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Quality Measurement for Home and Community Based Services and Behavioral Health in Medicaid

The wide range of services provided to Medicaid beneficiaries with behavioral health needs or those who use home and community-based services (HCBS)—and their high prevalence of co-morbidities—make measuring the quality of care delivered to these complex populations difficult. Moreover, these measures are still evolving; they are not yet as well developed as measures for individuals with only physical health needs.

To better understand state Medicaid programs’ behavioral health and HCBS quality measurement activities, in 2016 MACPAC contracted with the State Health Access Data Assistance Center (SHADAC) to conduct a review of quality measurement frameworks and a comprehensive scan of state-level quality measurement initiatives.

This report was prepared under contract to the Medicaid and CHIP Payment and Access Commission (MACPAC). The findings, statements, and views expressed in this report are those of the authors and do not necessarily reflect those of MACPAC.