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 31 - 35 of 200 results
Technical Assistance to Support Adult, Child, and Health Home Core Set Reporting for FFY 2019 – May 21, 2019
Template or Toolkit, Webinar -
Reviews major changes to the 2019 Child and Adult Core; sets and technical specifications; preview FFY 2019 data quality priorities; discuss technical assistance resources available to states and upcoming technical assistance webinars. Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), 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), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-CH)*, Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD), Use of Pharmacotherapy for Opioid Use Disorder (OUD-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), Controlling High Blood Pressure (CBP-AD), Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPC-AD), PQI 01: Diabetes Short-Term Complications Admission Rate (PQI01-AD), PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05-AD),
PQI 08: Heart Failure Admission Rate (PQI08-AD), PQI 15: Asthma in Younger Adults Admission Rate (PQI15-AD), Plan All-Cause Readmissions (PCR-AD),
HIV Viral Load Suppression (HVL-AD), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – Postpartum Women Ages 21–44 (CCP-AD), Contraceptive Care – All Women Ages 15–20 (CCW-CH), Contraceptive Care – All Women Ages 21–44 (CCW-AD), Breast Cancer Screening (BCS-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), Controlling High Blood Pressure (CBP-AD), Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPC-AD), PQI 01: Diabetes Short-Term Complications Admission Rate (PQI01-AD), PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05-AD),
PQI 08: Heart Failure Admission Rate (PQI08-AD), PQI 15: Asthma in Younger Adults Admission Rate (PQI15-AD), Plan All-Cause Readmissions (PCR-AD),
HIV Viral Load Suppression (HVL-AD), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – Postpartum Women Ages 21–44 (CCP-AD), Contraceptive Care – All Women Ages 15–20 (CCW-CH), Contraceptive Care – All Women Ages 21–44 (CCW-AD), Breast Cancer Screening (BCS-AD)
Search Terms
Adult Screenings, Childhood Screenings, Weight Assessment and Counseling, Dental and Oral Health Services, Antipsychotic Drugs, Opioids, Screenings and Follow-Up, HIV Care
2019 Revised EQR protocols
Policy Guidance, Quality Measure Guidance, Template or Toolkit -
Features a EQR protocol guide for assessing Medicaid managed care performance. Each protocol describes the purpose of EQR-related activity; and how to conduct each activity within the protocol.
Search Terms
Adult Health Quality Measures Dataset, FFY 2018
Data and Statistics -
Provides data sets on performance rates of frequently reported health care quality measures in the CMS Medicaid/CHIP Adult Core Sets, for FFY 2018 reporting, Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Medical Assistance With Smoking and Tobacco Use Cessation (MSC-AD), Antidepressant Medication Management (AMM-AD), Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), 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), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD), Controlling High Blood Pressure (CBP-AD), Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPC-AD), PQI 01: Diabetes Short-Term Complications Admission Rate (PQI01-AD), PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05-AD), PQI 08: Heart Failure Admission Rate (PQI08-AD), PQI 15: Asthma in Younger Adults Admission Rate (PQI15-AD), Plan All-Cause Readmissions (PCR-AD), Asthma Medication Ratio: Ages 19–64 (AMR-AD), HIV Viral Load Suppression (HVL-AD), PC-01: Elective Delivery (PC01-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Contraceptive Care – Postpartum Women Ages 21–44 (CCP-AD), Contraceptive Care – All Women Ages 21–44 (CCW-AD), Cervical Cancer Screening (CCS-AD), Chlamydia Screening in Women Ages 21–24 (CHL-AD), Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD)
Search Terms
Maternal and Perinatal Health, Contraceptive Care, Postpartum Care, Primary Care Access and Preventative Care, Adult Screenings, Weight Assessment and Counseling, 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, Tobacco Use Treatment, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Cardiovascular Disease, Diabetes, HIV Care, Hospitalizations and Readmissions
MOM Model Updated Fact Sheet
Fact Sheet or TA Briefs -
Provides an overview of The Center for Medicare and Medicaid Innovation's Maternal Opioid Misuses (MOM) Model, which is a multi-pronged strategy to address fragmentation in the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system surrounding this vulnerable population.
Search Terms
Behavioral Health, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Maternal and Perinatal Health, Birth Outcomes, Delivery Outcomes, Postpartum Care, Prenatal Care, Adult Screenings
The Role of Medicaid and CHIP in Improving Asthma Control
Webinar -
Provides an introduction to the Learning Collaborative and an overview of the evidence on what works to improve asthma control with a focus on Medicaid and CHIP populations. Highlights six effective clinical and community-based strategies for improving asthma control and outcomes and presents a sample driver diagram that demonstrates where Medicaid and CHIP programs can influence improvements in the delivery of comprehensive asthma care to improve outcomes.
Search Terms
Care of Acute and Chronic Conditions, Asthma And/or COPD
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