Overview:

CMS seeks to stimulate the consideration of alternative approaches for improving the quality of health care and life for Medicaid beneficiaries and Child Health Insurance Program enrollees. This role is endorsed in the CMS Quality Roadmap, "A Quality Improvement Plan for CMS" and the Medicaid/Child Health Insurance Program (CHIP) strategic plan. (See the links below for these documents.)

A "promising practice" represents a State approach to meeting a challenge related to Medicaid/CHIP program operations, clinical practice, or functional level that serves to enhance quality of care and/or life and may be of interest to other States. For CMS to consider a nominated practice promising, the practice must:

- Be related to the improvement of quality of care and/or life for Medicaid and/or CHIP beneficiaries

- Address a significant problem in health status or functioning based on trends in mortality, morbidity, quality of life, utilization and/or costs

- Reflect an innovative approach to meeting a common problem

- Have been in operation for a sufficient period of time to demonstrate effectiveness (e.g., minimum 12 months)

- Have demonstrated success through tangible results (e.g., improvements in beneficiary physical or mental well-being, savings)

- Comply with Federal Medicaid statute and regulations and CMS policy direction

Nominations

Anyone wishing to nominate a practice for CMS consideration as a Medicaid/CHIP promising practice will be asked to furnish certain basic contact and descriptive information about the practice, as well as an explanation of how the practices meets the established criteria.

To nominate a practice, complete the form found under "Downloads." To submit a nomination or obtain additional information about this process, contact CMS at MedicaidQuality@cms.hhs.gov.

Profiles of Promising Practices

Profiles of those practices that CMS has determined to be promising can be found at the CMS link provided below. Designation of a particular practice as a promising is not meant to imply CMS endorsement of that practice.

Downloads
Promising Practices Nomination Form [PDF, 50 KB]
Related Links Inside CMS
A Quality Improvement Plan for CMS Home and Community Based Services Promising Practices Reports
Related Links Outside CMS
AHRQ Healthcare Innovations Exchange

Page Last Modified: 04/02/2009 6:28:47 AM
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