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Wash. Rev. Code § 74.09.480

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Performance measures — Provider rate increases — Report

The Washington State Health Care Authority (“authority”) must collaborate with the department of health, department of social and health services, and interested stakeholders to create performance measures “that can indicate whether children enrolled in the [children’s health program] are receiving health care through an established and effective medical home , and whether the overall health of enrolled children is improving.” The authority has discretion to choose performance measure topics, but should consider topics such as childhood immunization rates and emergency room utilization.

The authority must establish and monitor performance measures and targets every biennium.

The authority must collaborate with interested stakeholders to develop pay for performance methods. Provider rate increases will be linked to the quality improvement measures beginning in 2009.


Current as of June 2015