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Texas Pay for Quality (P4Q) Program Technical Specifications

Texas Pay-for- Quality (P4Q) Program Technical Specifications Measurement Periods: Implementation Year: Calendar Year 2014 Baseline Year: Calendar Year 2013 The Institute for Child Health Policy University of Florida The External Quality Review Organization for Texas Medicaid Managed Care and CHIP Revised: August 11, 2014 Table of Contents Overview .. 1 Concepts .. 1 Quality Measures .. 3 Data Periods .. 4 The Measures .. 4 Data Sources .. 11 Data Preparation .. 11 Risk Adjustment .. 11 Methodology Overview .. 11 Risk Adjustment Variables .. 13 Using Hybrid Data Instead of Administrative Data .. 13 Calculation of Gap Closure .. 14 Calculation of Points .. 15 Raw Points.

Texas Contract Year 2014 Page 1 Pay-for-Quality (P4Q) Technical Specifications Version: V1.0 HHSC Approval Date: August 11, 2014 Overview This document presents the technical specifications for the Texas Pay-for-Quality (P4Q) Program for the

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