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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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2015 Annual Reporting on the Quality of Care for Adults in Medicaid
Data and Statistics, Quality Measure Guidance - Presents findings on voluntary state reporting of the Adult Core Set measures for FFY 2014, and summarizes information on managed care quality measurement and improvement reported in the EQR technical reports submitted to CMS by states during the 2014–2015 reporting cycle. Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Chlamydia Screening in Women Ages 16–20 (CHL-CH), Cervical Cancer Screening (CCS-AD), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD)
 
Search Terms
Postpartum Care, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment
Poster: Whatever Your Passion
Template or Toolkit - Provides a poster promoting regular checkups, including screenings and vaccines.
Search Terms
Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Immunizations
Reducing Early Childhood Tooth Decay: Approaches in Medicaid – May 27, 2015
Quality Measure Guidance, State experiences, Webinar - Calls upon experts in the field of early childhood caries and CMS's own Oral Health Initiative staff to identify actionable strategies to preventing and managing early childhood caries within the Medicaid and CHIP enrolled population. The webinar also includes a case study from North Carolina about their experience adapting their periodicity schedule to support a medical/dental team approach to preventing and managing early childhood caries in their Medicaid program. Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH), Experience of Care Core Set Measures 
Search Terms
Experience of Care, Primary Care Access and Preventative Care, Childhood Screenings, Dental and Oral Health Services, Screenings and Follow-Up
Technical Assistance Webinar on the Dental Sealant Measure in the Child Core Set - November 12, 2015
State experiences, Webinar - Discusses the CMS Oral Health Initiative and the Dental Sealant Measure. The webinar includes case studies from Alabama and Texas. Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH)
2015 Domain-Specific Reports
Data and Statistics, Quality Measure Guidance - Contains a downloadable file of a series of domain-specific reports about the quality of health care delivered to children and adults enrolled in Medicaid and the Children’s Health Insurance Program (CHIP), Antidepressant Medication Management (AMM-AD), 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), Ambulatory Care: Emergency Department (ED) Visits (AMB-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), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), 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), Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (W34-CH), Adolescent Well-Care Visits (AWC-CH), Cervical Cancer Screening (CCS-AD), Chlamydia Screening in Women Ages 21–24 (CHL-AD), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD)
Search Terms
Maternal and Perinatal Health, Prenatal Care, Primary Care Access and Preventative Care, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Antipsychotic Drugs, Medication Management, Care of Acute and Chronic Conditions, Ambulatory Care
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