To ensure that the commission is using the best data to inform developing and implementing quality-based payment systems under Section 543A.0251, the commission shall evaluate the reliability, validity, and functionality of post-acute and long-term services and supports data sets. The commission’s evaluation should assess:
(1) to what degree data sets on which the commission relies meet a standard:
(A) for integrating care;
(B) for developing coordinated care plans; and
(C) that would allow for the meaningful development of risk adjustment techniques;
(2) whether the data sets will provide value for outcome or performance measures and cost containment; and
(3) how classification systems and data sets used for Medicaid long-term services and supports providers can be standardized and, where possible, simplified.

Text of section effective on April 01, 2025