Section 536.005 - [Repealed Effective 4/1/2025] Conversion of Payment Methodology(a) To the extent possible, the commission shall convert hospital reimbursement systems under the child health plan program and Medicaid 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.(c) Notwithstanding Subsection (a) and to the extent possible, the commission shall convert outpatient hospital reimbursement systems under the child health plan program and Medicaid to an appropriate prospective payment system that will allow the commission to: (1) more accurately classify the full range of outpatient service episodes;(2) more accurately account for the intensity of services provided; and(3) motivate outpatient service providers to increase efficiency and effectiveness.Tex. Gov't. Code § 536.005
Repealed by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 3.01, eff. 4/1/2025.Amended by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 1,Sec. 2.263, eff. 4/2/2015.Amended by Acts 2013, Texas Acts of the 83rd Leg. - Regular Session, ch. 1310,Sec. 4.09, eff. 9/1/2013.Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7, Sec. 1.12(a), eff. 9/28/2011. See Acts 2013, Texas Acts of the 83rd Leg. - Regular Session, ch. 1310, Sec. 7.01.