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Texas Health and Safety Code - HEALTH & SAFETY § 62.052. Authority of Commission Relating to Health Plan Provider Contracts

Current as of January 01, 2024 | Updated by Findlaw Staff

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;

(C) percent of enrolled adolescents reporting risky health behavior such as injuries, tobacco use, alcohol/drug use, dietary behavior, physical activity, or other health related behaviors;  and

(D) percent of adolescents reporting attempted suicide;  and

(4) provide payment under the contracts to the health plan providers.

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Cite this article: FindLaw.com - Texas Health and Safety Code - HEALTH & SAFETY § 62.052. Authority of Commission Relating to Health Plan Provider Contracts - last updated January 01, 2024 | https://codes.findlaw.com/tx/health-and-safety-code/health-safety-sect-62-052/

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