Core Set of Child Health Care Quality Measures for Medicaid (Child Core Set), 2020
| Category |
Measure |
| Primary care access and preventive care |
- Weight assessment and counseling for nutrition and physical activity for children/adolescents (NQF#0024)
- Chlamydia screening in women ages 16–20 (NQF #0033)
- Childhood immunization status (NQF #0038)
- Screening for depression and follow-up plan: ages 12–17 (NQF #0418/0418e)
- Well-child visits in the first 15 months of life (NQF #1392)
- Immunizations for adolescents (NQF #1407)
- Developmental screening in the first three years of life
- Well-child visits in the third, fourth, fifth and sixth years of life (NQF #1516)
- Adolescent well-care visits
|
| Maternal and perinatal health |
- PC-02: Cesarean birth (NQF# 0471)
- Audiological diagnosis no later than 3 months of age (NQF# 1360)
- Live births weighing less than 2,500 grams (NQF #1382)
- Prenatal and postpartum care: timeliness of prenatal care
- Contraceptive care–postpartum women ages 15–20 (NQF #2902)
- Contraceptive care–all women ages 15–20 (NQF #2903/2904)
|
| Care of acute and chronic conditions |
- Asthma medication ratio: ages 5–18 (NQF #1800)
- Ambulatory care: emergency department (ED) visits
|
| Behavioral health |
- Follow-up care for children prescribed attention-deficit/hyperactivity disorder (ADHD) medication (NQF #0108)
- Follow-up after hospitalization for mental illness: ages 6–17 (NQF #0576)
- Metabolic monitoring for children and adolescents on antipsychotics (NQF #2800)
- Use of first-line psychosocial care for children and adolescents on antipsychotics (NQF #2801)
|
| Oral health |
- Dental sealants for 6–9 year-old children at elevated caries risk (NQF #2508)
- Percentage of eligibles who received preventive dental services
|
| Experience of care |
- Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey 5.0H—child version including Medicaid and children with chronic conditions supplemental items
|
Note: Measures that have received National Quality Forum (NQF) endorsement are indicated with the relevant number. NQF endorsement is not a prerequisite for inclusion in the child core set. This page was updated on April 10, 2020.
Source: Centers for Medicare & Medicaid Services. U.S. Department of Health and Human Services. 2020. 2020 core set of children’s health care quality measures for Medicaid and CHIP (child core set). https://www.medicaid.gov/medicaid/quality-of-care/downloads/performance-measurement/2020-child-core-set.pdf.
