical"
}