MassHealth CQI Technical Specifications Manuals

The EOHHS Medicaid Acute Hospital RFA2023 contract introduced a new MassHealth Clinical Quality Incentive (CQI) Program that expands quality measure requirements.  Current CQI program related resources are posted below.

Acute Hospital Rate Year 2025

RY2025 EOHHS Hospital Clinical Quality Incentive Program Release Notes (v3.1): PDF | Word

RY2025 EOHHS CQI Program Technical Specifications Manual v3.0: PDF | Word

• Appendix A-1: Data Abstraction Tool Alcohol Brief Intervention (3.0): PDF | Word
• Appendix A-2: Data Abstraction Tool Alcohol Other Drug Treatment Provided Offered (3.0): PDF | Word
• Appendix A-3: Data Abstraction Tool Cesarean Birth (3.0): PDF | Word
• Appendix A-4: Abstraction Tool Newborn Complications (3.0): PDF | Word
• Appendix A-5: XML Schema Masshealth CQI Chart Measures (3.0): PDF | XLS
• Appendix A-6: XML Schema Masshealth CQI Chart Data Deletion Request File (3.0): PDF | XLS
• Appendix A-7: Masshealth Measures Data Dictionary (3.0): PDF | Word

Acute Hospital Rate Year 2024

RY2024 EOHHS Hospital Clinical Quality Incentive Program Release Notes (v2.2): PDF | Word

RY2024 EOHHS Hospital Clinical Quality Incentive Program Release Notes (v2.1): PDF | Word

• Appendix A-1: Data Abstraction Tool: Care Coordination Measures (2.1): PDF | Word
• Appendix A-2: Data Abstraction Tool: Alcohol Brief Intervention Provided Offered (2.1): PDF | Word
• Appendix A-3: Data Abstraction Tool: Alcohol or Other Drug Treatment Provided Offered (2.1): PDF | Word
• Appendix A-4: Data Abstraction Tool: Cesarean Birth (2.1): PDF | Word
• Appendix A-5: Data Abstraction Tool: Newborn Complications (2.1): PDF | Word
• Appendix A-6: XML Schema: MassHealth Chart Measures File (2.1): XLS| PDF

RY2024 EOHHS Hospital Clinical Quality Incentive (CQI) Program Technical Specifications Manual (v2.0): PDF | Word

• Appendix A-1: Data Abstraction Tool: Care Coordination Measures (2.0): PDF | Word
• Appendix A-2: Data Abstraction Tool: Alcohol Brief Intervention Provided Offered (2.0): PDF | Word
• Appendix A-3: Data Abstraction Tool: Alcohol or Other Drug Treatment Provided Offered (2.0): PDF | Word
• Appendix A-4: Data Abstraction Tool: Cesarean Birth (2.0): PDF | Word
• Appendix A-5: Data Abstraction Tool: Newborn Complications (2.0): PDF | Word
• Appendix A-6: XML Schema: MassHealth Chart Measures File (2.0): PDF | XLS
• Appendix A-7: XML Schema: MassHealth Chart Data Deletion Request File (2.0): PDF | XLS
• Appendix A-8: MassHealth Specific CQI Measures Data Dictionary (2.0): PDF | Word
• Appendix A-9: MassHealth PSI-90 Claims Extraction rules (2.0): PDF | Word

Acute Hospital Rate Year 2023

RY2023 EOHHS Hospital CQI Manual Release Notes (v1.1): PDF | Word

• Appendix A-6: XML Schema MassHealth Chart Measures File (1.1): PDF | XLS

RY2023 EOHHS Hospital Clinical Quality Incentive (CQI) Program Technical Specifications Manual (v1.0): PDF | Word

• Appendix A-1:  Data Abstraction Tool:  Care Coordination Measures (1.0): PDF I Word
• Appendix A-2:  Appendix A-2: Data Abstraction Tool: Alcohol Brief Intervention Provided Offered (1.0): PDF I Word
• Appendix A-3:  Data Abstraction Tool: Alcohol or Other Drug Treatment Provided Offered (1.0):  PDF | Word
• Appendix A-4: Data Abstraction Tool: Cesarean Birth (1.0): PDF | Word
• Appendix A-5: Data Abstraction Tool: Newborn Complications (1.0): PDF | Word
• Appendix A-6: XML Schema: MassHealth Chart Measures File (1.0): PDF | XLS
• Appendix A-7: XML Schema: MassHealth Chart Data Deletion Request File (1.0): PDF | XLS
• Appendix A-8:  MassHealth Specific CQI Measures Data Dictionary (1.0): PDF I Word
• Appendix A-9: MassHealth Specific CQI Measure Calculation Rules (1.0): PDF I XLS
• Appendix A-10: MassHealth PSI-90 Claims Extraction rules (1.0): PDF I Word

Webcast Sessions

RY2023 MassHealth Acute Hospital CQI Technical Session: PDF | Word

Date published:	September 27, 2023
Last updated:	April 1, 2024