Federal Register #2026-08190

CMS Seeks Public Comment on 2028 Medicaid HCBS Quality Measure Set

The Centers for Medicare & Medicaid Services (CMS) is inviting public comment on the proposed 2028 Medicaid Home and Community-Based Services (HCBS) Quality Measure Set. - Government Buyer: - Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services - OEMs and Measure Stewards: - Centers for Medicare & Medicaid Services (CMS) - ADvancing States - Human Services Research Institute (HSRI) - National Association of State Directors of Developmental Disabilities Services (NASDDDS) - Agency for Healthcare Research and Quality (AHRQ) - Products/Services Requested: - Public input on a set of nationally standardized quality measures for Medicaid-funded HCBS - Measures derived from: - HCBS CAHPS Survey - NCIAD Adult Consumer Survey - NCIIDD In-Person Survey - Personal Outcome Measures (POM) - Administrative and assessment/case management data - Unique/Notable Requirements: - Use of multiple surveys to assess care experience for major population groups - Stratified reporting by geography (including rural/urban status) - Leveraging existing data sources to reduce State reporting burden - Input requested on mandatory and voluntary measures, data collection and reporting methods, populations covered, and reporting schedule

Description

The Home and Community-Based Services (HCBS) Quality Measure Set is a set of nationally standardized quality measures for Medicaid-funded HCBS. It aims to promote consistent use of these measures across States, provide comparative quality data, and improve care quality and outcomes for HCBS recipients. This notice solicits public comment on the proposed mandatory and voluntary measures for the 2028 set, data collection and reporting methods, stratification requirements including rural/urban status, populations covered, and the reporting schedule. The goal is to balance administrative burden with comprehensive, evidence-based quality improvement.

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