Kelly Crosbie, MSW, LCSW

Director, DMH/DD/SUS

Special Edition Hot Topics



NC Medicaid Announcements



2025 NC Medicaid Standard Plan Performance Comparison Tool   

NC Medicaid published the 2025 NC Medicaid Standard Plan Performance Comparison Tool and accompanying Technical Guide. The new tool allows Medicaid beneficiaries to compare the performance of the five NC Medicaid Standard Plans. 

 

The tool enables beneficiaries to make informed decisions about which Standard Plan works best for them. It provides easy-to-read comparisons of how the Standard Plans perform across different domains of health care, including: getting care, care experience, experience with providers, reproductive and sexual health, and children’s health. The complementary technical guide provides details on how NC Medicaid conducted the comparison, and where the data came from.


The complete tool and the accompanying technical guide are available on the NC Medicaid Quality Management and Improvement webpage.

Tailored Care Management Temporary Rate Extension Ended

Effective July 1, 2025, and in accordance with NC Department of Health and Human Services State Plan Amendment,SPA 25-0005, the Tailored Care Management payment rate is $294.86.


There will be no change to the 1915(i)/Innovations/Traumatic Brain Injury (TBI) waiver add-on rates of $79.73. NC Medicaid is not making any other changes to the TCM payment methodology.


More information about Tailored Care Management is available on the NC Medicaid Tailored Care Management webpage. Questions can be emailed to Medicaid.TailoredCareMgmt@dhhs.nc.gov

2021-2023 Annual Quality Report Available

The North Carolina Department of Health and Human Services (NCDHHS) is pleased to present the 2021-2023 Annual Quality Report. The Annual Quality Report evaluates NC Medicaid’s performance on select quality and survey measures aligned with the three aims and six goals identified in the 2023 NC Medicaid Managed Care Quality Strategy.


The 2021-2023 Annual Quality Report provides a comprehensive look at care delivery, quality and beneficiary experience. For more information, the report is available on the NC Medicaid Quality Management and Improvement webpage under Annual Quality Report. 

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