Home Table of Contents

§ 512-A. Selection of potentially avoidable event methodology

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 62 P.S. Poor Persons and Public WelfareEffective: March 31, 2019

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 62 P.S. Poor Persons and Public Welfare (Refs & Annos)
Chapter 1. Human Services Code (Refs & Annos)
Article V-a. Health Care Outcomes
(b) Medicaid Outcomes-Based Programs
Effective: March 31, 2019
62 P.S. § 512-A
§ 512-A. Selection of potentially avoidable event methodology
Currentness
The department shall select a methodology for identifying potentially avoidable events and the costs associated with the events and for measuring hospital and managed care organization performance with respect to the events. The following shall apply:
(1) The department shall develop parameters for each of the potentially avoidable events in accordance with the selected methodology.
(2) To the extent possible, the methodology shall be one that has been used by a State program under Title XIX of the Social Security Act (49 Stat. 620, 42 U.S.C. § 301 et seq.) or by a commercial payer in health care outcomes performance measurement and in outcome-based programs.
(3) The methodology shall utilize a clinical categorical model, enable the provision of performance information on both the aggregate and case level and risk adjust scoring to account for patient severity of illness and population chronic illness burden.

Credits

1967, June 13, P.L. 31, No. 21, art. 5-A, § 512-A, added 2018, June 22, P.L. 258, No. 40, § 3.1, effective March 31, 2019.
62 P.S. § 512-A, PA ST 62 P.S. § 512-A
Current through Act 11 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
End of Document