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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. In addition, CMS and the National Committee for Quality Assurance (NCQA) both produce national performance metrics that states can use as performance benchmarks. It is often factored into plan payment, and it supports public reporting.