Tailored Care Management Data Specifications Guidance

This page contains a list of the NC Medicaid data specification guidance documents in support of the Tailored Care Management (TCM) program. The table below provides the name, date, version and link to the current data specification guidance. The bottom of the page includes links to access previous versions of the data specification guidance documents that have been archived.

Current Guidance

NCMT Managed Care Deployment Schedule Version 5 (June 25, 2024)
Data Specifications & Requirements for Sharing Tailored Care Management Entity Short Names Version 3.2 (Feb. 9, 2024)
Data Specifications & Requirements for sharing Historical and Current Claims & Encounters Data to Support Tailored Care Management Version 7 (Feb. 9, 2024)
Data Specifications & Requirements for sharing Beneficiary Assignment and Pharmacy Lock-in Data Version 6 (June 4, 2024)
Data Specifications & Requirements for Sharing Patient Risk List Data, Version 11 (Nov. 7, 2024)
TCM Interfaces Post Production FAQ Document Version 3 (Sept. 6, 2023)
Data Specifications & Requirements for sharing Care Management for High Risk Pregnancies Data to Support Tailored Care Management Version 9 (Oct. 24, 2024)
Deployment Schedule for Tailored Care Management Interfaces for Tailored Plan (TP) and Prepaid Inpatient Health Plan (PIHP) Version 4 (June 4, 2024)

Tab/Accordion Items

Data Specifications & Requirements for Sharing Tailored Care Management Entity Short Names to Support Tailored Care Management for Tailored Plans and Prepaid Inpatient Health Plans

Data Specifications & Requirements for Sharing Tailored Care Management Entity Short Names Version 1 (Aug. 21, 2023)
Data Specifications & Requirements for Sharing Tailored Care Management Entity Short Names Version 2 (Sept. 6, 2023)
Data Specifications & Requirements for Sharing Tailored Care Management Entity Short Names Version 3 (Sept. 22, 2023)
Data Specifications & Requirements for Sharing Tailored Care Management Entity Short Names Version 3.1 (Sept. 27, 2023)

Data Specifications & Requirements for sharing Patient Risk Data to Support Tailored Care Management for Tailored and Prepaid Inpatient Health Plans

Data Specifications & Requirements for Sharing Patient Risk List Data Version 9 (Feb. 9, 2024)
Data Specifications & Requirements for Sharing Patient Risk List Data Version 8 (Oct. 20, 2023)
Data Specifications & Requirements for Sharing Patient Risk List Data Version 7 (Aug. 21, 2023)
Data Specifications & Requirements for Sharing Patient Risk List Data Version 6 (June 20, 2023)
Data Specifications & Requirements for Sharing Patient Risk List Data V 6.0 (May 5, 2023)
Data Specifications & Requirements for Sharing Patient Risk List Data V 5.0 (Reverted on June 1, 2023)
Data Specifications and Requirements for Sharing Patient Risk List Data (April 22, 2022)
Data Specifications and Requirements for Sharing Patient Risk List Data (March 16, 2022)
Data Specifications and Requirements for Sharing Patient Risk List Data (Dec. 2, 2021)

Data Specifications & Requirements for sharing Care Management for High Risk Pregnancies Data to Support Tailored Care Management

Data Specifications & Requirements for sharing Care Management for High Risk Pregnancies Data to Support Tailored Care Management Version 8 (Aug. 29, 2024)
Data Specifications & Requirements for sharing Care Management for High Risk Pregnancies Data to Support Tailored Care Management Version 7 (June 4, 2024)
Data Specifications & Requirements for sharing Care Management for High Risk Pregnancies Data to Support Tailored Care Management Version 6 (April 17, 2023)
Data Specifications & Requirements for sharing Care Management for High Risk Pregnancies Data to Support Tailored Care Management Version 5 (Feb. 2, 2023)
Data Specifications & Requirements for sharing Care Management for High Risk Pregnancies Data to Support Tailored Care Management Version 4 (March 16, 2022)

Data Specifications & Requirements for sharing Beneficiary Assignment and Pharmacy Lock-in Data

Deployment Schedules

FAQs

TCM Interfaces Post Production FAQ Document Version 2 (June 30, 2023)
TCM Interfaces Post Production FAQ Document Version 1 (March 15, 2023)
Data Sharing Requirements for CMARC CMHRP Version 7

Data Specifications & Requirements for sharing Historical and Current Claims & Encounters Data to Support Tailored Care Management

This page was last modified on 11/07/2024