Sec. 536.253. COLLECTION AND REPORTING OF CERTAIN INFORMATION. (a) The executive commissioner shall adopt rules for identifying the incidence of potentially preventable admissions, potentially preventable readmissions, and potentially preventable emergency room visits by Medicaid long-term services and supports recipients.
(b) The commission shall establish a program to provide a report to each Medicaid long-term services and supports provider in this state regarding the provider's performance with respect to potentially preventable admissions, potentially preventable readmissions, and potentially preventable emergency room visits. To the extent possible, a report provided under this section should include applicable potentially preventable events information across all Medicaid payment systems.
(c) Subject to Subsection (d), a report provided to a provider under this section is confidential and is not subject to Chapter 552.
(d) The commission may release the information in the report described by Subsection (b):
(1) not earlier than one year after the date the report is submitted to the provider; and
(2) only after deleting any data that relates to a provider's performance with respect to particular resource utilization groups or individual recipients.
Added by Acts 2013, 83rd Leg., R.S., Ch. 1310 (S.B. 7), Sec. 4.17, eff. September 1, 2013.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.269, eff. April 2, 2015.
Section: Previous 536.008 536.051 536.052 536.101 536.102 536.103 536.151 536.152 536.201 536.202 536.203 536.204 536.205 536.251 536.252Last modified: September 28, 2016