Measuring Quality in HCBS: Key Considerations for Health Plans

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Home and community-based services (HCBS) encompass a broad range of services and supports designed to help older adults and people with disabilities live in their homes and communities, rather than in institutional settings. Measuring quality in HCBS is important for the value of the services that you are providing to your members. Quality HCBS are defined as those that support your members in achieving their individual goals. In addition, the National Quality Improvement Project (NQIP) funded by the Centers for Medicare and Medicaid Services developed the HCBS Quality Framework, which identifies seven broad quality domains and associated sub-domains with a focus on participant-centered outcomes. This brief offers health plans seven key considerations when measuring quality in HCBS.

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