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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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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. 
An Assessment of the Adult Medicaid Quality Grants
Policy Guidance - Presents the assessment overview for the Adult Medicaid Quality Grants, including the overall assessment goals and technical approach to the assessment.
2020 Behavioral Health Core Set
Quality Measure Guidance - Lists the Core set of 18 behavioral health measures identified by CMS for voluntary reporting by state Medicaid and CHIP agencies. Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Medical Assistance With Smoking and Tobacco Use Cessation (MSC-AD), Antidepressant Medication Management (AMM-AD), Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), 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), Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD-AD), Diabetes Care for People with Serious Mental Illness: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPCMI-AD), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-CH)*, Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP-CH), Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD), Concurrent Use of Opioids and Benzodiazepines (COB-AD), Use of Pharmacotherapy for Opioid Use Disorder (OUD-AD)*, Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA-AD), Follow-Up After Emergency Department Visit for Mental Illness (FUM-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD)
Search Terms
Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, 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, Tobacco Use Treatment, Diabetes, Hospitalizations and Readmissions
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
Check-up Fact Sheet – Spanish
Template or Toolkit - Provides information on regular checkups, including how to schedule and prepare for a checkup (in Spanish).
Search Terms
Primary Care Access and Preventative Care, Adult Screenings, Childhood Screenings, Immunizations, Screenings and Follow-Up
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