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
Medicaid Oral Health Performance Improvement Projects: How To Manuals and A Template
Quality Measure Guidance, Template or Toolkit -
A Template and two how-to manuals intended to support state and health plan implementation of an oral health performance improvement project (PIP) in Medicaid. Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH)
Search Terms
Dental and Oral Health Services
Technical Assistance to Support Adult, Child, and Health Home Core Set Reporting for FFY 2019 – May 21, 2019
Template or Toolkit, Webinar -
Reviews major changes to the 2019 Child and Adult Core; sets and technical specifications; preview FFY 2019 data quality priorities; discuss technical assistance resources available to states and upcoming technical assistance webinars. Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), 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), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-CH)*, Use of Opioids at High Dosage in Persons Without Cancer (OHD-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), 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),
HIV Viral Load Suppression (HVL-AD), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – Postpartum Women Ages 21–44 (CCP-AD), Contraceptive Care – All Women Ages 15–20 (CCW-CH), Contraceptive Care – All Women Ages 21–44 (CCW-AD), Breast Cancer Screening (BCS-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), 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),
HIV Viral Load Suppression (HVL-AD), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – Postpartum Women Ages 21–44 (CCP-AD), Contraceptive Care – All Women Ages 15–20 (CCW-CH), Contraceptive Care – All Women Ages 21–44 (CCW-AD), Breast Cancer Screening (BCS-AD)
Search Terms
Adult Screenings, Childhood Screenings, Weight Assessment and Counseling, Dental and Oral Health Services, Antipsychotic Drugs, Opioids, Screenings and Follow-Up, HIV Care
Person-Reported Outcome Measures for Home and Community-Based Services
Issue Brief, Quality Measure Guidance -
Describes recent advances in person reported outcome measures for Medicaid HCBS beneficiaries. It focuses on three outcomes of particular importance to these individuals: (1) choice and decision making, (2) community participation, and (3) experience of care.
Search Terms
Long Term Services and Supports, Experience of Care
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
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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