Update: NC Medicaid has made some updates to the published AMH measure rates and targets for 2022 and 2023. The updated document can be found in the link below.
As a reminder, this document provides baseline data and targets for Health Plans. NC Medicaid does NOT set targets for AMHs. These baseline data and targets are shared as a reference for AMHs. An AMH practice (NPI + location) will have its own rate that may be above or below the baseline state median rate. AMHs should negotiate target performance rates with Health Plans.
Added in IMA missing measure and it's rates and targets. Corrected Child and Adolescent Well-Care Visits 2022 target.
To ensure delivery of high-quality care under the managed care delivery system, the NC DHHS has developed the NC Medicaid Managed Care Quality Strategy and identified a set of quality metrics that it will use to assess health plans’ performance across their populations. The Department has identified a subset of these measures for health plans to use to monitor Advanced Medical Home (AMH) performance and calculate AMH performance incentive payments.
The first quality performance period for AMHs began in January 2022.
- The 2022 and 2023 AMH Measure Targets table provides baseline data and targets for health plans.
- NC Medicaid does NOT set targets for AMHs.
These baseline data and targets are shared as a reference for AMHs. An AMH practice (NPI + location) will have its own rate that may be above or below the baseline state median rate. AMHs should negotiate target performance rates with health plans.
Additional information and resources for AMHs are available on the NC Medicaid Advanced Medical Home webpage. More information about quality strategy and metrics are available on the NC Medicaid Quality Management and Improvement webpage.
Contact
NC Medicaid Contact Center: 888-245-0179