Using CQL Data in CMS Reporting
Since the inception of the §1915 Medicaid Waiver program for individuals with intellectual and developmental disabilities, states and the Centers for Medicare and Medicaid Services (CMS) have been working to develop meaningful ways to measure outcomes for individuals accessing services. During this time, the service system has also made significant shifts, moving from segregated institutional care to person-centered services within the community.
This latest shift in Home and Community-Based Services (HCBS) settings formalizes choice, control and rights for individuals with intellectual and developmental disabilities. It signifies a concerted effort to move beyond the historical medical models of service delivery and puts people first, providing them – for the first time in some instances – the ability choose for themselves.
Although this change seeks to shift the service system away from the ‘old way of doing business’ to something far more progressive, states are struggling to identify how to show compliance with the new ruling, given the complexities and sheer scope of the shift. To assist in this process, CQL developed a free Toolkit for States, showing how information collected with CQL’s Basic Assurances® and Personal Outcome Measures® can be used to satisfy new CMS reporting requirements.
As the Toolkit shows, this resource provides a comprehensive approach to satisfying CMS reporting. Beyond meeting compliance requirements, as agencies who utilize CQL for accreditation or other services already know, the domains within the Basic Assurances® and Personal Outcome Measures® put the person first, and the policy and services second – aligning the vision CMS seeks to implement.
Please review our Toolkit for States – a free resource – to identify how person-centered processes and data can work within formal services reporting.
This blog post was authored by Drew Smith. Drew will also be presenting on using data in CMS reporting, at the 2015 CQL Conference, 'Outcomes: The Gateway To Quality.' The conference is focused on person-centered approaches to supports and services, and how they can be strengthened through the use of outcomes.