Accountable care organizations (ACOs) are gaining momentum in Medicaid as an innovative model to improve health care quality and reduce costs. As states design ACO programs for Medicaid populations, they must identify a robust set of quality measures that align with state and national goals and include a diverse array of measures to accurately evaluate the program’s success.

This technical assistance tool was developed to help states select quality measures for Medicaid ACO programs. It can be used to facilitate quality strategy discussions with the Centers for Medicare & Medicaid Services to achieve regulatory approval. It consists of two parts: (1) key themes and questions to guide states’ quality measurement strategy development; and (2) a grid to help states prioritize quality measures.