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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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FFY 2014 Adult Health Quality Measures Dataset
Data and Statistics - Contains both child and adult measures. Source: Mathematica analysis of FFY 2014 Child and Adult CARTS reports as of May 8, 2015, as published in the 2015 Secretary's Reports on the Quality of Care in Medicaid/CHIP, Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Antidepressant Medication Management (AMM-AD), Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD), Controlling High Blood Pressure (CBP-AD), Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) (HPC-AD), PQI 01: Diabetes Short-Term Complications Admission Rate (PQI01-AD), PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate (PQI05-AD), PQI 08: Heart Failure Admission Rate (PQI08-AD), PQI 15: Asthma in Younger Adults Admission Rate (PQI15-AD), Plan All-Cause Readmissions (PCR-AD), PC-01: Elective Delivery (PC01-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Cervical Cancer Screening (CCS-AD), 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), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD).
Search Terms
Maternal and Perinatal Health, Birth Outcomes, Contraceptive Care, Delivery Outcomes, Postpartum Care, Primary Care Access and Preventative Care, Adult Screenings, Immunizations, STI Screening, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Multiple Complex Conditions, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Cardiovascular Disease, Diabetes, HIV Care, Hospitalizations and Readmissions
First Annual Reporting on the Quality of Care for Children in Medicaid and CHIP
Policy Guidance - Summarizes State-specific and national information on the quality of health care furnished to children under titles XIX (Medicaid) and XXI (CHIP) of the Act. It also provides information on current State reporting of quality measures, Well-Child Visits in the First 15 Months of Life (W15-CH), Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (W34-CH).
Search Terms
Experience of Care, Primary Care Access and Preventative Care, Well-Child Visits, Dental and Oral Health Services, Asthma And/or COPD
Issue Brief: Nonresponse Bias Analysis: Findings from the 2014-2015 Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems
Data and Statistics, Issue Brief, State experiences - Analyzes differences between the 2014-2015 Nationwide Adult Medicaid CAHPS (NAM CAHPS) survey respondents, the targeted population for this survey, and the Medicaid population in general.
Medicaid Director Letter #11-007, "New Medicaid Tobacco Cessation Services
Policy Guidance - Medical Assistance With Smoking and Tobacco Use Cessation (MSC-AD), 
Search Terms
Behavioral Health, Tobacco Use Treatment
NAM CAHPS Public Use Files
Template or Toolkit - Contains a codebook for the Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems (NAM CAHPS) Data Repository.
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