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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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Reducing Early Childhood Tooth Decay: Leading Steps for State Policymakers
Issue Brief - Summarizes some of the strategies that Medicaid and CHIP program managers can use to prevent and manage early childhood caries.
Search Terms
Dental and Oral Health Services
Performance on the Child Core Set Measures, FFY 2015
Data and Statistics, Quality Measure Guidance - Includes a downloadable folder containing tables displaying Child Core Set measures for FFY 2015 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), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-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), 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, Medication Management, Screenings and Follow-Up
2015 Annual Reporting on the Quality of Care for Adults in Medicaid
Data and Statistics, Quality Measure Guidance - Presents findings on voluntary state reporting of the Adult Core Set measures for FFY 2014, and summarizes information on managed care quality measurement and improvement reported in the EQR technical reports submitted to CMS by states during the 2014–2015 reporting cycle. Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), 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
Postpartum Care, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment
The State of Children’s Health Care Quality in Medicaid and CHIP: Who Are the Higher-Performing States?
Data and Statistics, Quality Measure Guidance - Highlights state performance on the 15 Child Core Set measures reported by at least 25 states for FFY 2013. It assesses state performance overall and in three domains: Perinatal and Infant Care, Well Child Care, and Adolescent Well Care. Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), Screening for Depression and Follow-Up Plan: Ages 12 to 17(CDF-CH), Follow-Up After Hospitalization for Mental Illness: Ages 6–17 (FUH-CH),
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-CH)*, Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP-CH), Asthma Medication Ratio: Ages 5–18 (AMR-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), PC-02: Cesarean Birth (PC02-CH),
Audiological Diagnosis No Later Than 3 Months of Age (AUD-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), Asthma Medication Ratio: Ages 5–18 (AMR-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), Screening for Depression and Follow-Up Plan: Ages 12–17 (CDF-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, Contraceptive Care, Prenatal Care, Primary Care Access and Preventative Care, Childhood Screenings, Immunizations, STI Screening, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Care of Transitions and Follow-Up, Screenings and Follow-Up, Care of Acute and Chronic Conditions, Asthma And/or COPD
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