This report provides an analysis of the recently announced Centers for Medicare and Medicaid Services (CMS) Medicaid and Children’s Health Insurance Program (CHIP) Scorecard. We primarily focus on the Scorecard’s State Health System Performance (SHSP) quality metrics, based on the Child and Adult Core Set data.

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As stated by the National Association of Medicaid Directors (NAMD), there are material differences in how states report these measures to CMS. However, in our analysis of the quality metric data, we have controlled for key differences in state-level reporting methodologies to provide meaningful comparisons. For states with available data, quality metrics have been summarized into a state profile report (available by clicking on the state in the below map), illustrating how a state’s quality metrics measure relative to its applicable peers, controlling for variances in reporting methodologies and underlying populations for each quality measure.