The document summarizes North Carolina's Community Care of North Carolina program, which aims to improve care for Medicaid beneficiaries through a statewide medical home model. It connects primary care practices to community networks for population management. For the 646 Demonstration, around 30,000 dual-eligible beneficiaries receiving care from 198 primary care practices in 26 counties will be managed. Performance will be measured against a comparison group and savings will be shared contingent on meeting quality metrics.

1. North Carolina’s 646 Quality Demonstration National Academy for State Health Policy’s 23 rd Annual State Health Policy Conference Denise Levis Hewson, RN, BSN, MSPH October 5 th , 2010, New Orleans

6. Community Care of North Carolina AccessCare Network Sites AccessCare Network Counties Access II Care of Western NC Access III of Lower Cape Fear Community Care of Wake and Johnston Counties Community Care of Central Carolina Southern Piedmont Community Care Plan Community Care Plan of Eastern NC Community Health Partners Northern Piedmont Community Care Partnership for Health Management Sandhills Community Care Network Carolina Collaborative Comm. Care Carolina Community Health Partnership Comm. Care Partners of Gtr. Mecklenburg Northwest Community Care Network

10. Intervention Exempt 646 Counties Camden Perquimans Martin Tyrrell Hertford Dare Currituck Pasquotank Brunswick New Hanover Pender Cumberland Warren Northampton Halifax Nash Wayne Duplin Edgecombe Pitt Greene Bertie Jones Gates Carteret Pamlico Washington Hyde Chowan Robeson Columbus Bladen Sampson Person Hoke Harnett Granville Wake Johnston Vance Franklin Caswell Alamance Chatham Orange Davie Stanly Stokes Rockingham Guilford Randolph Union Anson Richmond Gaston Mecklenburg Cabarrus Forsyth Davidson Montgomery Alleghany Wilkes Surry Ashe Catawba Yadkin Iredell Clay Polk Caldwell Watauga Mitchell Cherokee Macon Graham Swain Jackson Haywood Madison Rutherford McDowell Yancey Avery Burke Alexander Transylvania Henderson Buncombe Cleveland Lincoln Rowan Moore Scotland Lee Durham Wilson Lenoir Beaufort Craven Onslow Holdouts Updated: October 1, 2009

16. 80 data elements reported quarterly on ALL ABD recipients: Demographics Diagnoses Spending by category Use of ancillary services Utilization Priority scoring

18. Annual Chart Review, Practice Report with Benchmarks