Tex. Gov’t Code §§ 536.051 & 536.052: Quality-Based Payments Relating to Managed Care Organizations – Texas

Status: Enacted
Year Enacted: 2011
Year Amended: 2015
File: Download

The commission may allow a managed care organization participating in the child health plan program or Medicaid increased flexibility to implement quality initiatives in a managed care plan offered by the organization, including flexibility with respect to financial arrangements including high quality and cost effective care. The commission shall make available information relating to the performance of a managed care organization with respect to outcome and process measures under this subchapter to child health plan program enrollees and Medicaid recipients before those enrollees and recipients choose their managed care plans.

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