Coordinated care organizations (CCOs) are an emerging type of comprehensive managed care program within Medicaid for adults with disabilities and complex chronic illnesses. Yet definitive outcome measures are mostly absent for these complex needs populations. Based on the evaluations of seven CCO pilot programs in six states, this resource paper outlines recommendations for measuring quality of care and outcomes coordinated by CCOs. The proposed approach allows CCOs and state Medicaid agencies to benchmark improvements in care delivery and outcomes and to identify areas for improvement.