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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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Findings from 2017-2018 EQR Technical Reports
Data and Statistics - Presents summary tables abstracted from EQR technical reports. CMS requires that all states have final EQR technical reports available to CMS and the public by April 30 of each year. CMS reviews these reports and abstracts data related to Performance Measures and PIPs. This data is analyzed and aggregated into summary tables.
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
CMS Technical Assistance Webinar on Calculating the Substance Use Disorder (SUD) Measures in the Adult Core Set Technical Specifications Questions & Answers June 5, 2018
Fact Sheet or TA Briefs, Quality Measure Guidance - Contains answers to frequently asked questions from the webinar about the four SUD measures in the Adult Core Set: Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD), Concurrent Use of Opioids and Benzodiazepines (COB-AD), Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Follow-Up After Emergency Department Visit for Mental Illness or Alcohol and Other Drug Abuse or Dependence (FUA/FUM-AD)
Search Terms
Medication Management, Opioids, Hospitalizations and Readmissions
Webinar: Maternal Opioid Misuse (MOM) Model - Overview
Policy Guidance, Webinar - Features an overview on the Maternal Opioid Misuse (MOM) model.
Search Terms
Maternal and Perinatal Health, Birth Outcomes, Delivery Outcomes, Prenatal Care, Behavioral Health, Opioids, Substance Abuse or Dependence Treatment, Hospitalizations and Readmissions
Quality of Care for Children and Adults in Medicaid and CHIP: Overview of Findings from the 2017 Child and Adult Core Sets
Data and Statistics - Summarizes state progress in reporting the Child and Adult Core Set measures for federal fiscal year (FFY) 2017, including an overview of performance for measures reported by at least 25 states and which met CMS standards for data quality.
Performance on the Child Core Set Measures, FFY 2018
Data and Statistics, Quality Measure Guidance - Includes a downloadable folder containing tables displaying Child Core Set measures for FFY 2018 Child Core Set reporting. Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), Follow-Up After Hospitalization for Mental Illness: Ages 6–17 (FUH-CH), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP-CH), Asthma Medication Ratio: Ages 5–18 (AMR-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), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH), Contraceptive Care – Postpartum Women Ages 15–20 (CCP-CH), Contraceptive Care – All Women Ages 15–20 (CCW-CH), Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC-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), Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (W34-CH), Adolescent Well-Care Visits (AWC-CH)
Search Terms
Maternal and Perinatal Health, Prenatal Care, Primary Care Access and Preventative Care, Immunizations, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Care of Transitions and Follow-Up, Screenings and Follow-Up
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