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Quality of Care

2021 Core Sets

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) Quality Strategy : better health, better care, lower cost through improvement. The CMS Quality Strategy is built on the foundation of the CMS Strategy and the HHS National Quality Strategy. Working with states and other partners to promote health equity eliminate disparities and improve health outcomes are key aspects of achieving these aims.

Medicaid and CHIP Beneficiary Profile and Infographic

The Medicaid and CHIP Beneficiary Profile and infographic provide an overview of the characteristics, health status, access, utilization, expenditures, and experience of care of beneficiaries served by Medicaid and CHIP. Two special populations are profiled in depth: People Dually Eligible for Medicare and Medicaid and Children with Special Health Care Needs.

•    2020 Medicaid and CHIP Beneficiary Profile (PDF, 3.99 MB) released 2021
•    2020 Infographic (PDF, 685.71 KB) released 2021 
•    Medicaid and CHIP Beneficiary Profile (PDF, 2.13 MB) released 2020
•    Infographic (PDF, 211.55 KB) released 2020

The Medicaid and CHIP Beneficiaries with Sickle Cell Disease (SCD) Report (PDF, 1.61 MB) provides national and state-level estimates for SCD among adults and children enrolled in Medicaid and CHIP, who are under age 76, and highlights various demographic, health, and healthcare utilization characteristics. The SCD Report includes national estimates on antibiotic prophylaxis in children with SCD who are enrolled in Medicaid and CHIP.  The Medicaid and CHIP Beneficiaries with Sickle Cell Disease (SCD) Infographic (PDF, 269.72 KB) includes selected information drawn from the SCD Report. 

Performance Measurement

Quality Improvement Initiatives