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.
Results
Displaying 91 - 95 of 200 results
Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Information Required on a Public Website
Policy Guidance -
Lists requirements for states and managed care plans to improve transparency by providing and maintaining specific content on a public website accessible to beneficiaries.
Dental and Oral Health Services in Medicaid and CHIP
Issue Brief, State experiences -
Provides state-specific findings on children’s use of dental services in Medicaid. It includes state-specific performance data for two Child Core Set measures: (1) Preventive Dental Services (PDENT-CH) and (2) Dental Treatment Services (TDENT-CH). This report also summarizes information on managed care quality monitoring and improvement efforts related to oral health care that were reported in states’ External Quality Review (EQR) technical reports. Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH)
Search Terms
Dental and Oral Health Services
Adult Health Quality Measures Dataset, FFY 2015
Data and Statistics -
Provides data on performance rates of frequently reported health care quality measures in the CMS Medicaid/CHIP Adult Core Sets, for FFY 2015 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 – All Women Ages 21–44 (CCW-AD),Cervical Cancer Screening (CCS-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
CMS Quality Strategy
Issue Brief -
Guides the activities of all agency components working together toward transformation. It builds on the foundation of the CMS Strategy and the HHS National Quality Strategy for Improvement in Health Care (NQS). The National Quality Strategy was developed
Search Terms
Maternal and Perinatal Health, Long Term Services and Supports, Experience of Care, Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Behavioral Health, 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, Hospitalizations and Readmissions
Findings from 2014-2015 EQR Technical Reports (children)
Data and Statistics, State experiences -
Includes downloadable EQR tables, graphs, and reports describing performance measures and PIPs for Medicaid managed care plans regarding care provided to children and pregnant women, by state
Search Terms
Maternal and Perinatal Health, Birth Outcomes, Delivery Outcomes, Postpartum Care, Prenatal Care, Experience of Care, Primary Care Access and Preventative Care, Adult Screenings, Immunizations, STI Screening, Weight Assessment and Counseling, Dental and Oral Health Services, Behavioral Health, Multiple Complex Conditions, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment, Asthma And/or COPD, Diabetes, HIV Care, Hospitalizations and Readmissions
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