HHS Publishes New Medicaid Quality Measures
February 1, 2011 – HHS has released a set of 26 quality measures that will eventually be used to determine the quality of care that adult Medicaid patients are receiving in each state. The measures are part of the Affordable Care Act (ACA) which mandated a Medicaid Quality Management Program be established to fund development, testing, and validation of emerging and innovative evidence-based measures.
The 26 quality measures fall into 6 categories:
- Prevention and health promotion
- Management of acute conditions
- Management of chronic conditions
- Family experiences of care
- Care coordination
- Availability of care
Over the next few years, CMS will phase in components of the Medicaid Adult Quality Measures Program that will further identify measurement gap areas and begin testing the collection of some of the initial core measures.
By September 2012, CMS will release technical specifications as a resource for States that seek to voluntarily collect and report the initial core set of health care quality measures for Medicaid-eligible adults.
By January 2013, CMS will issue guidance for submitting the initial core set to CMS in a standardized format eventually followed by HHS launching a Technical Assistance and Analytic Support Program to help States collect, report, and use the voluntary core set of adult measures.
For more information on this program, click below:
Medicaid Quality Management Program
Tags: Healthcare Reform
