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The Centers for Medicare and Medicaid Services has issued regulations regarding seclusion and restraint. These regulations are called "Conditions of Participation (CoPs)." CoPs serve as the basis of survey activities for the purpose of determining whether a facility qualifies for a provider agreement under Medicare or Medicaid.
In North Carolina, Medicaid costs are split between the State (34.87%) and the Federal government (65.13%). [13] "Ranking ninth among states in total Medicaid spending, North Carolina's Medicaid program has worked hard not just to cut spending to keep the program solvent, but also to contain costs while improving the quality of health care."
The National Committee for Quality Assurance (NCQA) is an independent 501(c)(3) nonprofit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation.
In December 2013, Centers for Medicare & Medicaid Services (CMS) formally updated Appendix J to change the language used to describe developmental disabilities. [ 15 ] It is possible that, as facilities start to phase out or convert to other programs (such as waiver-type settings) for people with disabilities, the terms QMRP, QDDP, and QIDP may ...
Medicaid beneficiaries in North Carolina will soon be able to get GLP-1 drugs like Wegovy, Saxenda and Zepbound covered. NC Medicaid to cover weight-loss drugs like Wegovy, after access cut for ...
As of 2019, NCQA is transitioning data collection to a digital process that uses existing electronic data sources rather than surveys and manual data collection. The first six measures available for HEDIS Electronic Clinical Data System (ECDS) reporting include some related to depression, unhealthy alcohol use, and immunization status. [7]
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Objective: To describe state Medicaid agencies' policies and oversight activities related to drugs purchased under 340B. [44] Findings: (1) Approximately half of states have written 340B policies that direct covered entities to bill Medicaid at cost for 340B-purchased drugs. (2) States do not have necessary pricing information to create prepay ...