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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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2019 Adult Core Set Chart Pack, FFY 2018
State experiences - Summarizes state reporting on the quality of health care furnished to adults covered by Medicaid during FFY 2018, which generally covers care delivered in calendar year 2017. PC-01: Elective Delivery (PC01-AD)
Search Terms
Maternal and Perinatal Health, Delivery Outcomes, Behavioral Health, Care of Transitions and Follow-Up
Quality of Care for Children in Medicaid and CHIP: Findings from the 2018 Child Core Set
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance - Summarizes state reporting on the quality of health care furnished to children covered by Medicaid and CHIP during FFY 2018, which generally covers care delivered in calendar year 2017. The Chart Pack includes detailed analysis of state performance on 23 publicly reported measures, Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), Screening for Depression and Follow-Up Plan: Ages 12 to 17(CDF-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), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP-CH), Concurrent Use of Opioids and Benzodiazepines (COB-AD), Asthma Medication Ratio: Ages 5–18 (AMR-CH), Ambulatory Care: Emergency Department (ED) Visits (AMB-CH), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH), PC-02: Cesarean Birth (PC02-CH), Audiological Diagnosis No Later Than 3 Months of Age (AUD-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – All Women Ages 15–20 (CCW-CH), Asthma Medication Ratio: Ages 5–18 (AMR-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), Adolescent Well-Care Visits (AWC-CH), 
Search Terms
Maternal and Perinatal Health, Contraceptive Care, Postpartum Care, Prenatal Care, Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Immunizations, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Diabetes, Hospitalizations and Readmissions
Quality of Care for Children and Adults in Medicaid and CHIP: Overview of Findings from the 2018 Child and Adult Core Sets
Fact Sheet or TA Briefs - Summarizes state progress in reporting the Child and Adult Core Set measures for federal fiscal year (FFY) 2018, including an overview of performance for measures reported by at least 25 states and which met CMS standards for data quality.
 
HCBS: Person-Centered Assessments and Care Plans
Issue Brief, Policy Guidance - Describes recent advances in quality measurement of person-centered assessments and care plans for Medicaid HCBS beneficiaries. This brief focuses on process measures, which examine whether assessment and care planning are conducted in ways that are likely to result in positive outcomes.
Search Terms
Long Term Services and Supports
Person-Reported Outcome Measures for Home and Community-Based Services
Issue Brief, Quality Measure Guidance - Describes recent advances in person reported outcome measures for Medicaid HCBS beneficiaries. It focuses on three outcomes of particular importance to these individuals: (1) choice and decision making, (2) community participation, and (3) experience of care.
Search Terms
Long Term Services and Supports, Experience of Care
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