CMS on Aug. 18 proposed a rule that would require mandatory quality reporting for Medicaid and the Children’s Health Insurance Program (CHIP).
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.