108D-50. Defined measures and goals.
The new delivery system and capitated PHP contracts shall be built on defined measures and goals for risk-adjusted health outcomes, quality of care, patient satisfaction, access, and cost. Each component shall be subject to specific accountability measures, including penalties. The Division of Health Benefits may use organizations such as National Committee for Quality Assurance (NCQA), Physician Consortium for Performance Improvement (PCPI), or any others necessary to develop effective measures for outcomes and quality. (2015-245, s. 4; 2019-81, s. 14(a).)
Structure North Carolina General Statutes
North Carolina General Statutes
Chapter 108D - Medicaid and NC Health Choice Managed Care Programs
Article 4 - Prepaid Health Plans.
§ 108D-30 - (Effective until contingency met see note) Intent and Goals.
§ 108D-35 - (Effective until contingency met see note) Services covered by PHPs.
§ 108D-40 - (Effective until contingency met see note) Populations covered by PHPs.
§ 108D-45 - (Effective until contingency met see note) Number and nature of capitated PHP contracts.
§ 108D-50 - Defined measures and goals.
§ 108D-55 - Administrative functions.
§ 108D-60 - BH IDD tailored plans.
§ 108D-65 - (Effective until contingency met see note) Role of the Department.