CQL | The Council on Quality and Leadership

Memorandum of Understanding



The CQL–State Memorandum of Understanding promotes integrated planning, efficient resource utilization and a comprehensive quality management system at the community, county and state levels of government.


The Memorandum of Understanding outlines specific responsibilities for implementing the state’s quality management program. The Memorandum of Understanding defines roles and expectations of the state, CQL and service providers through the tasks and timelines of the quality management plan.

Integrated Approach to Basic Assurances

The partnership begins with an analysis of the state’s quality goals, structure, statutory requirements, regulations, current policy, practice and capacity. We complete a crosswalk between the state regulatory requirements and CQL’s Basic Assurances® measures. We identify potential overlap, duplicate measures and processes and mutually agree on the most efficient and effective deployment of available resources.

In some cases, state requirements encompass CQL’s Basic Assurances® measures and the state chooses to monitor compliance with basic assurances and CQL focuses its accreditation on excellence in person-centered services. In other cases, the state requests CQL to apply its Basic Assurances® measures and deems the CQL review to meet state requirements. And, in other situations, state and CQL measures are used in tandem to provide assurances for health, safety and security.

Capacity Building

CQL includes state quality review staff members in our Accreditation process to ensure transparency and foster collaboration. These staff may observe (with the consent of participants) interviews with people served, CQL team decision-making and conciliation of information gathered. State quality review staff gain concrete information, learn new techniques and enhance their capacity for system-wide quality management.

Data Driven

CQL collaborates with states, communities and providers in data collection, validation, analysis and quality improvement.

We provide:

  • Quantifiable data for reporting for HCBS waiver services
  • Quantifiable data for rebalancing and redirecting resources that offer people choices in meaningful work, activities and daily routines in community; where and with whom people live in natural community settings; and in the development and maintenance of friendships and networks of natural supports.


Benefits of the CQL–State Memorandum of Understanding include:

  • Lower costs associated with quality improvement efforts
  • Added credibility in dealing with federal oversight
  • A valuable intermediary between providers and state systems



Mail Image/Icon   info@thecouncil.org

Phone Image/Icon   410.583.0060