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Medicaid and CHIP Quality Resource Library

The Center for Medicaid and CHIP Services (CMCS) partners with states to share best practices and provide technical assistance to improve the quality of care for our beneficiaries. Type in a key search term to see what resources are available, or use the filters below to search and browse our quality improvement resources by Medicaid and CHIP Core Set domain and other fields.

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Medicaid Director Letter #11-007, "New Medicaid Tobacco Cessation Services
Policy Guidance - Medical Assistance With Smoking and Tobacco Use Cessation (MSC-AD), 
Search Terms
Behavioral Health, Tobacco Use Treatment
2020 Behavioral Health Core Set
Quality Measure Guidance - Lists the Core set of 18 behavioral health measures identified by CMS for voluntary reporting by state Medicaid and CHIP agencies. Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Medical Assistance With Smoking and Tobacco Use Cessation (MSC-AD), Antidepressant Medication Management (AMM-AD), Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), Screening for Depression and Follow-Up Plan: Ages 12 to 17(CDF-CH), Follow-Up After Hospitalization for Mental Illness: Ages 6–17 (FUH-CH), Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD-AD), Diabetes Care for People with Serious Mental Illness: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPCMI-AD), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-CH)*, Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP-CH), Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD), Concurrent Use of Opioids and Benzodiazepines (COB-AD), Use of Pharmacotherapy for Opioid Use Disorder (OUD-AD)*, Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA-AD), Follow-Up After Emergency Department Visit for Mental Illness (FUM-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD)
Search Terms
Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment, Diabetes, Hospitalizations and Readmissions
COVID-related guidance for State Directed Payments
Policy Guidance - Provides guidance for states on the managed care regulation to implement payment arrangements that direct expenditures under Medicaid managed care contracts by temporarily modifying provider payment methodologies and capitation rates to address the impacts of the COVID-19 public health emergency. 
Medicaid coverage of tobacco cessation treatments - fact sheet
Data and Statistics, Fact Sheet or TA Briefs - Provides an overview of statewide Medicaid coverage of tobacco cessation and treatments.
Search Terms
Behavioral Health, Tobacco Use Treatment, Cardiovascular Disease
2020 Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP (Child Core Set)
Quality Measure Guidance - Presents the 2020 Child Core Set measures and describes the data collection method for each.
Search Terms
Maternal and Perinatal Health, Long Term Services and Supports, Experience of Care, Primary Care Access and Preventative Care, Dental and Oral Health Services, Behavioral Health, Care of Acute and Chronic Conditions
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