Medicaid and CHIP Quality Resource Library
The Center for Medicaid and CHIP Services (CMCS) partners with states to share best practices and provide technical assistance to improve the quality of care for our beneficiaries. Type in a key search term to see what resources are available, or use the filters below to search and browse our quality improvement resources by Medicaid and CHIP Core Set domain and other fields.
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Displaying 26 - 30 of 200 results
Overview of changes to the 2019 EQR Protocols
Policy Guidance, Webinar -
Describes updated protocols for the External Quality Review (EQR) of Medicaid and CHIP managed care.
Medicaid and CHIP managed care rule
Fact Sheet or TA Briefs, Policy Guidance -
Summarizes the Managed Care Final Rule - CMS-2408-F.
Search Terms
Dental and Oral Health Services
Medicaid coverage of tobacco cessation treatments - barriers
Data and Statistics, State experiences -
Presents 2008-2018 data on state Medicaid coverage for tobacco cessation treatments and barriers to accessing treatments.
Search Terms
Behavioral Health, Medication Management, Tobacco Use Treatment, Primary Care Access and Preventative Care
Child Health Quality Measures Dataset, FFY 2018
Data and Statistics, Quality Measure Guidance -
Dataset with performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2018 reporting, Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), Follow-Up After Hospitalization for Mental Illness: Ages 6–17 (FUH-CH), Ambulatory Care: Emergency Department (ED) Visits (AMB-CH), Dental Sealants for 6–9-Year-Old percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH) Children at Elevated Caries Risk (SEAL-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH), Chlamydia Screening in Women Ages 16–20 (CHL-CH), Childhood Immunization Status (CIS-CH), Well-Child Visits in the First 15 Months of Life (W15-CH), Immunizations for Adolescents (IMA-CH), Developmental Screening in the First Three Years of Life (DEV-CH), Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (W34-CH), Adolescent Well-Care Visits (AWC-CH).
Search Terms
Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Hospitalizations and Readmissions, Dental and Oral Health Services, Maternal and Perinatal Health, Birth Outcomes, Delivery Outcomes, Prenatal Care, Primary Care Access and Preventative Care, Childhood Screenings, Immunizations, STI Screening
Criteria for Using the Child and Adult Core Set Measures to Assess Trends in State Performance in Medicaid and CHIP, FFY 2018
Fact Sheet or TA Briefs, Quality Measure Guidance -
Summarizes the criteria CMS uses to assess trends in state performance and identifies which measures can be used to assess trends for the three-year period from FFY 2016 to FFY 2018, Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), Follow-Up After Hospitalization for Mental Illness: Ages 6–17 (FUH-CH), Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD-AD), Diabetes Care for People with Serious Mental Illness: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPCMI-AD), Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA-AD), Follow-Up After Emergency Department Visit for Mental Illness (FUM-AD), Ambulatory Care: Emergency Department (ED) Visits (AMB-CH), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH), Chlamydia Screening in Women Ages 16–20 (CHL-CH), Childhood Immunization Status (CIS-CH), Well-Child Visits in the First 15 Months of Life (W15-CH), Immunizations for Adolescents (IMA-CH), Developmental Screening in the First Three Years of Life (DEV-CH), Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (W34-CH), Adolescent Well-Care Visits (AWC-CH), Adult Body Mass Index Assessment (ABA-AD),
Search Terms
Maternal and Perinatal Health, Delivery Outcomes, Prenatal Care, Primary Care Access and Preventative Care, Childhood Screenings, Immunizations, STI Screening, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Hospitalizations and Readmissions
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