Quality of Care

The Center for Medicaid and CHIP Services (CMCS) partners with states to share promising practices and provide technical assistance to improve access and the quality of care for Medicaid and CHIP beneficiaries. CMCS’s efforts are guided by the overarching aims of the Centers for Medicare & Medicaid Services (CMS) National Quality Strategy, which sets out the CMS Quality Mission: To achieve optimal health and well-being for all individuals. Working with states and other partners to promote health equity eliminate disparities and improve health outcomes are key aspects of achieving this mission.

The Medicaid and CHIP Beneficiary Profile and Infographic provide an overview of Medicaid and CHIP enrollment, expenditures, characteristics, health status, and experience of the beneficiaries served by Medicaid and CHIP. The 2023 release of the Profile and Infographic contain special sections devoted to the health-related social needs for children and adults covered by Medicaid and CHIP. More information about Medicaid and CHIP beneficiaries and their health needs can be found on the Data Products  page.

Performance Measurement

• Core Set Final Rule (published August 2023)
• Child and Adult Health Care Quality
• Health Home Quality Reporting
• Home and Community-Based Services Quality Measure Set
• Form CMS-416 (annual EPSDT report)
• Maternal and Infant Health Data Measurement
• Medicaid and CHIP Scorecard