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In February 2010, the Centers for Medicare & Medicaid Services awarded 10 grants, funding 18 states, to improve health care quality and delivery systems for children enrolled in Medicaid and the Children's Health Insurance Program. Funded by the Children's Health Insurance Program Reauthorization Act of 2009, the Quality Demonstration Grant Program aims to identify effective, replicable strategies for enhancing quality of care for children. As a group, the 18 demonstration states are implementing 52 projects in five general categories:

• Using quality measures to improve child health care
• Applying health information technology for quality improvement
• Implementing provider-based delivery models
• Investigating a model format for pediatric electronic health records
• Assessing the utility of other innovative approaches to enhance quality