Figure: 1 TAC §354.1635(b)(5)
  P4P Category 3 Outcomes P4R Category 3 Outcomes
(need prior authorization)
DY3 50 percent status report /
50 percent establish baseline (both
process milestones)
50 percent status report /
50 percent establish baseline
(both process milestones)
DY 4 50 percent P4R (process milestone) /
50 percent P4P (achievement
milestone)
100 percent P4R on outcome (process
milestone)
DY 5 100 percent P4P (achievement
milestone)
50 percent P4R on outcome (process
milestone)
50 percent P4P on population-focused
priority measure (achievement
milestone) or stretch activity (process
milestone)