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The commission shall, according to the provisions of this chapter, develop and implement a quality improvement process by which the commission:
(1) receives suggestions for clinical initiatives designed to improve:
(A) the quality of care provided under Medicaid; and
(B) the cost-effectiveness of Medicaid;
(2) conducts a preliminary review under § 538.053(4) of each suggestion received under § 538.052 to determine whether the suggestion warrants further consideration and analysis; and
(3) conducts an analysis under § 538.054 of clinical initiative suggestions that are selected for analysis under Subdivision (2).


Text of section effective until April 01, 2025