Texas Health and Safety Code

§ 62.052 — AUTHORITY OF COMMISSION RELATING TO HEALTH PLAN PROVIDER CONTRACTS

HS § 62.052Title 2. HEALTH · Part C. PROGRAMS PROVIDING HEALTH CARE BENEFITS AND SERVICES · Ch. 62. CHILD HEALTH PLAN FOR CERTAIN LOW-INCOME CHILDREN · Art. B. ADMINISTRATION OF CHILD HEALTH PLAN PROGRAM

Statute text

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The commission may:

(1)implement contracts with health plan providers under Section 62.155;

(2)monitor the health plan providers, through reporting requirements and other means, to ensure performance under the contracts and quality delivery of services;

(3)monitor the quality of services delivered to enrollees through outcome measurements including:

(A)rate of hospitalization for ambulatory sensitive conditions, including asthma, diabetes, epilepsy, dehydration, gastroenteritis, pneumonia, and UTI/kidney infection;

(B)rate of hospitalization for injuries;

…

Legislative history

Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0192, eff. April 2, 2015.