Review of the Home and Community-Based Services (HCBS) Quality Measure Set

Medicaid home and community-based services (HCBS) help people who need assistance with everyday activities receive services (such as personal care, homemaker, and adult day health services) in their own homes and communities rather than in institutional settings.

The measure set includes nationally standardized quality measures intended to support consistent measurement of HCBS quality across states, enable comparisons, and help improve care and outcomes for people receiving HCBS. In April 2026, CMS released the proposed 2028 Medicaid HCBS Quality Measure Set for public comment.

Effective quality measure reporting programs periodically reassess their measure sets. Changes in regulatory requirements, experience with measure reporting, and trends in performance may indicate a need to update the measure set.

Mathematica supports CMS by convening the HCBS Quality Measure Set Review Workgroup to assess and strengthen the HCBS Quality Measure Set. This year, the Workgroup will focus on updates to the 2030 HCBS Quality Measure Set.

During each review cycle, the Workgroup identifies gaps in the current HCBS Quality Measure Set and recommend changes to improve it. Workgroup members include subject matter experts with knowledge of the opportunities and challenges associated with collecting, reporting, and using quality measures to improve care in Medicaid HCBS programs.

Events

2030 Resources

Resources Archive

More Information

2030 Public Call for Measures

The Call for Measures to suggest measures for removal from or addition to the 2030 HCBS Quality Measure Set opens on September 23, 2026. All suggestions for adding or removing measures must be submitted using the forms linked below. All measure suggestions must be received by 8:00 pm ET on Wednesday, October 21, 2026.

Download the Call for Measures Supplementary Materials packet, which includes instructions for submitting measure suggestions.

Suggest Measure for Addition Suggest Measure for Removal

For more information, contact the Mathematica HCBS Quality Measure Review Team at HCBSQMSReview@mathematica-mpr.com.

Registration is now available for the 2030 HCBS Quality Measure Set Orientation Meeting

This information is about the Home and Community-Based Services (HCBS) Quality Measure Set Review.

Go to Child and Adult Core Sets Annual Review Go to Health Home Core Sets Annual Review

Events

Oct

Workgroup Orientation Meeting (virtual)

Location

Online

Date

October 8, 2026

Time

1:00 - 2:00 p.m. ET

This is the first meeting of the Workgroup to introduce the 2030 HCBS Quality Measure Set Review process. This meeting will introduce the Workgroup members and provide an overview of the 2030 HCBS Quality Measure Set Review process. This meeting is open to Workgroup members and the public.

Feb

Workgroup Meeting to Prepare for the 2030 Review (virtual)

Location

Online

Date

February 11, 2027

Time

1:00 - 2:00 p.m. ET

This meeting will summarize the measures suggested for addition to or removal from the 2030 HCBS Quality Measure Set, provide an overview of materials available to Workgroup members for reviewing the measures, and describe the format of the Meeting to Review Measures for the 2030 HCBS Quality Measure Set. This meeting is open to Workgroup members and the public.

Registration coming soon.

10–11

Mar

Meeting to Review Measures for the 2030 HCBS Quality Measure Set (virtual)

Location

Online

Date

March 10-11, 2027

Time

11:00 a.m. - 5:00 p.m. ET

In this multi-day, virtual meeting, the Workgroup will make recommendations for strengthening the 2030 HCBS Quality Measure Set. Workgroup members will discuss and vote on the measures suggested for addition to or removal from the Quality Measure Set and identify gap areas in the Quality Measure Set. There will be opportunities for public comment throughout the meeting. This meeting is open to Workgroup members and the public.

2030 Resources

Meeting resources will be posted as they are available.

2030 Resources

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More Information

For more information on the HCBS Quality Measure Set, visit
https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/measuring-and-improving-quality-home-and-community-based-services/index.html

For more information or to receive future mailings, contact the
Mathematica HCBS Quality Measure Review Team