Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Information Required on a Public Website
Lists requirements for states and managed care plans to improve transparency by providing and maintaining specific content on a public website accessible to beneficiaries.
The State of Children’s Health Care Quality in Medicaid and CHIP: Who Are the Higher-Performing States?
Highlights state performance on the 15 Child Core Set measures reported by at least 25 states for FFY 2013. It assesses state performance overall and in three domains: Perinatal and Infant Care, Well Child Care, and Adolescent Well Care. Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH), 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),
The State of Children's Health Care Quality in Medicaid and CHIP: State Strategies to Promote Reporting and Performance
Summarizes strategies used and lessons learned in six "high performing" states to promote quality measure reporting and higher performance among their health plans.
Technical Assistance to Support Adult, Child, and Health Home Core Set Reporting for FFY 2019 – May 21, 2019
Reviews major changes to the 2019 Child and Adult Core; sets and technical specifications; preview FFY 2019 data quality priorities; discuss technical assistance resources available to states and upcoming technical assistance webinars. Screening for Depression and Follow-Up Plan: Age 18 and Older (CDF-AD), 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), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-CH)*, Use of Opioids at High Dosage in Persons Without Cancer (
The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Addresses questions regarding the ability of states to increase or add new pass-through payments under Medicaid managed care plan contracts and capitation rates, and to describe CMS’ plan for monitoring the transition of pass-through payments to approaches for provider payment under Medicaid managed care programs that are based on the delivery of services, utilization, and the outcomes and quality of the delivered services.
Performance on the Child Core Set Measures, FFY 2018
Includes a downloadable folder containing tables displaying Child Core Set measures for FFY 2018 Child Core Set reporting. 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), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP-CH), Asthma Medication Ratio: Ages 5–18 (AMR-CH), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH), L
Performance on the Child Core Set Measures, FFY 2017
Includes a downloadable folder containing tables displaying Child Core Set measures for FFY 2017 Child Core Set reporting. 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), Dental Sealants for 6–9 Year-Old Children at Elevated Caries Risk (SEAL-CH), Percentage of Eligibles Who Received Preventive Dental Services (PDENT-CH),
Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH),
Live Births Weighing Less Than 2,500 Grams (LBW-CH), Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH),
Medicaid and CHIP Managed Care Final Rule (CMS-2390-F) Frequently Asked Questions (FAQs)
Addresses common questions related to the Medicaid and CHIP Managed Care Final Rule (CMS-2390-F).