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CMS defines quality as - The right care for every person every time. CMS is responsible for supporting State Medicaid and SCHIP programs in their efforts to achieve safe, effective, efficient, patient-centered, timely and equitable care. CMS will partner with States to share best practices, provide technical assistance to improve performance measurement, evaluate current improvement efforts to inform future activities, collaborate with quality partners and coordinate Center activities to ensure efficiency of operations. Please click on the link below to view the strategy in its entirety.

CMS recently developed a Medicaid/SCHIP Quality Strategy. Key strategies include: (1) Evidenced-Based Care and Quality Measurement (2) Payment Aligned with Quality (3) Health Information Technology (4) Partnerships (5) Information Dissemination, Technical Assistance, and sharing of best practices. Please click on the link below to view the Medicaid and SCHIP Quality Strategy in its entirety.

Evidenced-Based Care and Quality Measurement

CMS supports states in their efforts to improve performance measurement and ultimately the quality of care through the use of evidence-based measure sets that have wide acceptability in the healthcare industry.

Payment Aligned with Quality

Quality based purchasing, also known as pay-for-performance (P4P), is a quality improvement and reimbursement methodology which is aimed at moving towards payments that create much stronger financial support for patient focused, high value care. Pay-for-performance attempts to promote reimbursement for quality, access efficiency, and successful outcomes. CMS supports states in their efforts to implement P4P programs.

Health Information Technology (HIT)

HHS currently has a 10-year plan to transform the delivery of health care by building a new health information infrastructure, including electronic health records and a new network to link health records nationwide. CMSO encourages states to explore creative uses of HIT in their Medicaid and SCHIP Programs.

Information Dissemination and Technical Assistance

Information dissemination, knowledge transfer, and technical assistance is extremely important in the Medicaid and SCHIP programs given that states enjoy wide flexibility in program implementation. CMS facilitates the sharing of model practices, lessons learned and innovative approaches to emerging issues through issues briefs, analysis of demonstration evaluations, participating in conferences and Web casts and other methods.

Feel free to submit questions about CMS Medicaid or SCHIP quality initiatives or to forward information that would support these efforts via our dedicated mailbox, MedicaidQuality@cms.hhs.gov.


Materials from organizations outside CMS do not necessarily reflect the views of CMS.


Medicaid & SCHIP Quality Strategy [PDF, 54 KB]
Related Links Inside CMS
CMS Quality of Care Center (Medicare Quality Initiatives)

Home and Community Based Services (Quality Toolkit, Quality Oversight, and National Quality Contractors)

Low Cost Health Insurance for Families & Children
Related Links Outside CMS
Joint Commission on Accreditation of Healthcare Organizations

Agency for Healthcare Research and Quality

National Committee for Quality Assurance

National Quality Forum

AQA Alliance

National Initiative for Children's Healthcare Quality

American Hospital Association Hospital Quality Alliance

Center for Health Care Strategies

Child and Adolescent Health Measurement Initiative


Page Last Modified: 11/24/2008 5:55:36 AM
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