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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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2017 Adult Core Set Chart Pack, FFY 2016
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance - Summarizes state reporting on the quality of health care furnished to adults covered by Medicaid during FFY 2016, which generally covers care delivered in calendar year 2015. The Chart Pack includes detailed analysis of state performance on 15 publicly reported measures, 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), Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD), Controlling High Blood Pressure (CBP-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),PC-01: Elective Delivery (PC01-AD),Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Cervical Cancer Screening (CCS-AD), Chlamydia Screening in Women Ages 21–24 (CHL-AD), Flu Vaccinations for Adults Ages 18 to 64 (FVA-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, Birth Outcomes, Contraceptive Care, Delivery Outcomes, Postpartum Care, Primary Care Access and Preventative Care, Adult Screenings, Immunizations, STI Screening, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, 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
2017 Child Core Set Chart Pack, FFY 2016 
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 2016, which generally covers care delivered in calendar year 2015. The Chart Pack includes detailed analysis of state performance on 21 publicly reported measures, 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 Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-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
Maternal and Perinatal Health, Birth Outcomes, 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, Screenings and Follow-Up, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Hospitalizations and Readmissions
Child Health Quality Measures Dataset, FFY 2014
Data and Statistics, Quality Measure Guidance - Provides data sets on performance rates frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Sets, for FFY 2014 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 Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-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
Maternal and Perinatal Health, Birth Outcomes, 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
Medical Assistance with Smoking and Tobacco Cessation: Findings from a 2014- 2015 Nationwide Survey of Adult Medicaid Beneficiaries
Data and Statistics - Examines Medicaid patterns of smoking and assistance with tobacco cessation. The analysis found that women were advised to quit more often than men and Hispanics reported discussing cessation medications less often than other racial/ethnic groups, Medical Assistance With Smoking and Tobacco Use Cessation (MSC-AD)
Search Terms
Behavioral Health, Screenings and Follow-Up, Tobacco Use Treatment
Performance on the Child Core Set Measures, FFY 2016
Data and Statistics, Quality Measure Guidance - Includes a downloadable folder containing tables displaying Child Core Set measures for FFY 2016 Child Core Set 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), 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), Primary Care Access and Preventative Care, Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC-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
Maternal and Perinatal Health, Prenatal Care, Immunizations, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Care of Transitions and Follow-Up, Medication Management, Screenings and Follow-Up
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