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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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FFY 2014 Adult Health Quality Measures Dataset
Data and Statistics - Contains both child and adult measures. Source: Mathematica analysis of FFY 2014 Child and Adult CARTS reports as of May 8, 2015, as published in the 2015 Secretary's Reports on the Quality of Care in Medicaid/CHIP, Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-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), Use of Opioids at High Dosage in Persons Without Cancer (OHD-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), PC-01: Elective Delivery (PC01-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Cervical Cancer Screening (CCS-AD), Chlamydia Screening in Women Ages 21–24 (CHL-AD), Flu Vaccinations for Adults Ages 18 to 64 (FVA-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, Birth Outcomes, Contraceptive Care, Delivery Outcomes, Postpartum Care, Primary Care Access and Preventative Care, Adult Screenings, Immunizations, STI Screening, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, 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
Overview of Child and Adult Core Set Reporting for FFY 2016
Fact Sheet or TA Briefs - Summarizes state progress in reporting the Child and Adult Core Set measures for FFY 2016, including an overview of performance for measures reported by at least 25 states and which meet internal standards for quality, Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD-AD), Controlling High Blood Pressure (CBP-AD), PQI 01: Diabetes Short-Term Complications Admission Rate (PQI01-AD), PQI 08: Heart Failure Admission Rate (PQI08-AD), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Chlamydia Screening in Women Ages 16–20 (CHL-CH), 
Search Terms
Dental and Oral Health Services, Behavioral Health, Care of Acute and Chronic Conditions, Diabetes
Performance on the Adult Core Set Measures, FFY 2017
Data and Statistics, Quality Measure Guidance -

Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Antidepressant Medication Management (AMM-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), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-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), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH), Chlamydia Screening in Women Ages 16–20 (CHL-CH), Cervical Cancer Screening (CCS-AD), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD).

Search Terms
Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, Screenings and Follow-Up, Substance Abuse or Dependence Treatment
2016 Adult Core Set Chart Pack, FFY 2015
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance - Summarizes state reporting on the quality of health care furnished to adults covered by Medicaid during FFY 2015, which generally covers care delivered in calendar year 2014. The Chart Pack includes detailed analysis of state performance on 12 publicly reported measures, 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), 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),PC-01: Elective Delivery (PC01-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Cervical Cancer Screening (CCS-AD), Chlamydia Screening in Women Ages 21–24 (CHL-AD),Flu Vaccinations for Adults Ages 18 to 64 (FVA-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, Birth Outcomes, Contraceptive Care, Delivery Outcomes, Postpartum Care, Primary Care Access and Preventative Care, Adult Screenings, Immunizations, STI Screening, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, 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
2016 Child Core Set Chart Pack, FFY 2015
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 2015, which generally covers care delivered in calendar year 2014. The Chart Pack includes detailed analysis of state performance on 19 publicly reported measures, 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), 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), Experience of Care Core Set Measures, Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-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, Birth Outcomes, Delivery Outcomes, Prenatal Care, Experience of Care, Primary Care Access and Preventative Care, Childhood Screenings, Immunizations, STI Screening, Well-Child Visits, Dental and Oral Health Services, 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, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Hospitalizations and Readmissions
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