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Texas Statutes (Last Updated: January 4, 2014) |
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HEALTH AND SAFETY CODE |
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Title 2. HEALTH |
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Subtitle C. PROGRAMS PROVIDING HEALTH CARE BENEFITS AND SERVICES |
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Chapter 62. CHILD HEALTH PLAN FOR CERTAIN LOW-INCOME CHILDREN |
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Subchapter B. ADMINISTRATION OF CHILD HEALTH PLAN PROGRAM |
Sec. 62.052. DUTIES OF TEXAS DEPARTMENT OF HEALTH
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(a) The commission may direct the Texas Department of Health to:
(1) implement contracts with health plan providers under Section 62.155;
(2) monitor the health plan providers, through reporting requirements and other means, to ensure performance under the contracts and quality delivery of services;
(3) monitor the quality of services delivered to enrollees through outcome measurements including:
(A) rate of hospitalization for ambulatory sensitive conditions, including asthma, diabetes, epilepsy, dehydration, gastroenteritis, pneumonia, and UTI/kidney infection;
(B) rate of hospitalization for injuries;
(C) percent of enrolled adolescents reporting risky health behavior such as injuries, tobacco use, alcohol/drug use, dietary behavior, physical activity, or other health related behaviors; and
(D) percent of adolescents reporting attempted suicide; and
(4) provide payment under the contracts to the health plan providers.
(b) The commission, or the Texas Department of Health under the direction of and in consultation with the commission, shall adopt rules as necessary to implement this section.