Quality is the degree to which services and supports for individuals and populations increase the likelihood for desired health and quality of life outcomes and are consistent with current professional knowledge. Medicaid has a critical role to play in developing Quality Assurance and Quality Improvement (QA/QI) systems that effectively address the health and welfare of individuals who are elderly or have a disability or long-term illness. CMS is committed to assisting in the design and implementation of effective and enduring improvements in the quality management of Home and Community Based Services (HCBS). The goal is to maximize the quality of life, functional independence, health, and well being of the population. The aim of these pages is to (a) assist states in improving the overall quality of services provided to Medicaid recipients, (b) provide states with experience in Quality Assessment and Improvement systems, and (c) to help develop effective methods to utilize quality implementation and improvement strategies. Use the toolbar on the left to obtain additional information about quality and Home and Community-Based Services. Quality Tool Kit: In this section information and documents for download are available to assist with design and operation of QA/QI systems. Centers for Medicare & Medicaid Services Communications: During the initial stages of improving quality in HCBS programs, CMS disseminated pertinent information to states, such information is found in this section. National Quality Contractors: CMS employs the use of contractors to assist with the development and deployment of quality initiatives and the process to contact these contractors is located in this section. Quality Oversight: This section provides States and the general public pertinent, relevant and timely information on how CMS monitors and oversees the design, implementation and operation of HCBS waiver programs.
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