CMS Call for Measures: HCBS Quality Measure Set Review

Suggestions due Friday, August 16, 2024, at 8:00 PM ET

On behalf of the Centers for Medicare & Medicaid Services (CMS), Mathematica is issuing a call for measures as part of CMS’ process to make updates to the Home- and Community-Based Services (HCBS) Quality Measure Set. Anyone can suggest measures for addition or removal. Suggestions will be considered by CMS in finalizing the 2028 HCBS Quality Measure Set, which will be the first state reporting cycle for all states. CMS will base updates on workgroup recommendations and other input sources. The draft 2028 HCBS Quality Measure Set will be posted in the Federal Register for public comment before it is finalized. 

On May 10, 2024, CMS published the Ensuring Access to Medicaid Services (Access) final rule, which requires states to report every other year on a set of nationally standardized HCBS quality measures, referred to as the HCBS Quality Measure Set, and describes the process for updating and maintaining it.

The HCBS Quality Measure Set aims to:

  • Promote more common and consistent use within and across states of nationally standardized quality measures in HCBS programs.
  • Create opportunities for CMS and states to have comparative quality data on HCBS programs.
  • Drive improvement in quality of care and outcomes for people receiving HCBS.
  • Support states’ efforts to promote equity in their HCBS programs. 
Instructions To Submit Measure Suggestions

All measure suggestions for removal from or addition to the HCBS Quality Measure Set must be submitted using the forms linked below. Separate forms must be submitted for each measure.

After submitting a form, you will receive a confirmation email with your recorded responses. For questions about submitting measure suggestions, or if you do not receive your confirmation email after submitting your response, contact the Mathematica team at HCBSQMSReview@mathematica-mpr.com. 

Mathematica will also be hosting two sessions to demonstrate the measure submission process and answer questions.

  • Session #1: Monday, July 15, 2024 | 2:00-3:00 PM ET
  • Session #2: Monday, August 12, 2024 | 2:00-3:00 PM ET

Recordings and transcripts from these sessions will be available on Mathematica’s website. Register for the "Office Hour" sessions.