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Quality of Care

Medicaid and the Children’s Health Insurance Program 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 enrollees in the following areas:

EPSDT
Dental Care
Obesity
Maternal & Child Health
Home and Community-Based Services
Vaccines
Performance Measurement
Health Disparities
Patient Safety
External Quality Review

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.   

Recent Reports to Congress

Preventive and Obesity-Related Services Available to Medicaid Enrollees

Improving Children's Health Care Quality in Medicaid and CHIP

 2011 Annual Report on the Quality of Care for Children in Medicaid and CHIP

Appendices to the 2011 Annual Report on the Quality of Care for Children in Medicaid and CHIP