Chapter 536. MEDICAID AND CHILD HEALTH PLAN PROGRAMS: QUALITY-BASED OUTCOMES AND PAYMENTS    


Subchapter A. GENERAL PROVISIONS
§ 536.001. DEFINITIONS
§ 536.002. MEDICAID AND CHIP QUALITY-BASED PAYMENT ADVISORY COMMITTEE
§ 536.003. DEVELOPMENT OF QUALITY-BASED OUTCOME AND PROCESS MEASURES
§ 536.004. DEVELOPMENT OF QUALITY-BASED PAYMENT SYSTEMS
§ 536.005. CONVERSION OF PAYMENT METHODOLOGY
§ 536.006. TRANSPARENCY
§ 536.007. PERIODIC EVALUATION
§ 536.008. ANNUAL REPORT
Subchapter B. QUALITY-BASED PAYMENTS RELATING TO MANAGED CARE ORGANIZATIONS
§ 536.051. DEVELOPMENT OF QUALITY-BASED PREMIUM PAYMENTS; PERFORMANCE REPORTING
§ 536.052. PAYMENT AND CONTRACT AWARD INCENTIVES FOR MANAGED CARE ORGANIZATIONS
Subchapter C. QUALITY-BASED HEALTH HOME PAYMENT SYSTEMS
§ 536.101. DEFINITIONS
§ 536.102. QUALITY-BASED HEALTH HOME PAYMENTS
§ 536.103. PROVIDER ELIGIBILITY
Subchapter D. QUALITY-BASED HOSPITAL REIMBURSEMENT SYSTEM
§ 536.151. COLLECTION AND REPORTING OF CERTAIN INFORMATION
§ 536.152. REIMBURSEMENT ADJUSTMENTS
Subchapter E. QUALITY-BASED PAYMENT INITIATIVES
§ 536.201. DEFINITION
§ 536.202. PAYMENT INITIATIVES; DETERMINATION OF BENEFIT TO STATE
§ 536.203. PURPOSE AND IMPLEMENTATION OF PAYMENT INITIATIVES
§ 536.204. STANDARDS; PROTOCOLS
§ 536.205. PAYMENT RATES UNDER PAYMENT INITIATIVES