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MassHealth Quality Reports and Resources

On this web page you will find quality resources including HEDIS, Managed Care Quality Strategy, MassHealth Member Experience, MassHealth Managed Care (MCE) Accreditation Information and additional resources.

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Quality Strategy

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.

2025 MassHealth Comprehensive Quality Strategy (CQS): PDF | Word

Previous CQS

2022 Comprehensive Quality Strategy: PDF | Word

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.

2025 Quality Strategy Effectiveness Evaluation: PDF | Word
2023 Quality Strategy Effectiveness Evaluation: PDF | Word

Health Plan Accreditation Status

Accreditation Status of MassHealth Managed Care Entities: PDF | Word

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.

Massachusetts State Profile Overview

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

Last updated:	October 6, 2025

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