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.
Results
Displaying 51 - 55 of 200 results
2019 Adult Core Set Chart Pack, FFY 2018
State experiences -
Summarizes state reporting on the quality of health care furnished to adults covered by Medicaid during FFY 2018, which generally covers care delivered in calendar year 2017. PC-01: Elective Delivery (PC01-AD)
Search Terms
Maternal and Perinatal Health, Delivery Outcomes, Behavioral Health, Care of Transitions and Follow-Up
Quality of Care for Children in Medicaid and CHIP: Findings from the 2018 Child Core Set
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance -
Summarizes state reporting on the quality of health care furnished to children covered by Medicaid and CHIP during FFY 2018, which generally covers care delivered in calendar year 2017. The Chart Pack includes detailed analysis of state performance on 23 publicly reported measures, Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), 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), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP-CH), Concurrent Use of Opioids and Benzodiazepines (COB-AD), Asthma Medication Ratio: Ages 5–18 (AMR-CH), Ambulatory Care: Emergency Department (ED) Visits (AMB-CH), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH), PC-02: Cesarean Birth (PC02-CH), Audiological Diagnosis No Later Than 3 Months of Age (AUD-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – All Women Ages 15–20 (CCW-CH), Asthma Medication Ratio: Ages 5–18 (AMR-CH), Chlamydia Screening in Women Ages 16–20 (CHL-CH), Childhood Immunization Status (CIS-CH), Well-Child Visits in the First 15 Months of Life (W15-CH), Immunizations for Adolescents (IMA-CH), Developmental Screening in the First Three Years of Life (DEV-CH), Adolescent Well-Care Visits (AWC-CH),
Search Terms
Maternal and Perinatal Health, Contraceptive Care, Postpartum Care, Prenatal Care, Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Immunizations, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Diabetes, Hospitalizations and Readmissions
Measures for Medicaid Managed Long Term Services and Supports Plans Technical Specifications and Resource Manual
Quality Measure Guidance -
Presents a technical guide regarding the development of quality measures for people receiving long-term services and supports (LTSS) through managed care organizations (MCOs) and prepaid inpatient health plans (PIHPs).
Search Terms
Long Term Services and Supports
Technical Assistance Webinar: Collecting and Using Stratified Data for Quality Improvement in Medicaid and CHIP
Webinar -
Highlights the importance of collecting and calculating stratified rates for quality improvement, present key resources featuring stratified data, introduce quality improvement opportunities, and provide guidance for reporting stratified Child and Adult Core Set data in MACPro. The webinar also featured two state's experiences (Louisiana and Michigan) reporting stratified rates and using these data for quality improvement.
Adult Health Quality Measures Dataset, FFY 2017
Data and Statistics -
Provides data on performance rates of frequently reported health care quality measures in the CMS Medicaid Adult Core Sets, for FFY 2017 reporting, 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), Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), 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), 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), Controlling High Blood Pressure (CBP-AD), Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPC-AD), PQI 01: Diabetes Short-Term Complications Admission Rate (PQI01-AD), PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05-AD), PQI 08: Heart Failure Admission Rate (PQI08-AD), PQI 15: Asthma in Younger Adults Admission Rate (PQI15-AD), Plan All-Cause Readmissions (PCR-AD), Asthma Medication Ratio: Ages 19–64 (AMR-AD), HIV Viral Load Suppression (HVL-AD), PC-01: Elective Delivery (PC01-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Contraceptive Care – Postpartum Women Ages 21–44 (CCP-AD), Contraceptive Care – All Women Ages 21–44 (CCW-AD), Cervical Cancer Screening (CCS-AD), Chlamydia Screening in Women Ages 21–24 (CHL-AD), Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD)
Search Terms
Maternal and Perinatal Health, Contraceptive Care, Postpartum Care, Prenatal Care, Primary Care Access and Preventative Care, Adult Screenings, Weight Assessment and Counseling, 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, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Cardiovascular Disease, Diabetes, HIV Care, Hospitalizations and Readmissions
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