Update on NCI Measures: HCBS QMS Workgroup
by Dorothy Hiersteiner | April 9, 2025
Categories:
Announcements, Webinars
Update on the results of the Meeting to Review Measures for the 2028 HCBS Quality Measure Set (QMS) that took place April 8-9. Thank you so much to those who participated on the workgroup, those who shared public comment, and those who listened in.
The NCI team is thankful for the thoughtfulness of the workgroup.
As a reminder, the recommendations from the group are advisory only and CMS will determine whether to adopt the workgroup’s recommendations for the QMS revisions in 2028. Those measures currently in the QMS (see attached) that were not identified for removal will most likely remain in the QMS in 2028. For more info on the QMS, see here.
The following voting outcomes are for NCI-AD and NCI-IDD measures:
| Domain: Choice and Control | Voting Outcomes |
| Addition NCI-AD: Percentage of People in Group Settings Who Are Able to Choose Their Roommate | Voted to be added |
| Addition NCI-AD: Percentage of People in Group Settings Who Are Able to Furnish and Decorate Their Room However They Want To | Voted to be added |
| Addition NCI-AD: Percentage of People in Group Settings Who Are Able to Lock the Door to Their Room | Did not meet vote threshold for addition |
| Addition NCI-IDD: The Percentage of People who Report That There Are Rules About Having Friends or Visitors at Home | Did not meet vote threshold for addition |
| Addition NCI-IDD: The Percentage of People Reported to Be Using a Self-Directed Supports Option | Did not meet vote threshold for addition |
| Addition NCI-IDD: The Percentage of People who Report Staff Do Things the Way They Want Them Done | Did not meet vote threshold for addition |
| Addition NCI-IDD: The Percentage of People Who Report That They Know Whom to Talk to if They Want to Change Services | Voted to be added |
| Domain: Service Delivery and Effectiveness | |
| Removal NCI-AD: Percentage of People Who Had Adequate Follow-Up After Being Discharged from a Hospital or Rehabilitation/Nursing Facility | Voted NOT to remove |
| Addition NCI-AD: Percentage of People Who Know Whom to Contact if They Have a Complaint About Their Services | Voted NOT to remove |
| Domain: Community Inclusion | |
| Removal NCI-AD: Percentage of People Who Are Able To See or Talk To Their Friends and Family When They Want To | Voted NOT to remove |
| Removal NCI-AD: Percentage of Non-English Speaking Participants Who Receive Information About Their Services in the Language They Prefer | Voted NOT to remove |
| Domain: Holistic Health and Functioning | |
| Removal NCI-AD: Percentage of People With Concerns About Falling Who Had Someone Work With Them to Reduce Risk of Falls | Voted NOT to remove |
| Removal NCI-AD: Percentage of People Who Know How to Manage Their Chronic Conditions | Voted NOT to remove |
| Addition NCI-AD: Percentage of People Who Have Access to Mental Health Services if They Want Them | Voted to be added |
| Addition NCI-AD: Percentage of People Who Can Get an Appointment to See or Talk to Their Primary Care Doctor When They Need To | Did not meet vote threshold for addition |
| Addition NCI-AD: Percentage of People Who Have Needed Assistive Equipment and Devices | Voted to be added |
| Domain: Human and Legal Rights | |
| Removal NCI-AD: Percentage of People Who Are Ever Worried for the Security of Their Personal Belongings | Voted NOT to remove |
| Removal NCI-AD: Percentage of People Who Feel Safe Around Their Support Staff | Voted NOT to remove |
| Removal NCI-AD: Percentage of People Whose Money Was Taken or Used Without Their Permission in the Last 12 Months | Voted NOT to remove |
| Addition NCI-AD: Percentage of People in Group Settings Who Always Have Access to Food | Did not meet vote threshold for addition |