Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Beyond Assurance-Based CQI


While CMS requires states to engage in quality improvement activities related to the assurances and subassurances, many states of their own accord will identify aspects of their program they wish to improve or enhance--aspects that are not directly related to any of the assurances or subassurances. For example, the state may install an automated case management system or decide to upgrade its information technology system. These types of improvements are encouraged by CMS, but they are of a different nature than the improvement activities associated with the assurances and subassurances. States may also choose to track additional aspects of program performance that go beyond the Federal requirements, and CMS is supportive of states taking such initiatives.

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