CMS Proposes 2028 HCBS Quality Measure Set With New Mandatory Reporting Requirements
CMS published a notice with comment period proposing the 2028 Home and Community-Based Services Quality Measure Set, which establishes nationally standardized quality measures for Medicaid-funded HCBS programs. The proposal includes mandatory and voluntary measures, specifies data collection and reporting requirements, and requires stratified reporting by factors including rural/urban status for certain measures. CMS seeks comment on which measures should be mandatory versus voluntary, how states should collect and calculate measure data, which populations should be included in reporting, and the proposed reporting schedule. The measure set aims to enable cross-state quality comparisons and drive improvement in HCBS care and outcomes.
Managed care organizations operating HCBS programs will face new quality reporting obligations and performance benchmarking as states implement these federal measures, affecting care management infrastructure, data systems, and contract performance requirements.
LTSS · Long-Term Care · Managed Care
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