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NCQA Launches Virtual Care Accreditation Pilot

HIT Consultant

What You Should Know: – The National Committee for Quality Assurance (NCQA) has initiated the Virtual Care Accreditation Pilot program, a significant step in developing a quality improvement framework for organizations offering care through telehealth or digital platforms.

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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. However, there are several common elements in these processes, including that the measure has been validated, is evidence-based, is regularly updated — and a group of leaders in the field have determined that each measures an important aspect of care.

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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

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State Community Health Worker Models

NASHP

MCE Managed Care Entities. NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program.

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