Sec. 538.051. MEDICAID QUALITY IMPROVEMENT PROCESS. The commission shall, according to the provisions of this chapter, develop and implement a quality improvement process by which the commission:
(1) receives suggestions for clinical initiatives designed to improve:
(A) the quality of care provided under Medicaid; and
(B) the cost-effectiveness of Medicaid;
(2) conducts a preliminary review under Section 538.053(4) of each suggestion received under Section 538.052 to determine whether the suggestion warrants further consideration and analysis; and
(3) conducts an analysis under Section 538.054 of clinical initiative suggestions that are selected for analysis under Subdivision (2).
Added by Acts 2013, 83rd Leg., R.S., Ch. 619 (S.B. 1542), Sec. 1, eff. June 14, 2013.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.272, eff. April 2, 2015.
Structure Texas Statutes
Subtitle I - Health and Human Services
Chapter 538 - Medicaid Quality Improvement Process for Clinical Initiatives
Subchapter B. Medicaid Quality Improvement Process to Assess Certain Clinical Initiatives
Section 538.051. Medicaid Quality Improvement Process
Section 538.052. Solicitation of Suggestions for Clinical Initiatives
Section 538.053. Clinical Initiative Evaluation Process
Section 538.054. Analysis of Clinical Initiatives
Section 538.055. Final Report on Clinical Initiative
Section 538.056. Internet Website
Section 538.057. Action on Clinical Initiative by Commission