Sec. 536.203. PURPOSE AND IMPLEMENTATION OF PAYMENT INITIATIVES. (a) If the commission determines under Section 536.202 that implementation of one or more payment initiatives is feasible and cost-effective for this state, the commission shall establish one or more payment initiatives as provided by this subchapter.
(b) The commission shall administer any payment initiative established under this subchapter. The executive commissioner may adopt rules, plans, and procedures and enter into contracts and other agreements as the executive commissioner considers appropriate and necessary to administer this subchapter.
(c) The commission may limit a payment initiative to:
(1) one or more regions in this state;
(2) one or more organized networks of physicians and other health care providers; or
(3) specified types of services provided under the child health plan program or Medicaid, or specified types of enrollees or recipients under those programs.
(d) A payment initiative implemented under this subchapter must be operated for at least one calendar year.
Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 1.12(a), eff. September 28, 2011.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.268, eff. April 2, 2015.
Structure Texas Statutes
Subtitle I - Health and Human Services
Chapter 536 - Medicaid and the Child Health Plan Program: Quality-Based Outcomes and Payments
Subchapter E. Quality-Based Payment Initiatives
Section 536.202. Payment Initiatives; Determination of Benefit to State
Section 536.203. Purpose and Implementation of Payment Initiatives