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Home and Community-Based Services (HCBS) Measures Maintenance and Development

Project Title: Home and Community-Based Services (HCBS) Measures Maintenance and Development

Dates: The Call for Public Comment period opens on May 8, 2026 and closes on June 8, 2026.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Mathematica and Human Services Research Institute (HSRI) to develop new measures for children, youth, and young adults who use home and community-based services (HCBS). The contract name is Long-term Services and Supports (LTSS) Analyses, Public Reporting, and Measures Maintenance and Development. The contract number is 75FCMC19D0091 and the task order number is 75FMC24F0194. CMS, supported by Mathematica and HSRI, is working to understand and improve the quality of Medicaid-funded home and community-based services (HCBS) received by children, youth, and young adults. A critical step in this work is the development, testing, and maintenance of new quality measures specific to children, youth, and young adults receiving Medicaid HCBS. Once developed, states, managed care organizations, and other interested parties will be able to use these measures as a basis for improving the quality of Medicaid HCBS for children, youth, and young adults.

Documents and Measures for Comment:

You may access each document in the list by selecting its title:

• Public comment on the development of quality measures for children, youth, and young adults (CYYA) receiving Medicaid home and community-based services (HCBS)

Project-Specific Instructions:

CMS seeks public comment on new measures under development to measure the quality of Medicaid HCBS for children, youth, and young adults (CYYA). In particular, CMS seeks feedback on the importance, feasibility, usability, and face validity of measures to inform the measure specifications, continued development and testing, and potential implementation*. This document provides the rationale for the measure concepts, summaries of the measure concepts, and a list of guiding questions.

Please submit comments to LTSSReporting@mathematica-mpr.com. When submitting a comment, please include the following information:

• If you are providing comments on behalf of an organization, please include your organization’s name and your contact information, including full name, credentials (if applicable), and title.
• If you are commenting as an individual, please submit identifying or contact information, including full name and credentials (if applicable).
• Please indicate whether you are commenting on the Measure Concept Ranking, Questions of Interest, and/or whether it is a separate comment on something specific about a measure concept.
• Follow the instructions provided for the Measure Concept Ranking and Questions of Interest, if responding to those topics. If submitting a separate comment, please reference the measure concept number.
• Do not include personal health information in your comments. CMS may share your comments publicly.
• Please include “CYYA Measure Development” in your subject line.

* For more information on each of these criterion, see the Measure Evaluation Criteria webpage. 

Note: These measures are in development. New measures are not eligible for CMS quality reporting until proposed and adopted through notice-and-comment rulemaking for each applicable program.