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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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2013 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP
Fact Sheet or TA Briefs, Quality Measure Guidance - Shows the progress made by CMS and states to systematically measure and report on the quality of care children receive in Medicaid/CHIP. 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, Asthma And/or COPD
2014 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance - Shows the continued progress made by HHS and states in building a national, cross-state quality measurement and reporting system for children’s health care in Medicaid and CHIP. 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
Medication Management, Screenings and Follow-Up, Care of Acute and Chronic Conditions, Ambulatory Care, Asthma And/or COPD, Dental and Oral Health Services, Prenatal Care, Childhood Screenings, Immunizations, Weight Assessment and Counseling, Well-Child Visits
2014 Annual Reporting on the Quality of Health Care for Adults Enrolled in Medicaid
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance, State experiences - Discusses the status of quality measurement and reporting efforts using the Medicaid Adult Core Set and summarizes information on managed care performance measures and performance improvement projects (PIPs) reported in external quality review (EQR) technical reports submitted to CMS by states. Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Chlamydia Screening in Women Ages 16–20 (CHL-CH), Cervical Cancer Screening (CCS-AD), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD)
Search Terms
Maternal and Perinatal Health, Postpartum Care, Primary Care Access and Preventative Care, Adult Screenings, STI Screening, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment
2015 Adult Core Set Chart Pack (FFY 2014)
Data and Statistics, Fact Sheet or TA Briefs, Quality Measure Guidance - Summarizes state reporting for FFY 2014, including detailed analysis of state performance on 10 measures and 26 measures that address key aspects of health care access and quality for adults enrolled in Medicaid. Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD),
Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Chlamydia Screening in Women Ages 16–20 (CHL-CH), Cervical Cancer Screening (CCS-AD), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD)
 
Search Terms
Maternal and Perinatal Health, Postpartum Care, Primary Care Access and Preventative Care, Adult Screenings, STI Screening, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment, Care of Acute and Chronic Conditions
2015 Annual Reporting on the Quality of Care for Adults in Medicaid
Data and Statistics, Quality Measure Guidance - Presents findings on voluntary state reporting of the Adult Core Set measures for FFY 2014, and summarizes information on managed care quality measurement and improvement reported in the EQR technical reports submitted to CMS by states during the 2014–2015 reporting cycle. Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET-AD), Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD), Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA-AD), Prenatal and Postpartum Care: Postpartum Care (PPC-AD), Chlamydia Screening in Women Ages 16–20 (CHL-CH), Cervical Cancer Screening (CCS-AD), Breast Cancer Screening (BCS-AD), Adult Body Mass Index Assessment (ABA-AD)
 
Search Terms
Postpartum Care, Behavioral Health, Antipsychotic Drugs, Care of Transitions and Follow-Up, Medication Management, Screenings and Follow-Up, Substance Abuse or Dependence Treatment, Tobacco Use Treatment
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