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§ 513-A. Statewide analysis of Medicaid system

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. § 513-A
§ 513-A. Statewide analysis of Medicaid system
Currentness
The department shall conduct a comprehensive analysis of existing relevant State databases to increase efficiency in the Medicaid system. The following shall apply:
(1) The analysis shall identify instances of potentially avoidable events in the Medicaid system and the costs associated with these cases.
(2) The overall estimate of cost shall be broken down into actionable categories, including, but not limited to, regions, hospitals, managed care organizations, physicians, service lines, Diagnosis Related Groups, medical conditions and procedures, patient characteristics, provider characteristics and Medicaid program type.
(3) Information collected from the potentially avoidable event study shall be utilized in the Hospital Outcomes Program and Managed Care Organization Outcomes Program.

Credits

1967, June 13, P.L. 31, No. 21, art. 5-A, § 513-A, added 2018, June 22, P.L. 258, No. 40, § 3.1, effective March 31, 2019.
62 P.S. § 513-A, PA ST 62 P.S. § 513-A
Current through Act 13 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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