Quality Management for Cash and Counseling Programs: Putting the CMS Quality Framework into Practice

To assist states in developing and implementing home and community-based waiver programs, CMS has developed a Quality Framework. The purpose of this background memo is to help Cash and Counseling states apply the framework and incorporate the necessary waiver assurances as they develop their quality management plans for consumer directed programs. This paper offers examples that operationalize the quality framework and tables about participants: Access, Safeguards, Outcomes and Satisfaction.