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State Example North Carolina PHP Contract Quality Assessment and PerformanceImprovement (QAPI) Federal rules require states to instruct MCOs on establishing and implementing quality assessment and performanceimprovement (QAPI) programs. Note that part of CalAIM is approved through a 1915(b) in-lieu-of services approach.
It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community. States have a range of tools and policy levers at their disposal to build capacity for integrated behavioral health approaches.
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