Quality of Care

Medicaid and the Children’s Health Insurance Program (CHIP) seek to provide safe, effective, efficient, patient-centered, high quality and equitable care to all enrollees.  To achieve these goals, the Centers for Medicare and Medicaid Services (CMS) partners with states to share best practices and to provide technical assistance to improve the quality of care.

Quality Initiatives

CMS has initiatives to improve the quality of care provided to Medicaid and CHIP enrollees in the following areas:

EPSDT
Dental Care
Obesity
Maternal and Infant Health
Home and Community-Based Services
Vaccines
Prevention
 
Health Disparities
Performance Measurement
Patient Safety
Medicaid Managed Care Quality
QualityNet Conference Agenda
Improving Care Transitions
TEFT

National Quality Strategy

The National Quality Strategy, required by The Affordable Care Act of 2010, is a national plan to improve the delivery of health care services, patient health outcomes, and population health.

Three goals are used to guide and assess local, state, and national efforts to improve health and the health care delivery system:

  1. Better Care
  2. Healthy People/Healthy Communities
  3. Affordable Care

See the National Quality Strategy March 2011 Report to Congress.    

Events & Announcements

Reminder: CMCS Maternal and Infant Health Initiative Funding Opportunity Announcement (FOA) Closes July 7, 2015

In July 2014, CMCS announced a new initiative to improve maternal and infant health outcomes in collaboration with states and other partners.  The initiative is designed to (1) improve the proportion and content of postpartum visits in Medicaid and the Children’s Health Insurance Program (CHIP), and (2) increase the use of the effective methods of contraception.  To support measurement related to the second goal, CMCS announced a funding opportunity on May 5, 2015.  This funding opportunity will support collecting and reporting data for the developmental contraceptive utilization measure: Use of Contraceptive Methods by Women as part of the CMCS Maternal and Infant Health Initiative.  This FOA closes at 3:00pm Eastern on Tuesday, July 7, 2015.  Applications must be submitted electronically through http://www.grants.gov./

New Releases

Reducing Early Childhood Tooth Decay: An Overview for State Policymakers

Reducing Early Childhood Tooth Decay: Leading Steps for State Policymakers

Reducing Early Childhood Tooth Decay: Strategies for State Medicaid and CHIP Program Managers

The State of Children’s Health Care Quality in Medicaid and CHIP: Who Are the Higher-Performing States?

2014 Secretary's Annual Report on the Quality of Care for Children in Medicaid and CHIP (November 2014)

2014 Secretary's Annual Report on the Quality of Health Care for Adults Enrolled in Medicaid (November 2014)

Improving the Identification of Health Care Disparities in Medicaid and CHIP (2014 Report to Congress)

Efforts to Improve Children’s Health Care Quality in Medicaid and CHIP (2014 Report to Congress)

Efforts to Improve the Quality of Health Care for Adults in Medicaid (2014 Report to Congress)

Preventive and Obesity-Related Services Available to Medicaid Enrollees (2014 Report to Congress)

Improving Oral Health Care Delivery in Medicaid and CHIP: A Toolkit for States