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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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CMCS Informational Bulletin on the Adult Health Care Quality Measures
Policy Guidance, Quality Measure Guidance - Updates states and other interested parties on the publication of the initial core set of adult health care quality measures and the availability of CMS’ Collaborative Application Lifecycle Management Tool (CALT).
Overview of the Child Core Set Measures, FFY 2012
Data and Statistics, Quality Measure Guidance - Includes a downloadable folder containing supplemental figures summarizing data for FFY 2012 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), 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), 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, 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, Screenings and Follow-Up, Ambulatory Care, Asthma And/or COPD
2012 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP
Quality Measure Guidance - Presents information on key activities CMS undertook to update information on the quality of care children receive in Medicaid/CHIP, including reviewing findings on the initial set of core children’s health care quality measures reported to CMS by the states and summarizing information on the quality measures and performance improvement projects reported in the External Quality Review Organization (EQRO) technical reports provided to CMS by states.
Search Terms
Prenatal Care, Immunizations, Weight Assessment and Counseling, Well-Child Visits, Dental and Oral Health Services, Ambulatory Care, Asthma And/or COPD
Info Bulletin: Quitline Claiming
Fact Sheet or TA Briefs - Provides information about the quitline policy announced in the June 24, 2011 State Medicaid Director Letter on tobacco cessation services.
Search Terms
Behavioral Health, Tobacco Use Treatment
2011 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP
Fact Sheet or TA Briefs, Policy Guidance, Quality Measure Guidance - Provides information on activities CMS undertook to update information on the quality of care children receive in Medicaid/CHIP, including reviewing the external quality review (EQR) technical reports for States, analyzing Federal fiscal year (FFY) 2010 data submitted to CMS for standardized reporting on the initial core set of children’s quality measures, reviewing data on the use of dental services by children in Medicaid/CHIP, and summarizing findings from a review of the literature published since 2005. 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, Ambulatory Care
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