US · guidance
CMS SOM App. FC, Tag M0270
§485.917(a)(1) The CMHC program must be able to demonstrate measurable
improvement in indicators related to improving behavioral health outcomes and
CMHC services.
Interpretive Guidelines §485.917(a)(1)
The CMHC QAPI plan includes specific indicators regarding behavioral health
outcomes. Examples of these outcome indicators include but are not limited to:
1. Readmission to hospitals;
2. Reports of medication non- compliance;
3. Suicide attempts;
4. Number of emergency room visits;
5. Rate of chemical dependency relapse; and
6. Trends in lack of attendance at treatment modalities.
The CMHC establishes a baseline measure for each of its indicators and measures
improvement/decline for each indicator over a period of time set in CMHC policy as
approved by the governing body. The QAPI data must indicate an overall improvement
for each of its established indicators. The CMHC QAPI policy and procedures must
address what actions are necessary if there is no improvement or if there is a decline for
an individual indicator.
History
Rev. 196, Issued: 01-10-20, Effective: 01-10-20, Implementation: 01-10-20
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
f88e2eef7151041ddda3a896a698c88952f6c691aa83525f2701fac9de59cf14
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