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1
6
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6
1
Care Delivery
Background
These measures show examples of the ways states can vary in benefit coverage and how they deliver care. States administer their Medicaid programs and determine how to deliver care. Federal law requires states to provide certain mandatory benefits and allows them the choice of covering other optional benefits.
1
2
Data to Support Program Improvement
Background
These measures show some of the ways that CMS collaborates with states to develop nationally standardized data to support quality improvement activities.
2
3
Eligibility & Enrollment
Background
These measures show enrollment statistics, such as enrollment by age, sex, and state, as well as eligibility data. The eligibility criteria for Medicaid and CHIP vary across states and influence states' total enrollment and the populations that enroll.
3
4
Expenditures
Background
These measures present various expenditure statistics including annual Medicaid and CHIP expenditures, Medicaid per capita expenditures, and long term services and supports expenditures on home and community-based services.
4
6
Federal & State Program Administration
Pillar
These measures provide insight into how the federal government and states work together to administer the Medicaid and CHIP programs.
6
5
Health Care Quality Performance
Pillar
These measures show how states serve Medicaid and CHIP beneficiaries in areas related to the quality of health care delivered
5