Utilization Review Licensing in Texas

URA Application Form

$2,150 for certification. There is no fee for 'registered' applicants.

• A summary of the utilization review plan as detailed in the application
• Categories of personnel as noted in 28 TAC § 19.1706 and 28 TAC § 19.2006
• Appeal of adverse determination acknowledgement and template letters
• Telephone access details as noted in 28 TAC § 19.1712 and 28 TAC § 19.2012
• Written evidence that the applicant is doing business in Texas in accordance with the Texas Business Organizations Code, which may include a letter from the Texas Secretary of State indicating the entity has filed the appropriate paperwork to conduct business in this state
• A chart showing the internal organizational structure of the applicant’s executives, officers, and directors and the title of the position held by each
• A letter of good standing from the Texas Comptroller of Public Accounts
• Completed biographical affidavit and fingerprints for each executive, officer, and director

URA Application Form (Renewal)

$545 for certification. There is no fee for 'registered' applicants.

Biennially by the date of issuance.

• Categories of personnel as noted in 28 TAC § 19.1706 and 28 TAC § 19.2006
• Appeal of adverse determination acknowledgement and template letters