Tex. Gov't Code Section 543A.0251
Quality-based Payment Systems for Long-term Services and Supports

(a)

The commission, after consulting with appropriate stakeholders representing nursing facility providers with an interest in providing long-term services and supports, may develop and implement quality-based payment systems for Medicaid long-term services and supports providers designed to improve quality of care and reduce the provision of unnecessary services. A quality-based payment system must base payments made to providers on quality and efficiency measures that may include measurable wellness and prevention criteria and the use of evidence-based best practices, sharing a portion of any realized cost savings the provider achieves, and ensuring quality of care outcomes, including a reduction in potentially preventable events.

(b)

The commission may develop a quality-based payment system for Medicaid long-term services and supports providers only if implementing the system would be feasible and cost-effective.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 543A.0251 — Quality-based Payment Systems for Long-term Services and Supports, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­543A.­htm#543A.­0251 (accessed May 18, 2024).

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Accessed:
May 18, 2024

§ 543A.0251’s source at texas​.gov