Changes to the Child and Adult Core Measure Sets to Advance Equity

The Child and Adult Core Sets were established to measure the quality of care for Medicaid and Children’s Health Insurance Program (CHIP) enrollees, nationally and at the state level, based on a uniform set of measures. This commentary reviews changes beginning in fiscal year (FY) 2025 requiring states to report a subset of Child and Adult Core Set measures by race and ethnicity, sex, and geography. By requiring data disaggregation for key populations of interest, policymakers, advocates and researchers will have a new tool to measure, monitor and inform policies and practices that focus on health equity.