Section 62.052 - Authority of Commission Relating to Health Plan Provider Contracts 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.Tex. Health and Safety Code § 62.052
Amended by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 1,Sec. 3.0192, eff. 4/2/2015.Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. 8/30/1999.