As of December 1, 2023, North Carolina Department of Health and Human Services (NC DHHS) requires that Medicaid expansion member data be included in AmeriHealth Caritas North Carolina (ACNC) performance metrics.
The NaviNet provider portal offers two practice performance scorecards:
- Metric including the Medicaid expansion population
- Metric excluding the Medicaid expansion population
Since August 2024, Medicaid expansion members may affect performance on the below measures. Child and pregnant member measures are not included. NC DHHS set annual quality performance targets for 8 of the 13 Advanced Medical Home (AMH) measures. The target is 5% relative improvement from the prior year’s baseline. For additional information, visit NC DHHS.
- Cervical Cancer Screening (CCS)
- Chlamydia Screening in Women (CHL)
- Colorectal Cancer Screening (COL)
- Controlling High Blood Pressure (CBP)
- Glycemic Status Assessment (GSD)
- Plan All-Cause Readmissions (PCR)
- Screening for Depression and Follow-Up Plan (CDF)
- Total Cost of Care (TCOC)