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 21 - 25 of 200 results
Medicaid & CHIP Beneficiaries at a Glance 2020
Data and Statistics, Fact Sheet or TA Briefs -
Provides an overview of the characteristics, health status, access, utilization, expenditures, and experience of the beneficiaries served by Medicaid and CHIP. Some data elements are stratified by state. Includes profiles of beneficiaries who are children with special health care needs, dually eligible for Medicare and Medicaid, children, and adults.
Search Terms
Ambulatory Care, Hospitalizations and Readmissions
Improving the Health of Mothers and Infants in Medicaid and CHIP: Investing in the Future of Our Nation
Fact Sheet or TA Briefs, State experiences, Webinar -
Provides overview of the Maternal and Infant Health Initiative, describes focus of increasing postpartum care and use of contraceptives, shares best practices in New York, Illinois, and North Carolina, provides guidance on quality measurement.
Search Terms
Maternal and Perinatal Health, Birth Outcomes, Adult Screenings, Diabetes
2020 Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP (Child Core Set)
Quality Measure Guidance -
Presents the 2020 Child Core Set measures and describes the data collection method for each.
Search Terms
Maternal and Perinatal Health, Long Term Services and Supports, Experience of Care, Primary Care Access and Preventative Care, Dental and Oral Health Services, Behavioral Health, Care of Acute and Chronic Conditions
2020 Core Set of Adult Health Care Quality Measures for Medicaid (Adult Core Set)
No Results -
Presents the 2020 Adult Core Set measures and data collection methods for each one.
Search Terms
Behavioral Health
CMS External Quality Review (EQR) Protocols
Fact Sheet or TA Briefs -
Presents the new protocol for conducting an External Quality Review to evaluate managed care plans. In 2020, the Centers for Medicare & Medicaid Services (CMS) is exploring new and innovative opportunities to leverage EQR organizations to ensure a more robust approach to optimizing managed care quality oversight. The protocols are one part of this larger strategy, Controlling High Blood Pressure (CBP-AD)
Search Terms
Care of Acute and Chronic Conditions, Cardiovascular Disease
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