Standard Reports

The Medicaid Care Management Quality Updates

The Medicaid Care Management (MCM) quality updates is a MCM program outcomes focused series of presentations. These meetings are facilitated by the Office of Quality Assurance and Improvement (QAI), with various guest presenters including Managed Care Organizations or the External Quality Review Organization to review reports and answer questions. Current schedule is available in the Standard Reports section of this website.

Care Management Qualitative Studies

The Department of Health and Human Services (DHHS) conducts semi-annual qualitative studies that evaluate Medicaid members's experience with the Care Management Program. While the Department is pleased to conduct and release the study of these qualitative results, it is recommended to be viewed as a single point in evaluating the full membership's experience.

Care Management Quality Strategy

The New Hampshire Medicaid Care Management Quality Strategy is technical document required by the Code of Federal Regulations, CFR438.200, and the Center for Medicare and Medicaid Services programs to ensure the delivery of quality health care by managed care organizations. While the overview of quality activities are addressed, the document is not intended to comprehensively describe all the activities that DHHS undertakes to ensure Medicaid program quality.

PDF Report(s): 

Consumer Assessment of Healthcare Providers and System (CAHPS)

The CAHPS is a standard national tool that measures member satisfaction with their health care. Prior to 2015, full CAHPS reports found in this section were produced for the adult and child Medicaid population. Starting in 2015 CAHPS data can be located directly in this quality website.

NH MCO Accreditation Status

New Hampshire Medicaid Managed Care Organizations are required to be accredited by the National Committee for Quality Assurance of Health Plans (NCQA). NCQA Accreditation is the most comprehensive evaluation in the industry, and the only assessment that bases results of clinical performance and consumer experience.  Medicaid beneficiaries can use the results to comparison-shop and learn about health plan quality when they select a plan. This allows beneficiaries to become more responsible for managing their health care.