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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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IB: Update on CMS Oral Health Initiative and Other Oral Health Related Items
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance - Provides an update on the CMS Oral Health Initiative, describes an array of CMS resources available to support states in their efforts to improve the delivery of
dental and oral health services in Medicaid and CHIP, discusses how CMS policy supports dental workforce innovations, addresses the use of oral health quality measures to encourage improvement and track progress, and encourages states to adopt the use of three new risk-based dental billing codes to improve care and the use resources, 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
Overview of the CMCS Maternal and Infant Health Initiative
Fact Sheet or TA Briefs - Discusses the Maternal Infant Health Initiative (MIHI) grant program, describes the contraceptive care measures developed as part of this effort, summarizes data reported by the MIHI grantees, highlights uses of the data, and identifies lessons learned.
Search Terms
Maternal and Perinatal Health, Contraceptive Care, Postpartum Care
2014 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance - Shows the continued progress made by HHS and states in building a national, cross-state quality measurement and reporting system for children’s health care in Medicaid and CHIP. 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), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-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), 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),
Chlamydia Screening in Women Ages 21–24 (CHL-AD)
Search Terms
Medication Management, Screenings and Follow-Up, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Dental and Oral Health Services, Prenatal Care, Childhood Screenings, Immunizations, Weight Assessment and Counseling, Well-Child Visits
2014 Annual Reporting on the Quality of Health Care for Adults Enrolled in Medicaid
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance, State experiences - Discusses the status of quality measurement and reporting efforts using the Medicaid Adult Core Set and summarizes information on managed care performance measures and performance improvement projects (PIPs) reported in external quality review (EQR) technical reports submitted to CMS by states. 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
Maternal and Perinatal Health, Postpartum Care, Primary Care Access and Preventative Care, Adult Screenings, STI Screening, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment
State Medicaid and CHIP Program Support of Sustainable Oral Health Care Delivery Models in Schools and Community-Based Settings – May 14, 2014
State experiences, Webinar - Highlights examples from school and community-based dental providers on how to develop a business plan that supports the delivery of school and community-based oral healthcare services, how billing practices for school and community-based and school-linked dental programs may support dental services for disadvantaged children, and how two states have developed successful school and community-based dental services programs. Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH)
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