Sec. 536.005. CONVERSION OF PAYMENT METHODOLOGY

(a) To the extent possible, the commission shall convert hospital reimbursement systems under the child health plan and Medicaid programs to a diagnosis-related groups (DRG) methodology that will allow the commission to more accurately classify specific patient populations and account for severity of patient illness and mortality risk.

(b) Subsection (a) does not authorize the commission to direct a managed care organization to compensate physicians and other health care providers providing services under the organization's managed care plan based on a diagnosis-related groups (DRG) methodology.

Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 , Sec. 1.12(a), eff. September 28, 2011.