Quality Data
2026 Core Sets
- 2026 Updates to the Child and Adult Core Sets SHO
- Child Core Set
- Adult Core Set
- Maternity Core Set
- Behavioral Health Core Set
2025 Core Sets
- 2025 Updates to the Child and Adult Core Sets SHO
- Child Core Set
- Adult Core Set
- Maternity Core Set
- Behavioral Health Core Set
2024 Core Sets
- Initial Core Set Mandatory Reporting Guidance SHO
- Child Core Set
- Adult Core Set
- Maternity Core Set
- Behavioral Health Core Set
- Health Home Core Set
Related Resources
The Center for Medicaid and CHIP Services (CMCS) partners with states to share promising practices and provide technical assistance to improve access and the quality of care for Medicaid and CHIP beneficiaries. CMCS’s efforts are guided by the overarching aims of the Centers for Medicare & Medicaid Services (CMS) National Quality Strategy, which sets out the CMS Quality Mission: To achieve optimal health and well-being for all individuals. Working with states and other partners to promote health equity eliminate disparities and improve health outcomes are key aspects of achieving this mission.
The Medicaid and CHIP Beneficiary Profile and Infographic provide an overview of Medicaid and CHIP enrollment, expenditures, characteristics, health status, and experience of the beneficiaries served by Medicaid and CHIP. The 2023 release of the Profile and Infographic contain special sections devoted to the health-related social needs for children and adults covered by Medicaid and CHIP. More information about Medicaid and CHIP beneficiaries and their health needs can be found on the Data Products page.
Performance Measurement
- Core Set Final Rule (published August 2023)
- Child and Adult Health Care Quality
- Health Home Quality Reporting
- Home and Community-Based Services Quality Measure Set
- Form CMS-416 (annual EPSDT report)
- Maternal and Infant Health Data Measurement
- Core Set Data Dashboard
- Medicaid and CHIP Scorecard
Quality Improvement Initiatives
- Maternal and Infant Health
- Oral Health Initiative
- Foster Care Learning Collaborative
- Asthma Learning Collaborative
- Behavioral Health Learning Collaborative
- All Quality Improvement Initiatives
Medicaid Managed Care
- External Quality Review
- State Quality Strategies
- State Managed Care Profiles
- Medicaid and CHIP Quality Rating System
Medicaid and CHIP Data Products
- 2023 Medicaid and CHIP Beneficiary Profile (April 2023)
- 2023 Medicaid and CHIP At-a-Glance Infographic (April 2023)
- 2023 Oral Health Infographic (March 2023)
- Sickle Cell Disease Report (March 2023)
- Sickle Cell Disease Infographic (September 2020)
- Child and Adolescent Behavioral Health Infographic (October 2023)
- Adult Behavioral Health Infographic (October 2023)
Releases & Announcements
- 2021 Report to Congress: Efforts to Improve the Quality of Health Care for Children and Adults Enrolled in Medicaid and CHIP
- Federal Financial Participation for Managed Care External Quality Review
- The State of Children’s Health Care Quality in Medicaid and CHIP: State Strategies to Promote Reporting and Performance (03/2016)
- 2015 Secretary's Annual Report on the Quality of Care for Children in Medicaid and CHIP (02/2016)
- 2015 Secretary's Annual Report on the Quality of Care for Adults in Medicaid (02/2016)
- Integrating Oral Health into Primary Care: Maine