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Released August 13, 2025
“The HCBS Quality Measure Set: An Introduction," offers an overview of the Home and Community-based Services (HCBS) Quality Measure Set (QMS), a tool developed by the Centers for Medicare & Medicaid Services (CMS) to improve the quality, transparency. The QMS is designed to improve the quality and accountability of Medicaid-funded HCBS.
The policy brief includes background on the growing need for long-term services and supports (LTSS), the federal response through the American Rescue Plan, and the shift toward home and community-based care. The brief also outlines the quantitative and qualitative measures included in the CMS; how states are expected to use the tool; and, looking forward, how CMS is seeking to refine the QMS for 2028.
The brief is authored by leaders at ADvancing States, including Courtney Priebe, MPH, policy associate; Camille Dobson, MPA, deputy executive director; and Rosa Plasencia, JD, director of National Core Indicators – Aging & Disabilities -- in collaboration with the Rehabilitation Research and Training Center on Home and Community-based Services at Shirley Ryan AbilityLab.