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State Readiness to Report Mandatory Core Set Measures

Beginning in FY 2024, states will be required to report on the core set of quality measures for children enrolled in Medicaid and CHIP and the core set of behavioral health measures for adults enrolled in Medicaid.

Chapter 2 begins with an overview of the Child and Adult Core Sets and continues with a look at the current state of Child and Adult Core Set reporting, including annual timelines, funding, technical assistance, and other resources that the Centers for Medicare & Medicaid Services (CMS) has provided to states to assist with reporting, and how states use the core measures to inform quality improvement efforts. The chapter concludes with findings from interviews with states, CMS, and other stakeholders that highlight a number of challenges for states in reporting related to administrative capacity and the availability and timeliness of performance data. The Commission finds that although states and CMS have time to address these challenges, it is not too soon to begin providing resources and sustained attention to reporting efforts now.

From: March 2020 Report to Congress on Medicaid and CHIP