The proposed rule would require mandatory annual state reporting for three quality measure sets:
- Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP
- the behavioral health measures on the core set of Adult Health Care Quality Measures for Medicaid
- Core Sets of Health Home Quality Measures for Medicaid
CMS said it is also establishing reporting requirements for states that implement one or both of the optional health home benefit programs. Health homes integrate and coordinate all primary, acute, behavioral health, and long-term services and supports for Medicaid beneficiaries with chronic conditions. Currently, 19 states and Washington, D.C., have at least one health home program.
Reporting will become mandatory in 2024 under the proposed rule. CMS said the mandatory reporting will help identify gaps and health disparities among the millions of people enrolled in these programs.
Comments on the proposed rule can be submitted to the Federal Register through Oct. 21.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 17–19 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
