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How We Help Medicaid & Long-Term Services and Supports

NCQA

Measuring and Improving Performance: Organizations perform continuous quality improvement of their LTSS program and identify actionable steps to improve care for their members. Accreditation helps accountability and ongoing quality improvement efforts of aging and disability networks.

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Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

NASHP

Recently, Pennsylvania shared their work with managed care organizations (MCO)s to improve access to oral health care services through quality improvement projects, measures, and incentives. Such steps included DHS convening MCOs quarterly to discuss their performance metrics through Quarterly Quality Review Meetings (QQRMs).

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State Use of Behavioral Health Performance Measures in Medicaid Managed Care Contracting

NASHP

Performance measurement is a pillar of state Medicaid managed care quality improvement and oversight efforts, is often factored into plan payment, and supports public reporting. In states with more than one Medicaid managed care program we reviewed the contracts for all programs.

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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

Performance measurement is a pillar of state quality improvement and oversight. Other states, such as Colorado, establish advisory committees that provide input on all aspects of a state’s quality improvement program , including measure selection. It is often factored into plan payment, and it supports public reporting.