CMS Finalizes Rules for Core Set Quality Reporting

States will now be required to report health quality measures for Medicaid beneficiaries including children’s health, adult behavioral health and health home data to the Centers for Medicare and Medicaid Services (CMS).

The Core Set of Children’s Health Care Quality Measures for Medicaid and the Children’s Health Insurance Program (CHIP), will include measures that will determine how Medicaid and CHIP deliver care. Inside Health Policy reports that another requirement will apply to states that establish “health homes.” which are meant for at-risk beneficiaries to receive coordinated care.

From CMS Administrator Chiquita Brooks LaSure, via a CMS press release:

The Medicaid and CHIP Core Sets of quality measures for children, adults and health home services are key to promoting health equity. They will allow us not only to identify health disparities but also to implement interventions based on the very data that make those disparities clear.

The final rule can be read in full at the Federal Register.