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State Use of Behavioral Health Performance Measures in Medicaid ...


State Use of Behavioral Health Performance Measures in Medicaid ...

NASHP scanned state Medicaid managed care programs to identify which behavioral health clinical and utilization performance measures they were using.

State Approaches to Behavioral Health Measures in Medicaid ...

Managed care plans deliver behavioral health services to millions of Medicaid beneficiaries. Performance measurement is a key pillar of state oversight of these ...

2023 Core Set of Behavioral Health Measures for Medicaid and ...

health measures for voluntary reporting by state Medicaid and CHIP agencies. ... measures that CMS uses to promote health care quality and quality ...

How do States Deliver, Administer, and Integrate Behavioral Health ...

Behavioral health conditions, including mental health and substance use disorders, are particularly prevalent among Medicaid enrollees, with ...

Adult Health Care Quality Measures | Medicaid

Beginning in 2024, reporting on the behavioral health measures on the Adult Core Set is mandatory for states. The Adult Core set will continue to be updated ...

Medicaid Managed Care Performance Measures – MMHPI

The use of performance measures that address physical and behavioral health ... states and/or managed care organizations (MCOs) select several performance ...

Quality Measures for Behavior Health Clinics - SAMHSA

encompassing the state's Medicaid program or health plans ... The PEC measure uses states' existing annual completion and submission of the Mental.

List of State Performance Measures - Title V Maternal and Child Health

Illinois, SPM 2, Percent of CSHCN whose family was a partner in decision-making for child's care, Active ; Illinois, SPM 3, Percent of children with unmet mental ...

Quality measures used in Medicaid and CHIP - MACPAC

Sources of quality of care data in state Medicaid programs include for example the core set measures, the Consumer Assessment of Healthcare Providers and ...

CMS Behavioral Health Strategy

The CMS Behavioral Health Strategy focuses on three key areas: 1) substance use disorders prevention, treatment and recovery services, 2) ensuring effective ...

Implementing Multistate Behavioral Health Pay-for-Performance ...

The authors describe a pay-for-performance initiative targeting behavioral health providers, which was introduced by a large Medicaid ...

Use of quality measures for Medicaid behavioral health services by ...

State Medicaid agencies are using nationally recognized as well as local measures to assess quality of behavioral health care.

Quality-Measurement-for-HCBS-and-Behavioral-Health-in-Medicaid ...

There is consistency across states in the most commonly used behavioral health measures, and core measure sets and required reporting for federal initiatives ...

Use of Quality Measures for Medicaid Behavioral Health Services by ...

Information was publicly available for 29 states. Most states relied on process measures, along with some structure and outcome measures.

State Delivery System and Payment Strategies Aimed at Improving ...

States' focus on behavioral health metrics is not surprising given that Medicaid is the single largest payer of behavioral health services ...

STATE STRATEGIES TO OPTIMIZE MEDICAID | Make Health Whole

requiring behavioral health quality metrics to be reported and tying ... Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014.

Access, Utilization, and Quality of Behavioral Health Integration in ...

... measures of health services use, quality, and health-related outcomes. ... behavioral and physical health care in Washington State's Medicaid ...

CMS Releases Proposed Rule to Improve Medicaid & CHIP Quality ...

... performance at the state level, and improve the quality of health care. “The Medicaid and CHIP Core Sets of quality measures for children ...

Mental Health Quality Measures

The lack of reliable and useful quality measures for mental and behavioral health services has been frequently cited by State policymakers. This section tries ...

Quality Measures at the Interface of Behavioral Health and Primary ...

As behavioral health care moves towards integration of services with primary care, specific measures and payment incentives will be needed to successfully ...