# 1 Tex. Admin. Code § 355.8041: 1 TAC § 355.8041. Recipient-Initiated Second Opinions, DIVISION 3. PHYSICIAN SERVICES

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C355_S355_8041

## Section

- **Citation:** 1 Tex. Admin. Code § 355.8041
- **Heading:** 1 TAC § 355.8041. Recipient-Initiated Second Opinions, DIVISION 3. PHYSICIAN SERVICES
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 1 ADMINISTRATION / Part 15 TEXAS HEALTH AND HUMAN SERVICES COMMISSION / Chapter 355 REIMBURSEMENT RATES / 1 TAC § 355.8041

## Text

(a) The Texas Medicaid Program may now reimburse physicians when a Medicaid recipient requests a second opinion regarding surgery. Payment will be made for the second opinion according to the physician's profile allowance for initial office visit procedures and difficulty of the examination.
(b) Recipients are encouraged to have their medical records made available to the second physician to avoid duplication of diagnostic testing. However, payment may be made for covered diagnostic services deemed necessary by the second physician.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C355_S355_8041. Check the current official text before relying on it. Not legal advice.