Sec. 536.103. PROVIDER ELIGIBILITY  


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  • To be eligible to receive reimbursement under a quality-based payment system under this subchapter, a health home provider must:

    (1) provide participating enrollees, directly or indirectly, with access to health care services outside of regular business hours;

    (2) educate participating enrollees about the availability of health care services outside of regular business hours; and

    (3) provide evidence satisfactory to the commission that the provider meets the requirement of Subdivision (1).

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