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.
Results
Displaying 76 - 80 of 200 results
Improving Maternal and Infant Health Outcomes CMCS Crosswalk of Current Activities and Identified Potential Strategies
Template or Toolkit -
Summarizes identified strategies in relation to current and planned CMS improvement activities. It also indicates the various leads that are critical to maximizing the impact of the strategies to improve outcomes. The lead indicators are offered only as a guide and provide context for the level at which implementation of policy change and the execution of programs and/or incentives that will impact outcomes may take place.
Search Terms
Maternal and Perinatal Health, Contraceptive Care, Postpartum Care, Prenatal Care, Adult Screenings, Childhood Screenings, Well-Child Visits
CMS External Quality Review (EQR) Protocols
Fact Sheet or TA Briefs -
Presents the new protocol for conducting an External Quality Review to evaluate managed care plans. In 2020, the Centers for Medicare & Medicaid Services (CMS) is exploring new and innovative opportunities to leverage EQR organizations to ensure a more robust approach to optimizing managed care quality oversight. The protocols are one part of this larger strategy, Controlling High Blood Pressure (CBP-AD)
Search Terms
Care of Acute and Chronic Conditions, Cardiovascular Disease
Deriving Weighted Estimates and Calculating Standard Errors for States and Subpopulations for the NAM CAHPS Survey
Data and Statistics -
Provides an introduction to the survey weights developed for the 2014-2015 NAM CAHPS respondent-level data as well as instructions for researchers with permission to access the micro-data to derive estimates and calculate standard errors for states and subpopulations using the survey weights, Experience of Care Core Set Measures
Search Terms
Experience of Care
Dental and Oral Health Services in Medicaid and CHIP
Data and Statistics -
Provides state-specific findings on children’s use of dental services in Medicaid. It includes state-specific performance data for two Child Core Set measures: (1) Preventive Dental Services (PDENT-CH) and (2) Dental Treatment Services (TDENT-CH). This report also summarizes information on managed care quality monitoring and improvement efforts related to oral health care that were reported in states’ External Quality Review (EQR) technical reports, Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH),
Search Terms
Dental and Oral Health Services
Findings from 2017-2018 EQR Technical Reports
Data and Statistics -
Presents summary tables abstracted from EQR technical reports. CMS requires that all states have final EQR technical reports available to CMS and the public by April 30 of each year. CMS reviews these reports and abstracts data related to Performance Measures and PIPs. This data is analyzed and aggregated into summary tables.
Search Terms
Maternal and Perinatal Health, Long Term Services and Supports, Experience of Care, Primary Care Access and Preventative Care, Dental and Oral Health Services, Behavioral Health, Care of Acute and Chronic Conditions
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