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.
(531-A added June 22, 2018, P.L.258, No.40)