Child and Adult Core Set Annual Review Workgroup Nominations

As required by statute,[1] the Medicaid and Children’s Health Insurance Program (CHIP) Child and Adult Core Sets are measures that together serve as key indicators of the access to—and quality of—the health care Medicaid and CHIP beneficiaries receive. These two measure sets form the foundation of efforts by the Center for Medicaid and CHIP Services (CMCS) to encourage national reporting by states on a uniform set of measures and to support states in using these measures to drive quality improvement. The measures also form the foundation for the State Health System Performance pillar of the Medicaid and CHIP Scorecard.[2] Together, these Core Sets serve as critical tools states can use to monitor and improve the quality of health care provided to Medicaid and CHIP beneficiaries.

Implementing an effective quality measures reporting program includes periodically reassessing the measures in the program since many factors (such as changes in clinical guidelines and experiences with reporting and performance rates) may warrant modifying the measure set. To this end, Mathematica Policy Research is supporting CMCS by establishing a Core Set Annual Review Workgroup. This workgroup will review the measures included in the current Child and Adult Core Sets, identify gap areas, and recommend changes to improve future Core Sets. The workgroup will be comprised of subject matter experts with knowledge of the opportunities and challenges for collecting, reporting, and using the Core Set measures to improve the quality of care in Medicaid and CHIP.

Who should apply

This opportunity is open to everyone with a demonstrated knowledge of Medicaid and CHIP and/or quality measurement. We are seeking a diverse group of stakeholders such as representatives from state Medicaid and CHIP agencies, managed care plans, external quality review organizations, health care providers, patient advocates, beneficiaries, professional associations, and other subject matter experts.[3] Nominations will be accepted for individual subject matter experts and organizational representatives. Self-nominations are also encouraged.

What’s involved

The Core Set Annual Review Workgroup requires online and in-person meeting attendance. Dates for the review of the 2020 Core Sets are below. Terms for this workgroup will be staggered over three years.

Meeting

Date

Web-based Orientation Meeting (90 minutes)
Thursday, February 14, 2019
Web-based Prep Call for In-Person Meeting (90 minutes)
Thursday, April 25, 2019
Full-Day In-Person Meeting in Washington D.C.
Tuesday, May 7 – Thursday May 9, 2019

How to apply

To nominate an individual or organizational representative to the Core Set Annual Review Workgroup, please download and complete the form, which includes:

  • Nominee information
  • Nominator information (if different from nominee)
  • Areas of expertise/interest
  • Brief description of the nominee’s interest, knowledge, and experience
  • A resume or curriculum vitae

Submission deadline

All nominations must be submitted by 8:00 p.m. ET on Friday, January 11, 2019 to MACCoreSetReview@mathematica-mpr.com.

Questions

If you have questions, please contact MACCoreSetReview@mathematica-mpr.com.

Thank you for your interest

 

References

1 https://www.ssa.gov/OP_Home/ssact/title11/1139A.htm and https://www.ssa.gov/OP_Home/ssact/title11/1139B.htm

2 https://www.medicaid.gov/state-overviews/scorecard/state-health-system-performance/index.html

3 Statute requires representation from States, pediatric medical and dental professionals (including members of allied health professions), providers caring for children and families who live in urban and rural medically underserved communities, national organizations serving children and those with chronic conditions, consumers and purchasers of health care, and experts in pediatric quality measures as well as voluntary consensus standards setting organizations and other organizations involved in the advancement of evidence based measures of health care.