The Centers for Medicare & Medicaid Services (CMS) requires all states contracting with Medicaid managed care plans to develop and submit a quality strategy. This strategy is a roadmap through which the state articulates its vision for Medicaid managed care and its goals for quality improvement. States must review and update their quality strategy at least every three years or whenever there have been significant changes in the state’s Medicaid program.
The North Carolina Department of Health and Human Services (NCDHHS) is in the process of revising the NC Medicaid Managed Care Quality Strategy (NC Medicaid Quality Strategy) for release in early 2025. NCDHHS published the last version of the NC Quality Strategy in April 2023.
The 2025 NC Medicaid Quality Strategy includes the following key changes from the 2023 Quality Strategy:
- Updated the managed care implementation timeline;
- Updated the language related to Tailored Plans and the Children and Families Specialty Plan (CFSP);
- Included information related to Medicaid expansion population;
- Updated relevant quality measure sets; and
- Included benchmarks for the quality measures that can evaluate how DHHS is progressing toward Quality Strategy goals.
NCDHHS would like your feedback on this draft NC Medicaid Quality Strategy before it is completed and submitted to CMS. Links to the strategy are available below.
Quality Management and Improvement | NC Medicaid
*To request hard copies of the Quality Strategy document, please email medicaid.quality@dhhs.nc.gov.
Comments and input may be submitted in the following ways:
- By email: medicaid.quality@dhhs.nc.gov
- By written comments to:
NCDHHS ATTN: Nick Bailey, NC Medicaid, Deputy Director of Quality
805 Biggs Dr, Raleigh, NC 27603
Comments submitted to this website may be considered public record and may be disclosed to parties requesting such records, including the identifiable information that you provide in your comment. Comments may be submitted without providing any identifiable information. Voluntarily providing identifiable information does not mean that you will be contacted about your comment.