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ND Medicaid's Quality Strategy supports the overall HHS vision to make North Dakota the healthiest state in the nation.

The Quality Strategy supports the mission of the state, which is:

  • To foster positive, comprehensive outcomes by promoting economic, behavioral, and physical health, ensuring a holistic approach to individual and community well-being.

ND Medicaid Core Set Reporting

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ND Medicaid Core Set Reporting

On August 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Mandatory Medicaid and Children’s Health Insurance Program (CHIP) Core Set Reporting final rule (88 FR 60278) (final rule).

Click here to learn more about the final rule. 

Section 50102(b) of the Bipartisan Budget Act of 2018, made state reporting of the Child Core Set mandatory starting in FFY 2024, and section 5001 of SUPPORT Act made state reporting of the behavioral health measures on the Adult Core Set mandatory starting in FFY 2024.

The remainder of the measures on the Adult Core Set remain voluntary for states to report.

The Child and Adult Core Sets assist CMS and states in understanding the quality of health care provided in Medicaid and CHIP, monitoring access to health care for beneficiaries, and improving the understanding of the health disparities that beneficiaries experience.

In alignment with the most recent CMS Child and Adult Core Sets, ND Medicaid publishes the quality performance measures for the ND Medicaid population as part of our commitment to transparency. 

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ND Medicaid Quality Measurement Provider Resources

Quality Measure Tip Sheet 
Quality Measure Guide *Coming Soon
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Contact Information

Medical Services Division
North Dakota Health and Human Services 
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250

Email: dhsmedicaidquality@nd.gov