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 146 - 150 of 200 results
Criteria for Using the Child and Adult Core Set Measures to Assess Trends in State Performance in Medicaid and CHIP, FFY 2018
Fact Sheet or TA Briefs, Quality Measure Guidance -
Summarizes the criteria CMS uses to assess trends in state performance and identifies which measures can be used to assess trends for the three-year period from FFY 2016 to FFY 2018, 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), 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), 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), Ambulatory Care: Emergency Department (ED) Visits (AMB-CH), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-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), Adult Body Mass Index Assessment (ABA-AD),
Search Terms
Maternal and Perinatal Health, 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
COVID-related guidance for State Directed Payments
Policy Guidance -
Provides guidance for states on the managed care regulation to implement payment arrangements that direct expenditures under Medicaid managed care contracts by temporarily modifying provider payment methodologies and capitation rates to address the impacts of the COVID-19 public health emergency.
Coverage of Lactation Services Issue Brief
Issue Brief -
Sets forth current levels of State Medicaid coverage for lactation services and explores how CMS can encourage and assist States in increasing access to such services.
Search Terms
Maternal and Perinatal Health
Contraceptive Care Services Option and New Benefit Rules for Benchmark Plans
Policy Guidance -
Provides guidance on section 2303 of ACA: State Eligibility Option for Family Planning Services, which establishes a new Medicaid eligibility group and the option for States to begin providing medical assistance for Contraceptive Care services and supplies to individuals eligible under this new group.
Search Terms
Maternal and Perinatal Health, Contraceptive Care
Contraceptive Care and Contraceptive Care Related Services Clarification (SMD 14-003)
Policy Guidance -
Provide clarification regarding the coverage of Contraceptive Care-related services provided to individuals eligible under the optional categorically needy state plan group created by section 2303 of the Affordable Care Act. Individuals who would qualify under this new Contraceptive Care eligibility group, if the state elects to offer it, are defined as individuals (men and women) who are: 1) not pregnant, and 2) whose income does not exceed the income eligibility level established by the state plan.
Search Terms
Maternal and Perinatal Health, Contraceptive Care
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