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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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2020 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Issue Brief, Policy Guidance, Quality Measure Guidance - Describes the 2020 updates to the Core Set of children’s health care quality measures for Medicaid and the Children’s Health Insurance Program (CHIP) (the Child Core Set) and the Core Set of health care quality measures for adults enrolled in Medicaid (the Adult Core Set), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-CH)*, Use of Pharmacotherapy for Opioid Use Disorder (OUD-AD)*, Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPC-AD), Long Term Services & Supports Core Set Measure , Weight Assessment and Counseling, Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC-CH).
Search Terms
Long Term Services and Supports, Primary Care Access and Preventative Care, Behavioral Health, Antipsychotic Drugs, Care of Acute and Chronic Conditions, Diabetes
Archived Child Core Set Measure Lists and Reporting Resources
Data and Statistics, Quality Measure Guidance - Contains a downloadable file of DQ checklists, measure lists, MP tables, and a summary of updates from 2013-2019, 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), 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), 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), Adolescent Well-Care Visits (AWC-CH), 
Search Terms
Maternal and Perinatal Health, Birth Outcomes, Delivery Outcomes, Prenatal Care, Primary Care Access and Preventative Care, Childhood Screenings, Immunizations, STI Screening, Well-Child Visits, Dental and Oral Health Services, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, Opioids, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Hospitalizations and Readmissions
Improving Postpartum Care: State Projects Conducted through the Postpartum Care Action Learning Series and Adult Medicaid Quality Grant Program
Issue Brief - Describes the Quality Improvement teams in 10 states, their aims, the interventions they tested, their results, and lessons learned. In addition, this fact sheet provides summaries of the postpartum care-related projects that four states undertook as Adult Medicaid Quality (AMQ) grantees. Prenatal and Postpartum Care: Postpartum Care (PPC-AD)
Search Terms
Maternal and Perinatal Health, Postpartum Care
Quality of Care for Children and Adults in Medicaid and CHIP: Overview of Findings from the 2018 Child and Adult Core Sets
Fact Sheet or TA Briefs - Summarizes state progress in reporting the Child and Adult Core Set measures for federal fiscal year (FFY) 2018, including an overview of performance for measures reported by at least 25 states and which met CMS standards for data quality.
 
HCBS: Person-Centered Assessments and Care Plans
Issue Brief, Policy Guidance - Describes recent advances in quality measurement of person-centered assessments and care plans for Medicaid HCBS beneficiaries. This brief focuses on process measures, which examine whether assessment and care planning are conducted in ways that are likely to result in positive outcomes.
Search Terms
Long Term Services and Supports
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