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 2017. 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
  FFY 2014 FFY 2015 FFY 2016 FFY 2017
Reporting Start Date (Targeted)  April 2017 April 2017 April 2017 TBA
Measurement Year (Generally, see Technical Specification for specifics) January 1, 2013 to December 31, 2013 January 1, 2014 to December 31, 2014 January 1, 2015 to December 31, 2015 January 1, 2016 to December 31, 2016
Technical Specifications Manual Health Home Core Set of Quality Measures: Technical Specifications and Resource Manual 2014 Health Home Core Set of Quality Measures: Technical Specifications and Resource Manual 2015 Health Home Core Set of Quality Measures: Technical Specifications and Resource Manual 2016 Health Home Core Set of Quality Measures: Technical Specifications and Resource Manual 2017
Summary of Changes Summary of Changes in FFY 2014 and 2015 Summary of Changes in FFY 2014 and 2015 Summary of Changes in FFY 2016 Summary of Changes in FFY 2017
Data Quality Checklist Data Quality Checklist for States 2014 Data Quality Checklist for States 2015 Data Quality Checklist for States 2016 Data Quality Checklist for States 2017
Core Set Measurement Period Table Health Home Core Set Measurement Period Table 2014 Health Home Core Set Measurement Period Table 2015 Health Home Core Set Measurement Period Table 2016 Health Home Core Set Measurement Period Table 2017

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

Per the Section 2703 legislative requirements, the health homes program was evaluated by a baseline report to Congress in 2014 and is undergoing an independent evaluation, which will be summarized in a report to Congress in 2017. 

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: