2025 Updates to the Child and Adult Core Health Care Quality Measurement Sets and Mandatory Reporting Guidance
The Centers for Medicare & Medicaid Services (CMS) is issuing this annual guidance to update the
2025 Core Set of Children’s Health Care Quality Measures for Medicaid and the Children’s Health
Insurance Program (CHIP) (Child Core Set) and the Core Set of Adult Health Care Quality Measures for
Medicaid (Adult Core Set). This State Health Official (SHO) letter also provides guidance and outlines
our expectations for compliance with submission of states’ quality measure reporting for Federal Fiscal
Year (FFY) 2025, due to CMS by December 31, 2025. It applies to all states, the District of Columbia,
Puerto Rico, the U.S. Virgin Islands, and Guam. Throughout the SHO letter, the term “states” is used to
refer collectively to these states and territories. American Samoa and the Mariana Islands may, but are
not required to, report Child and Adult Core Set measures.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 30, 2024
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.