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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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2015 Child Core Set Chart Pack, FFY 2014 
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 2014, which generally covers care delivered in calendar year 2013. This Chart Pack includes detailed analysis of state performance on 19 measures. For a measure to be publicly reported, data must be provided to CMS by at least 25 states and meet internal standards for quality. 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), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-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), Chlamydia Screening in Women Ages 21–24 (CHL-AD)


  1. Resource: 2015 Child Core Set Chart Pack, FFY 2014 
Search Terms
Maternal and Perinatal Health, Prenatal Care, Primary Care Access and Preventative Care, Childhood Screenings, Immunizations, Weight Assessment and Counseling, Well-Child Visits, Dental and Oral Health Services, Medication Management, Screenings and Follow-Up, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD
Medicaid and CHIP Managed Care Final Rule (CMS-2390-F) Frequently Asked Questions (FAQs)
Policy Guidance - Addresses common questions related to the Medicaid and CHIP Managed Care Final Rule (CMS-2390-F).


  1. Resource: Medicaid and CHIP Managed Care Final Rule …
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The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Fact Sheet or TA Briefs, Policy Guidance - Addresses questions regarding the ability of states to increase or add new pass-through payments under Medicaid managed care plan contracts and capitation rates, and to describe CMS’ plan for monitoring the transition of pass-through payments to approaches for provider payment under Medicaid managed care programs that are based on the delivery of services, utilization, and the outcomes and quality of the delivered services.


  1. Resource: The Use of New or Increased Pass-Through P…
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The State of Children's Health Care Quality in Medicaid and CHIP: State Strategies to Promote Reporting and Performance
Fact Sheet or TA Briefs, State experiences - Summarizes strategies used and lessons learned in six "high performing" states to promote quality measure reporting and higher performance among their health plans.


  1. Resource: The State of Children's Health Care Qualit…
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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Information Required on a Public Website
Policy Guidance - Lists requirements for states and managed care plans to improve transparency by providing and maintaining specific content on a public website accessible to beneficiaries. 


  1. Resource: Medicaid and CHIP Managed Care Final Rule …
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