62 Pa. Stat. § 531-A

Current through Pa Acts 2024-53, 2024-56 through 2024-111

Section 531-A - Procedure.

The managed care organization outcomes program shall:

(1) Target reduction of avoidable admissions, readmissions and emergency visits.

(2) Apply to each managed care organization participating in the Medicaid program.

(3) Establish a performance reporting system for potentially avoidable admissions, readmissions and emergency visits for managed care organizations participating in Medicaid managed care.

(4) Account for the diverse medically complex populations.

62 P.S. § 531-A

Added by P.L. TBD 2018 No. 40, § 3.1, eff. 3/31/2019.