CMS 2028 Medicaid HCBS Mandatory Quality Measures

McKnights Senior Living reports that The Center for Medicare & Medicaid Services (CMS) will publish several sets of 2028 Medicaid Home and Community-Based Services (HCBS) quality measures. Twenty-three will be mandatory; 3 will be voluntary. You can view the proposal in the Federal Register, or you can view the pdf version here.

The 23 proposed mandatory measure are:

• HCBS CAHPS: Choosing the Services That Matter to You Composite Measure

• HCBS CAHPS: Personal Safety & Respect Composite Measure

• HCBS CAHPS: Physical Safety Single-Item Measure

• HCBS CAHPS: Transportation to Medical Appointments Composite Measure

• LTSS-1: LongTerm Services and Supports Comprehensive Assessment and Update

• LTSS-2: LongTerm Services and Supports Comprehensive Person-Centered Plan and Update

• LTSS-6: LongTerm Services and Supports Admission to a Facility from the Community

• LTSS-7: LongTerm Services and Supports Minimizing Facility Length of Stay

• LTSS-8: LongTerm Services and Supports Successful Transition after Long-Term Facility Stay

• NCI-AD: Percentage of People Who are as Active in Their Community as They Would Like to Be

• NCI-AD: Percentage of People Who Feel Safe Around Their Support Staff

• NCI-AD: Percentage of People Who Have Transportation to Get to Medical Appointments When They Need to

• NCI-AD: Percentage of People Who Have Transportation When They Want to Do Things Outside of Their Home

• NCI-AD: Percentage of People Whose Service Plan Includes Their Preferences and Choices

• NCI-IDD PCP5: Satisfaction with Community Inclusion Scale (The Proportion of People Who Report Satisfaction with the Level of Participation in Community-Inclusion Activities)

• NCI-IDD CI-1: Social Connectedness (The Proportion of People Who Report that They Do Not Feel Lonely Often)

• NCI-IDD CI-3: Transportation Availability Scale (The Proportion of People Who Report Adequate Transportation)

• NCI-IDD HLR-1: Respect for Personal Space Scale (The Proportion of People Who Report that Their Personal Space is Respected in the Home)

• NCI-IDD PCP 2: PersonCentered Goals (The Proportion of People Who Report their Service Plan Includes Things that are Important to Them)

• POM: People are free from abuse and neglect

• POM: People Choose Services 

• POM: People Participate in the Life of the Community

• POM: People Realize Personal Goals

The 3 proposed voluntary measures are:

• LTSS-4: Reassessment and Person-Centered Plan Update after Inpatient Discharge 

• MLTSS-5: Screening, Risk Assessment, and Plan of Care to Prevent Future Falls 

• Any HCBS CAHPS, NCIAD, NCI-IDD, or POM measure not included in the proposed list of mandatory measures

  
  

For more details, read the pdf here.