(a) The commission by rule shall adopt standards governing the determination of rates
paid for medical services provided under this chapter. The rules must provide for an annual reevaluation of the rates.
(b) The commission shall establish a schedule of rates based on the standards adopted
under Subsection (a). In adopting the rate schedule, the commission shall:
(1) compare the proposed rate schedule to other cost-based and resource-based rates
for medical services, including rates paid under Medicaid and the Medicare program;
(2) for any rate adopted that exceeds the Medicaid or Medicare rate for the same or
a similar service, document the reasons why the adopted rate reflects consideration
of the best value, provider availability, and consumer choice.
(c) The commission shall provide notice to interested persons and allow those persons
to present comments before adopting the standards and schedule of rates under Subsections
(a) and (b).
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