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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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Findings from EQR Reports Submitted During the 2012-2013 Reporting Cycle 
Data and Statistics, State experiences - Includes 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, Asthma Medication Ratio: Ages 5–18 (AMR-CH), PQI 15: Asthma in Younger Adults Admission Rate (PQI15-AD), HIV Viral Load Suppression (HVL-AD), 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, PC-01: Elective Delivery (PC01-AD), PC-02: Cesarean Birth (PC02-CH),Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Asthma Medication Ratio: Ages 5–18 (AMR-CH), 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), Screening for Depression and Follow-Up Plan: Ages 12–17 (CDF-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), 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).
Search Terms
Maternal and Perinatal Health, Birth Outcomes, Contraceptive Care, Delivery Outcomes, Postpartum Care, Prenatal Care, Experience of Care, Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Immunizations, STI Screening, Weight Assessment and Counseling, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Medication Management, Multiple Complex Conditions, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment, Ambulatory Care, Asthma And/or COPD, Diabetes, HIV Care, Hospitalizations and Readmissions
Medicaid Oral Health Performance Improvement Projects: A How-To-Manual for States
Template or Toolkit - Supports states’ efforts to use available data to identify and address gaps and variations in use of oral health care in their Medicaid and CHIP programs, based on a model of continuous Quality improvement (QI). This Toolkit describes a six-step process that states can use to analyze their data on oral health care access, and then design, implement, and evaluate targeted QI efforts, 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
Preventive and Obesity-Related Services Available to Medicaid Enrollees
Issue Brief, State experiences - Reports on CMS preventative services for children and adults to improve medicaid enrollees' access to knowledge of preventive services including obesity-related services, as specified by Section 4004(i) of the Affordable Care Act. The report includes a spotlight on New York and Michigan, Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC-CH).
Search Terms
Long Term Services and Supports, Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Weight Assessment and Counseling, Well-Child Visits, Screenings and Follow-Up, Care of Acute and Chronic Conditions, Cardiovascular Disease
Improving Oral Health Care Delivery in Medicaid and CHIP A Toolkit for States
Quality Measure Guidance, Template or Toolkit - Supports states’ efforts to use available data to identify and address gaps and variations in use of oral health care in their Medicaid and CHIP programs, based on a model of continuous QI. This Toolkit describes a six-step process that states can use to analyze their data on oral health care access, and then design, implement, and evaluate targeted QI efforts, 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
Adult Screenings, Childhood Screenings, Dental and Oral Health Services
Contraceptive Care and Contraceptive Care Related Services Clarification (SMD 14-003)
Policy Guidance - Provide clarification regarding the coverage of Contraceptive Care-related services provided to individuals eligible under the optional categorically needy state plan group created by section 2303 of the Affordable Care Act. Individuals who would qualify under this new Contraceptive Care eligibility group, if the state elects to offer it, are defined as individuals (men and women) who are: 1) not pregnant, and 2) whose income does not exceed the income eligibility level established by the state plan.
Search Terms
Maternal and Perinatal Health, Contraceptive Care
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