Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Resources


National HCBS Quality Enterprise Website
This website provides information on quality improvement for Medicaid §1915(c) HCBS waivers and the CMS Quality Enterprise project. It also provides state Medicaid quality staff an opportunity to connect with one another and pose questions to Quality Enterprise staff. Visitors must create a member’s account to access the full site or can browse using a preview option.

Resources include CMS Quality Communications, technical assistance manuscripts, PowerPoint presentations, and audio-recorded training calls. All of the materials posted on this website have been reviewed and approved by CMS. Material is added to the website on an ongoing basis and interested parties are encouraged to check the website for updates. Below are some examples of material that may be found on the NQE website as of the publication date of this Primer.
Web address: http://www.nationalqualityenterprise.net/

  • B. Edwards, CMS Quality Communication #15: Web Based §1915(c) Waiver Application; Instructions and Technical Guide; Resource Documents; 372 Online Form, CMS Disabled and Elderly Programs Group, January 25, 2010.

  • S. Galantowicz, Implementing Continuous Quality Improvement (CQI) in Medicaid HCBS Programs, National Quality Enterprise, January 21, 2010.

  • B. Jackson, PowerPoint presentation and audio recording: Examples of Performance Measures for the §1915(c) Waiver Assurances (first installment), January 14, 2010.

  • B. Jackson, PowerPoint presentation and audio recording: Examples of Performance Measures for the §1915(c) Waiver Assurances (second installment), March 11, 2010.

  • G. Arden, CMS Quality Communication #12: Revised Interim Procedural Guidance (IPG) and Technical Assistance Products, CMS Disabled and Elderly Health Programs Group, February 6, 2007.

  • R. Freedman and S. Taub, Sampling: A Practical Guide for Quality Management in Medicaid HCBS Waivers, National Quality Contractor, March 2006.

  • S. Galantowicz and B. Selig, Risk Management and Quality in HCBS: Individual Risk Planning and Prevention, System-Wide Quality Improvement, National Quality Contractor, February 2005.

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Centers for Medicare & Medicaid Services. (2008). Application for a §1915(c) Home and Community-Based Waiver [Version 3.5]: Instructions, Technical Guide and Review Criteria. Baltimore, MD: Department of Health and Human Services.

This publication contains extensive information concerning Federal policies that apply to the operation of an HCBS waiver. In particular, Appendix G: Quality Improvement, Health and Welfare and Appendix H: System Improvement are relevant to the forgoing discussion on Medicaid HCBS Quality. The instructions include technical guidance to aid states in designing an HCBS waiver, and incorporate the review criteria that CMS uses in order to determine whether a waiver meets applicable statutory, regulatory, and other requirements.

Available at https://www.hcbswaivers.net/CMS/faces/portal.jspunder links and downloads, entitled §1915(c) Waiver Application and Accompanying Materials.

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