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:
EPSDT Dental Care Obesity Maternal & Child Health Home and Community-Based Services Vaccines | Performance Measurement |
2nd Annual CMS National Medicaid/CHIP Quality Conference: Improving Care and Proving It!
Baltimore, Maryland -- June 14-15, 2012
The second annual CMS Medicaid/CHIP Quality Conference: Improving Care and Proving It! was held on June 14-15, 2012 at the Sheraton Inner Harbor Hotel in Baltimore, MD. The Conference included breakout sessions on data collection and use, children's health care quality measurement, as well as preventive and oral health. The Conference also highlighted CMS priority initiatives and included State technical assistance and resources for Medicaid and CHIP quality measurement. Presentations and other conference materials will be available soon!
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:
- Better Care
- Healthy People/Healthy Communities
- Affordable Care
See the National Quality Strategy March 2011 Report to Congress.
Recent Reports to Congress
- Preventive and Obesity-Related Services Available to Medicaid Enrollees
- Improving Children's Health Care Quality in Medicaid and CHIP
- 2011 Annual Report on the Quality of Care for Children in Medicaid and CHIP
- Appendices to the 2011 Annual Report on the Quality of Care for Children in Medicaid and CHIP
Demonstration Grant for Testing Experience and Functional Assessment Tools (TEFT):
On August 24, 2012 the Centers for Medicaid and Medicaid Services (CMS) released a four year funding opportunity announcement to states and territories funded by Section 2701 of the Affordable Care Act. CMS will offer $45 million to ten qualified state applicants over four years. The grant program, known and TEFT (Demonstration Grant for Testing Experience and Functional Assessment Tools (TEFT) in Community-Based Long Term Services and Supports) is designed to test quality measurement tools and demonstrate e-health in Medicaid long term services and supports. The TEFT initiative also includes contracts for technical assistance and evaluation, and two Interagency Agreements with the Department of Defense and the Office of the National Coordinator. For more information on TEFT, and to see the grant solicitation, go to the following link
Second Applicant Teleconference:
When: September 25, 2012
Time: 2:00PM - 3:00 PM EST
Phone: 1-877-267-1577 Meeting ID: 9144