(a) The executive commissioner shall adopt rules for identifying the incidence of potentially preventable admissions, potentially preventable readmissions, and potentially preventable emergency room visits by Medicaid long-term services and supports recipients.
(b) The commission shall establish a program to provide a report to each Medicaid long-term services and supports provider in this state regarding the provider’s performance with respect to potentially preventable admissions, potentially preventable readmissions, and potentially preventable emergency room visits. To the extent possible, a report provided under this section should include applicable potentially preventable events information across all Medicaid payment systems.

(c) Subject to Subsection (d), a report provided to a provider under this section is confidential and is not subject to Chapter 552.
(d) The commission may release the information in the report described by Subsection (b):
(1) not earlier than one year after the date the report is submitted to the provider; and
(2) only after deleting any data that relates to a provider’s performance with respect to particular resource utilization groups or individual recipients.

Text of section effective until April 01, 2025