{"data":{"id":"us-tx/tex.-government-code-543a.0102","jurisdiction":"us-tx","citation":"Tex. Government Code § 543A.0102","heading":"QUALITY-BASED HEALTH HOME PAYMENTS.","body":"(a) The commission may develop and implement quality-based payment systems for health homes designed to improve quality of care and reduce the provision of unnecessary medical services. A quality-based payment system must:\n(1) base payments made to an enrollee's or recipient's health home 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 health home achieves, and ensuring quality of care outcomes, including a reduction in potentially preventable events; and\n(2) allow for the examination of measurable wellness and prevention criteria, use of evidence-based best practices, and quality-of-care outcomes based on the type of primary or specialty care provider practice.\n(b) The commission may develop a quality-based payment system for health homes only if implementing the system would be feasible and cost-effective.\nAdded by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.","path":["GOVERNMENT CODE","TITLE 4. EXECUTIVE BRANCH","SUBTITLE I. HEALTH AND HUMAN SERVICES","CHAPTER 543A. QUALITY-BASED OUTCOMES AND PAYMENTS UNDER MEDICAID AND CHILD HEALTH PLAN PROGRAM","SUBCHAPTER C. QUALITY-BASED HEALTH HOME PAYMENT SYSTEMS"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.543A.htm#543A.0102","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"3db3dcd226cfa708b3def5666b953f363b79a110dc9aa18a1303cf00f875169b","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-543a.0101","next":"us-tx/tex.-government-code-543a.0103"},"notice":"GroundRules: Original legal text. Not legal advice."}