Sec. 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.
Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30, 1999.
Amended by: 
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0192, eff. April 2, 2015.