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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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NAM CAHPS Public Use Files
Template or Toolkit - Contains a codebook for the Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems (NAM CAHPS) Data Repository.
2015 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP
Data and Statistics, Quality Measure Guidance - Presents findings on the Child Core Set and summarizes information on managed care quality measurement and improvement efforts as reported in the (EQR) technical reports. The 2014 Child Core Set includes a range of 23 children’s quality measures encompassing physical, behavioral, and oral health. 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)
Search Terms
Prenatal Care, Immunizations, Weight Assessment and Counseling, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Ambulatory Care, Asthma And/or COPD
Understanding Composite Measures in the NAM CAHPS Survey
Data and Statistics, Issue Brief, Quality Measure Guidance - Explains the composite measures that were developed from the 2014-2015 NAM CAHPS survey. Experience of Care Core Set Measures 
 
Advancing Program Integrity for Medicaid Dental Programs: Federal, State, and Stakeholder Efforts
State experiences, Webinar - Presents on the processes and implications for audits of state Medicaid programs; how states can help educate providers to avoid audits and non-compliance; and how stakeholders may work with state Medicaid programs to improve program integrity. 
Check-up Fact Sheet – English
Template or Toolkit - Provides information on regular checkups, including how to schedule and prepare for a checkup.
Search Terms
Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Immunizations, Screenings and Follow-Up
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