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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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Using Data to Improve Asthma Control: Asthma Quality Measures
Data and Statistics, State experiences, Webinar - Focuses on how states can use asthma quality measures and other data to drive asthma quality improvement activities. Presenters identify measures related to key drivers of asthma control, demonstrate how states can use data to identify target project areas, and participate in a discussion on the various uses of asthma quality measures including quality improvement, performance monitoring, and public health surveillance.
The Maternal and Infant Health Initiative Grant to Support Development and Testing of Medicaid Contraceptive Care Measures
Fact Sheet or TA Briefs, Quality Measure Guidance, State experiences - Discusses the 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. Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – Postpartum Women Ages 21–44 (CCP-AD), Contraceptive Care – All Women Ages 15–20 (CCW-CH), Contraceptive Care – All Women Ages 21–44 (CCW-AD)
Search Terms
Maternal and Perinatal Health, Contraceptive Care
Medicaid Oral Health Performance Improvement Projects: How To Manuals and A Template
Quality Measure Guidance, Template or Toolkit - A Template and two how-to manuals intended to support state and health plan  implementation of an oral health performance improvement project (PIP) in Medicaid. Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH)
2020 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Issue Brief, Policy Guidance, Quality Measure Guidance - Describes the 2020 updates to the Core Set of children’s health care quality measures for Medicaid and the Children’s Health Insurance Program (CHIP) (the Child Core Set) and the Core Set of health care quality measures for adults enrolled in Medicaid (the Adult Core Set), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-CH)*, Use of Pharmacotherapy for Opioid Use Disorder (OUD-AD)*, Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPC-AD), Long Term Services & Supports Core Set Measure , Weight Assessment and Counseling, 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, Behavioral Health, Antipsychotic Drugs, Care of Acute and Chronic Conditions, Diabetes
Archived Child Core Set Measure Lists and Reporting Resources
Data and Statistics, Quality Measure Guidance - Contains a downloadable file of DQ checklists, measure lists, MP tables, and a summary of updates from 2013-2019, Screening for Depression and Follow-Up Plan: Ages 12 to 17(CDF-CH), Follow-Up After Hospitalization for Mental Illness: Ages 6–17 (FUH-CH), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP-CH), Asthma Medication Ratio: Ages 5–18 (AMR-CH), Ambulatory Care: Emergency Department (ED) Visits (AMB-CH), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH), PC-02: Cesarean Birth (PC02-CH), Audiological Diagnosis No Later Than 3 Months of Age (AUD-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH), Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – All Women Ages 15–20 (CCW-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), Adolescent Well-Care Visits (AWC-CH), 
Search Terms
Maternal and Perinatal Health, Birth Outcomes, Delivery Outcomes, Prenatal Care, Primary Care Access and Preventative Care, Childhood Screenings, Immunizations, STI Screening, Well-Child Visits, Dental and Oral Health Services, 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, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Hospitalizations and Readmissions
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