Recommendations for Improving Health Care Quality Measures

This report is a technical document summarizing the findings of a workgroup review focused on the 2026 Child and Adult Core Sets for Medicaid and CHIP. The report outlines the composition of the workgroup, which includes various health professionals and federal liaisons, and details the process undertaken to review and improve the core sets. It presents the criteria considered for the removal of existing measures and the addition of new measures, along with specific recommendations made by the workgroup. The report also discusses priority gap areas identified during the review process and outlines the criteria for a public call for measures for the 2027 Child and Adult Core Sets. Additionally, it provides suggestions for technical assistance to support state reporting and recommendations for improving the annual review process. The document serves as a comprehensive resource for stakeholders involved in health care quality measurement and improvement.