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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) In this section, “potentially preventable event” has the meaning assigned by Section 536.001.
(b) The commission shall create an incentive program that automatically enrolls a greater percentage of recipients who did not actively choose their managed care plan in a managed care plan, based on:
(1) the quality of care provided through the managed care organization offering that managed care plan;
(2) the organization's ability to efficiently and effectively provide services, taking into consideration the acuity of populations primarily served by the organization; and
(3) the organization's performance with respect to exceeding, or failing to achieve, appropriate outcome and process measures developed by the commission, including measures based on potentially preventable events.
Cite this article: FindLaw.com - Texas Government Code - GOV'T § 533.00511. Quality-Based Enrollment Incentive Program for Managed Care Organizations - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-533-00511/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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