CMS Releases First-Ever Home- and Community-Based Services Quality Measure Set
Last week, the Centers for Medicare & Medicaid Services (CMS) released the first-ever home and community-Based Services (HCBS) quality measure set to promote consistent quality measurement within and across state Medicaid HCBS programs. The measure set is intended to provide insight into the quality of HCBS programs and enable states to measure and improve health outcomes for people relying on long-term services and support (LTSS) in Medicaid. The release of this voluntary measure set is also a critical step to promoting health equity among the millions of older adults and people with disabilities who need LTSS because of disabling conditions and chronic illnesses.
Nationally, over 7 million people receive HCBS under Medicaid, and Medicaid-funded HCBS accounts for $125 billion annually in state and federal spending. Implementation of the HCBS quality measure set will create opportunities for CMS and states to promote more consistent use, within and across states, of nationally standardized quality measures in HCBS programs to promote health equity and reduce disparities in health outcomes among this population.
The HCBS quality measure set is included in a State Medicaid Director Letter (SMDL) that also describes the purpose of the measure set, the measure selection criteria, and considerations for implementation. CMS strongly encourages states to use this information to assess and improve quality and outcomes in their HCBS programs. CMS expects to update the measure set in the future, including adding newly developed measures that address measure gaps, as the field of HCBS measure development advances.
Medicaid is a key part of the administration’s ongoing effort to provide high-quality, affordable, and accessible health care to all Americans. The HCBS quality measure set is one piece of a larger Medicaid quality strategy. CMS is committed to supporting states as they measure quality, close quality gaps, and drive high-quality outcomes across their Medicaid programs. CMS will continue to work with states, providers, health plans, and community partners to ensure people in all communities receive high-quality Medicaid coverage.