Strengthening the Core Set of Healthcare Quality Measures for Adults Enrolled in Medicaid, 2018 

This final report is the NQF Medicaid Adult Committee’s sixth set of annual recommendations to the U.S. Department of Health and Human Services (HHS) for strengthening the Core Set of Healthcare Quality Measures for Adults Enrolled in Medicaid (Adult Core Set). The Medicaid Adult Workgroup supported the continued use of 31 of 33 measures in the Adult Core Set and recommended eight new measures for phased addition to help improve quality in high-priority areas such as home and community-based services, substance use, and behavioral health. To inform future revisions to the Adult Core Set, the Adult Workgroup discussed gap areas that lack adequate metrics for measuring improvement, challenges states face in reporting measures, and strategies to increase overall Adult Core Set reporting.