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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 EQR Reports Submitted During the 2012-2013 Reporting Cycle 
Data and Statistics, State experiences - Includes EQR tables, graphs, and reports describing performance measures and PIPs for Medicaid managed care plans regarding care provided to children and pregnant women, by state, Asthma Medication Ratio: Ages 5–18 (AMR-CH), PQI 15: Asthma in Younger Adults Admission Rate (PQI15-AD), HIV Viral Load Suppression (HVL-AD), 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, PC-01: Elective Delivery (PC01-AD), PC-02: Cesarean Birth (PC02-CH),Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), 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), 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).


  1. Directory (zip file will download to your drive): Fi…
Search Terms
Maternal and Perinatal Health, Birth Outcomes, Contraceptive Care, Delivery Outcomes, Postpartum Care, Prenatal Care, Experience of Care, Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Immunizations, STI Screening, Weight Assessment and Counseling, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Medication Management, Multiple Complex Conditions, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment, Ambulatory Care, Asthma And/or COPD, Diabetes, HIV Care, Hospitalizations and Readmissions
Medicaid Oral Health Performance Improvement Projects: A How-To-Manual for States
Template or Toolkit - Supports states’ efforts to use available data to identify and address gaps and variations in use of oral health care in their Medicaid and CHIP programs, based on a model of continuous Quality improvement (QI). This Toolkit describes a six-step process that states can use to analyze their data on oral health care access, and then design, implement, and evaluate targeted QI efforts, Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH)


  1. Resource: Medicaid Oral Health Performance Improveme…
Search Terms
Dental and Oral Health Services
Contraceptive Care and Contraceptive Care Related Services Clarification (SMD 14-003)
Policy Guidance - Provide clarification regarding the coverage of Contraceptive Care-related services provided to individuals eligible under the optional categorically needy state plan group created by section 2303 of the Affordable Care Act. Individuals who would qualify under this new Contraceptive Care eligibility group, if the state elects to offer it, are defined as individuals (men and women) who are: 1) not pregnant, and 2) whose income does not exceed the income eligibility level established by the state plan.


  1. Resource: Contraceptive Care and Contraceptive Care …
Search Terms
Maternal and Perinatal Health, Contraceptive Care
Frequently Asked Questions (FAQs) Medicaid Contraceptive Care Services and Supplies
Data and Statistics - Provides archived materials from an in-person training curriculum for state partners on data linkage and use of state Vital Records, Medicaid claims and Title V data to facilitate collection of relevant Medicaid quality measures. 


  1. Resource: Frequently Asked Questions (FAQs) Medicaid…
Search Terms
IB: Update on CMS Oral Health Initiative and Other Oral Health Related Items
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance - Provides an update on the CMS Oral Health Initiative, describes an array of CMS resources available to support states in their efforts to improve the delivery of
dental and oral health services in Medicaid and CHIP, discusses how CMS policy supports dental workforce innovations, addresses the use of oral health quality measures to encourage improvement and track progress, and encourages states to adopt the use of three new risk-based dental billing codes to improve care and the use resources, Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH), 


  1. Resource: IB: Update on CMS Oral Health Initiative a…
Search Terms
Dental and Oral Health Services
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