Quality measurement in home and community-based services (HCBS) supports states, health plans, and providers in ensuring members are receiving HCBS that reflect their preferences, assuring health and welfare, improving health outcomes, and promoting effectiveness of services and supports.

While states can develop their own performance indicators and measures for each HCBS waiver program, all states operating section 1915(c) HCBS waivers are required to develop a quality assurance program and quality improvement strategy. This brief provides key considerations for understanding states’ efforts to implement quality improvement and the impact of health plans’ quality measurement in HCBS.

Disclaimer: This page contains technical assistance products from the Resources for Integrated Care website. All page information and materials are aimed at assisting providers and health plans in integrating and coordinating care for dually eligible beneficiaries.