Practice Support Services

2025 NC Medicaid Standard Plan Performance Comparison Tool

Written by Practice Support Team | Jul 8, 2025 4:29:11 PM

NC Medicaid published the 2025 NC Medicaid Standard Plan Performance Comparison Tool and accompanying Technical Guide. The new tool allows Medicaid beneficiaries to compare the performance of the five NC Medicaid Standard Plans. 

The tool enables beneficiaries to make informed decisions about which Standard Plan works best for them. It provides easy-to-read comparisons of how the Standard Plans perform across different domains of health care, including: getting care, care experience, experience with providers, reproductive and sexual health, and children’s health. The complementary technical guide provides details on how NC Medicaid conducted the comparison, and where the data came from. 

Here's one excerpt from the tool:

A Full Star means the health plan performed better than the average of all the Standard Plans

A Half-Filled Star means the health plan performed within the average of all the Standard Plans

An Empty Star means the health plan performed worse than the average of all the Standard Plans

Sources:

NC Medicaid Standard Plan Performance Comparison Tool 2025

NC Medicaid 2025 Standard Plan Performance Comparison Tool Technical Guide

NC Medicaid Quality Management and Improvement webpage