Texas Self-Insurance Association

Alternative Solutions For General Acute Care Hospitals in each Non-Rural County
Access Plans for WC Networks

A network needs to have a sufficient number of hospital providers to meet choice, access, and quality needs in a nonrural county; if it does not, the network’s access plan must include:

1.)    A listing of contracted providers which notes the non-network hospitals in the county where each provider has admitting privileges, and
2.)    The reason or reasons, based on lack of services available, for utilizing non-network acute hospitals, and
3.)     A listing of contracted alternative, non-acute care facilities that can provide required surgical services.