Annual Review of the Medicaid and CHIP Child and Adult Core Sets of Quality Measures

The Child and Adult Core Sets of quality measures for Medicaid and the Children’s Health Insurance Program (CHIP) are key indicators of the access to—and quality of—the health care Medicaid and CHIP beneficiaries receive. The Core Sets are important tools states can use to monitor and improve the quality of health care provided to Medicaid and CHIP beneficiaries.

Mathematica is supporting the Center for Medicaid and CHIP Services (CMCS) by convening the Child and Adult Core Set Annual Review Workgroup to review and strengthen the Child and Adult Core Sets.

This year’s review will focus on updates to the 2025 Child and Adult Core Sets. In order to support states’ efforts to meet the upcoming 2024 mandatory reporting requirements and to provide sufficient time for states to prepare, the Centers for Medicare & Medicaid Services (CMS) released both the 2023 and 2024 Child and Adult Core Health Care Quality Measurement Sets based on the recommendations of the 2023 Child and Adult Core Set Annual Review.

Materials from previous Child and Adult Core Set Annual Reviews can be located in the resources archive.

This information is about the Child and Adult Core Set Annual Review.

Go to Health Home Core Set Annual Review

Events

14
Dec

Orientation Meeting (Virtual)

 Location
Online
 
Date
December 14, 2022
 
Time
2:00 - 3:00 p.m. ET
 
 

This is the first meeting of the 2025 Child and Adult Core Set Annual Review Workgroup.

This year’s review will focus on updates to the 2025 Child and Adult Core Sets. In order to support states’ efforts to meet the upcoming 2024 mandatory reporting requirements and to provide sufficient time for states to prepare, the Centers for Medicare & Medicaid Services (CMS) released both the 2023 and 2024 Child and Adult Core Health Care Quality Measurement Sets based on the recommendations of the 2023 Child and Adult Core Set Annual Review.

This meeting will introduce the Workgroup members, review the outcomes of the 2023 Child and Adult Core Set Annual Review, provide an overview of the 2025 Core Set Review process, and prepare Workgroup members for the Call for Measures. This meeting is open to Workgroup members and the public. There will be opportunities for public comment during the meeting.

  • Agenda
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    4
    Apr

    Meeting to Prepare for the 2025 Review (Virtual)

     Location
    Online
     
    Date
    April 4, 2023
     
    Time
    2:00 - 3:00 p.m. ET
     
     

    This meeting will summarize the measures suggested by Workgroup members for addition to or removal from the 2025 Child and Adult Core Sets, provide an overview of materials available to Workgroup members for reviewing the measures, and describe the format of the Meeting to Review Measures for the 2025 Child and Adult Core Sets. This meeting is open to Workgroup members and the public. There will be opportunities for public comment during the meeting.

    Register
     
    25
    -
    27
    Apr

    Meeting to Review Measures for the 2025 Child and Adult Core Sets (Virtual)

     Location
    Online
     
    Date
    April 25-27, 2023
     
    Time
    11:00 a.m. - 5:00 p.m. ET
     
     

    In this multi-day meeting, the Workgroup will make recommendations for strengthening the Child and Adult Core Sets. Workgroup members will discuss and vote on the measures suggested for addition to or removal from the Core Sets and identify gap areas in the Core Sets. This meeting is open to Workgroup members and the public. There will be opportunities for public comment throughout the meeting.

    Register for Day 1

    Register for Day 2

    Register for Day 3
     

    2025 Resources

    Meeting resources will be posted as they are available.
    2025 Resources
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    Resources Archive

    Meeting resources from previous years are archived below.
    2023 Resources
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    Core Set History Table

    December 14, 2021
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    2022 Resources
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    Core Set History Table

    April 01, 2021
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    2021 Resources
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    2020 Resources
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