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 2017 FFY 2018
Reporting Start Date (Targeted) February 13, 2018 September 2018
Measurement Year (Generally, see Technical Specification for specifics) January 1, 2016 to December 31, 2016 January 1, 2017 to December 31, 2017
Technical Specifications Manual Health Home Core Set of Quality Measures: Technical Specifications and Resource Manual 2017 Health Home Core Set of Quality Measures: Technical Specifications and Resource Manual 2018
Summary of Changes Summary of Changes in FFY 2017 Summary of Changes in FFY 2018
Data Quality Checklist Data Quality Checklist for States 2017 Data Quality Checklist for States 2018
Core Set Measurement Period Table Health Home Core Set Measurement Period Table 2017 Health Home Core Set Measurement Period Table 2018

Resources for Using MACPro

  • MACPro Portal –Describes the Medicaid and CHIP Program (MACPro) portal and functionality
  • Training and Help – Provides trainings, reference materials, and a Help Desk to assist MACPro users in learning the system.

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. State findings from their health home program reporting and evaluation activities are available at the links below.

Iowa:

Maine:

Maryland:

Missouri:

New York:

Ohio: