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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:

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

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

The Maternal and Infant Health 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.  To learn more about this new opportunity, you are invited to a webinar on Wednesday, May 13, 2015,  2:00-3:00 pm ET. Registration information is available via this link.  The Funding Opportunity Announcement  (CMS-1F1-15-001) can be found on the Grants.gov website


Resources to Improve Medicaid for Children and Adolescents

CMS, in partnership with NASHP, developed a resource page for state policymakers, Medicaid officials, and other interested parties with state-specific information about strategies for delivering the Medicaid benefit for children and adolescents, (also known EPSDT).  Use this resource page to access information from state Medicaid agencies on a variety of topics including: 

  • General and specific definitions of medical necessity used by states
  • Initiatives to improve access to preventive and treatment services for children
  • Reporting and data collection strategies around children's services
  • Approaches to behavioral health screening and service delivery
  • Resources developed to support providers and families
  • Initiatives to improve care coordination for children
  • Oral health service delivery for children

New Releases

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