Section 536.152 - [Repealed Effective 4/1/2025] Reimbursement Adjustments(a) Subject to Subsection (b), using the data collected under Section 536.151 and the diagnosis-related groups (DRG) methodology implemented under Section 536.005, if applicable, the commission shall to the extent feasible adjust child health plan and Medicaid reimbursements to hospitals, including payments made under the disproportionate share hospitals and upper payment limit supplemental payment programs, based on the hospital's performance with respect to exceeding, or failing to achieve, outcome and process measures developed under Section 536.003 that address the rates of potentially preventable readmissions and potentially preventable complications.(b) The commission must provide the report required under Section 536.151(b) to a hospital at least one year before the commission adjusts child health plan and Medicaid reimbursements to the hospital under this section.Tex. Gov't. Code § 536.152
Repealed by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 3.01, eff. 4/1/2025.Amended by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 946,Sec. 2.27, eff. 1/1/2016.Amended by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 837,Sec. 3.27, eff. 1/1/2016.Amended by Acts 2013, Texas Acts of the 83rd Leg. - Regular Session, ch. 1310,Sec. 4.15, eff. 9/1/2013.Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7, Sec. 1.12(a), eff. 9/28/2011. See Acts 2013, Texas Acts of the 83rd Leg. - Regular Session, ch. 1310, Sec. 7.01.