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Health Home Quality Reporting

Health Home Quality Measure Reporting and Evaluation Activities

A goal of Medicaid health home programs is to improve health outcomes for beneficiaries with chronic conditions through coordinated care provided by an interdisciplinary team linking primary, behavioral health, and long term services and supports. The Centers for Medicare & Medicaid Services (CMS) established a core set of health home quality measures that states will report through the MACPro system according to the schedule below. These quality and utilization measures will be used for ongoing monitoring and evaluation purposes across all state health home programs and the results will be reported to Congress. In addition to the core measures, CMS expects that states will report specific goals and measures identified by their individual programs.

  • For technical assistance related to calculating, reporting, or using the health home quality measures, submit your questions to the TA Mailbox at MACQualityTA@cms.hhs.gov
  • For assistance with using MACPro, contact the MACPro Helpdesk at MACPro_Helpdesk@cms.hhs.gov.

General Resources for Reporting Health Home Quality Measures

Resources Specific to the Reporting Year for Health Home Quality Measures
Resource FFY 2021
Reporting Start Date (Targeted) September 2021
Measurement Year (Generally, see Technical Specification for specifics) January 1, 2020 to December 31, 2020
Technical Specifications Manual Health Home Core Set of Quality Measures: Technical Specifications and Resource Manual 2021 (PDF, 642.64 KB)
Summary of Updates Summary of Updates in FFY 2021 (PDF, 34.73 KB)
Data Quality Checklist Data Quality Checklist for States 2021 (PDF, 793.61 KB)
Core Set Measurement Period Table Health Home Core Set Measurement Period Table 2021 (PDF, 210.66 KB)

Resources for Using MACPro

Annual Reporting on the Quality of Health Care for Medicaid Health Home Enrollees

Resources from Federal Evaluation Activities

Resources from State Reporting and Evaluation Activities

States have begun to publish findings from their own health home program evaluations. View state findings from their health home program reporting and evaluation activities.






New York: