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Quality of Care

Quality of Care

Medicaid and the Children’s Health Insurance Program (CHIP) seek to provide safe, effective, efficient, patient-centered, high quality and equitable care to all enrollees.  To achieve these goals, the Centers for Medicare and Medicaid Services (CMS) partners with states to share best practices and to provide technical assistance to improve the quality of care.  

Quality Initiatives

CMS has initiatives to improve the quality of care provided to Medicaid and CHIP enrollees in the following areas:

Dental Care
Maternal and Infant Health
Home and Community-Based Services
Performance Measurement
Health Disparities
Patient Safety
External Quality Review
State Quality Strategies
Annual CMS Medicaid/CHIP Quality Conference

National Quality Strategy

The National Quality Strategy, required by The Affordable Care Act of 2010, is a national plan to improve the delivery of health care services, patient health outcomes, and population health.

Three goals are used to guide and assess local, state, and national efforts to improve health and the health care delivery system:

  1. Better Care
  2. Healthy People/Healthy Communities
  3. Affordable Care

See the National Quality Strategy March 2011 Report to Congress.   

Events & Announcements

CMS is Hosting a Webinar on Medicaid Managed Care Quality for External Quality Review Organizations! -- February 20, 2013

“External Quality Review of Medicaid Managed Care: Building Partnerships for Meaningful Improvement”

The Centers for Medicare & Medicaid Services is pleased to announce a technical assistance webinar for EQROs on supporting State Medicaid and CHIP Managed Care Program quality improvement efforts through the External Quality Review process.  The purpose of this webinar is to review new technical assistance documents and CMS support available to EQROs to better serve as meaningful state partners in demonstrating improvement in state managed care programs.

The session, targeted to External Quality Review Organizations, will be held on Wednesday, February 20, 2013, from 3:00–4:30pm (ET), and will include time for questions and answers.  State representatives are welcome to attend.  Please see the agenda for additional information. To attend this webinar, please register here.  

Registrants are encouraged to submit questions related to Medicaid managed care quality oversight in advance of the webinar; to do so, please e-mail question(s) with the subject line: 2/20 EQRO Webinar Questions to truscil@chcs.org.

New Releases

2012 Annual Report on the Quality of Care for Children in Medicaid and CHIP