Quality Strategy
NEW! The Executive Office of Health and Human Services updated its MassHealth Comprehensive Quality Strategy (CQS) for 2025. The 2025 CQS aims to drive improvements in the quality of services and care for all our MassHealth members. The CQS establishes agency-wide quality goals and objectives and promotes the use of resources to support specific performance objectives and activities to address the needs of our distinct programs and populations. The CQS incorporates CMS guidance utilizing their Quality Strategy Toolkit and maintains adherence to the regulatory managed care rule requirements.
The CQS is open for public comment through October 27, 2025. To submit comments or input to inform future CQS updates, please email the MassHealth Quality Office (MQO@mass.gov) and include the following subject header: MassHealth 2025 CQS.
Previous CQS
Quality Strategy Effectiveness Evaluation
The Comprehensive Quality Strategy Effectiveness Evaluation follows CMS guidance provided in the Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Quality Strategy Toolkit published in June 2021.
MassHealth Performance Measure Reports/Quality Reports
Summarizes and reports managed care entity (MCE) performance on select quality indicators in accordance with CFR 438.340. Managed Care Entities include (Accountable Care Organizations, Managed Care Organizations, One Care Plans, Senior Care Option Plans, the MassHealth Behavioral Health Partnership, and the Primary Care Clinician Program.
- Managed Care Plan Quality Performance 2024 PDF | Word
- Managed Care Plan Quality Performance 2023 PDF | Word
- Managed Care Plan Quality Performance 2022 PDF | Word
- Managed Care Plan Quality Performance 2021 PDF | Word
- Managed Care Plan Quality Performance 2020 PDF | Word
- Managed Care Plan Quality Performance 2019 PDF | Word
- Managed Care Plan Quality Performance 2018 PDF | Word
Massachusetts State Profile
Presents key characteristics of Medicaid and CHIP in Massachusetts, including documents and information relevant to how the programs have been implemented by Massachusetts within federal guidelines as well as performance on frequently-reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets in Massachusetts.
https://www.medicaid.gov/state-overviews/stateprofile.html?state=massachusetts
MassHealth External Quality Review
Summarizes Managed Care Plan performance on mandatory and optional external quality activities.
2024 Technical Reports
- Accountable Care Partnership Plans (ACPP) EQR Technical Report PDF | Word
- Massachusetts Behavioral Health Partnership (MBHP) EQR Technical Report PDF | Word
- Managed Care Organizations (MCO) EQR Technical Report PDF | Word
- MassHealth One Care EQR Technical Report PDF | Word
- Primary Care Accountable Care Organizations (PCACO) EQR Technical Report PDF | Word
- Primary Care Clinician (PCC) Plan EQR Technical Report PDF | Word
- MassHealth Senior Care Organizations (SCO) EQR Technical Report PDF | Word
2023 Technical Reports
- Accountable Care Partnership Plans (ACPP) EQR Technical Report PDF | Word
- Massachusetts Behavioral Health Partnership (MBHP) EQR Technical Report PDF | Word
- Managed Care Organizations (MCO) EQR Technical Report PDF | Word
- MassHealth One Care EQR Technical Report PDF | Word
- Primary Care Accountable Care Organizations (PCACO) EQR Technical Report PDF | Word
- Primary Care Clinician (PCC) Plan EQR Technical Report PDF | Word
- MassHealth Senior Care Organizations (SCO) EQR Technical Report PDF | Word
2022 Technical Reports
- Accountable Care Partnership Plans (ACPP) EQR Technical Report PDF | Word
- Massachusetts Behavioral Health Partnership (MBHP) EQR Technical Report PDF | Word
- Managed Care Organizations (MCO) EQR Technical Report PDF | Word
- MassHealth One Care EQR Technical Report PDF | Word
- Primary Care Accountable Care Organizations (PCACO) EQR Technical Report PDF | Word
- Primary Care Clinician (PCC) Plan EQR Technical Report PDF | Word
- MassHealth Senior Care Organizations (SCO) EQR Technical Report PDF | Word
2021 Technical Reports
- Accountable Care Partnership Plans (ACPP) EQR Technical Report PDF | Word
- Massachusetts Behavioral Health Partnership (MBHP) EQR Technical Report PDF | Word
- Managed Care Organizations (MCO) EQR Technical Report PDF | Word
- MassHealth One Care EQR Technical Report PDF | Word
- Primary Care Accountable Care Organizations (PCACO) EQR Technical Report PDF | Word
- Primary Care Clinician (PCC) Plan EQR Technical Report PDF| Word
- MassHealth Senior Care Organizations (SCO) EQR Technical Report PDF | Word
2020 Technical Reports
- Accountable Care Partnership Plans (ACPP) EQR Technical Report PDF | Word
- Massachusetts Behavioral Health Partnership (MBHP) EQR Technical Report PDF | Word
- Managed Care Organizations (MCO) EQR Technical Report PDF | Word
- MassHealth One Care EQR Technical Report PDF | Word
- Primary Care Accountable Care Organizations (PCACO) EQR Technical Report PDF | Word
- Primary Care Clinician (PCC) Plan EQR Technical Report PDF | Word
- MassHealth Senior Care Organizations (SCO) EQR Technical Report PDF | Word
2019 Technical Reports
- Accountable Care Partnership Plans (ACPP) EQR Technical Report PDF | Word
- Massachusetts Behavioral Health Partnership (MBHP) EQR Technical Report PDF | Word
- Managed Care Organizations (MCO) EQR Technical Report PDF | Word
- MassHealth One Care EQR Technical Report PDF | Word
- Primary Care Accountable Care Organizations (PCACO) EQR Technical Report PDF | Word
- Primary Care Clinician (PCC) Plan EQR Technical Report PDF| Word
- MassHealth Senior Care Organizations (SCO) EQR Technical Report PDF | Word
2018 Technical Reports
- Massachusetts Behavioral Health Partnership (MBHP) EQR Technical Report PDF | Word
- Managed Care Organizations (MCO) EQR Technical Report PDF | Word
- MassHealth One Care EQR Technical Report PDF | Word
- Primary Care Clinician (PCC) Plan EQR Technical Report PDF | Word
- MassHealth Senior Care Organizations (SCO) EQR Technical Report PDF | Word
2017 Technical Reports
- Massachusetts Behavioral Health Partnership (MBHP) EQR Technical Report PDF | Word
- MassHealth Managed Care Organizations (MCO) EQR Technical Report PDF | Word
- MassHealth One Care EQR Technical Report PDF | Word
- Primary Care Clinician (PCC) Plan EQR Technical Report PDF | Word
- MassHealth Senior Care Organizations (SCO) EQR Technical Report PDF | Word
Member Experience and Survey Data
Existing information can be found in the Technical Reports.
CMS Core Set Chart Packs
Each year, MassHealth reports on the CMS Adult and Child Core Sets. CMS publishes through an annual review and selection process (PDF, 110.85 KB), sets of core measures showing the quality of care and health outcomes for adults participating in Medicaid, and children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) for all reporting states including Massachusetts.
- Adult and Child Core Set Chart Pack 2021-2023 - https://www.medicaid.gov/medicaid/quality-of-care/downloads/2023-child-and-adult-core-sets-trending-summary-chart-pack.pdf
| Last updated: | October 6, 2025 |
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