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In 2013, the Agency for Healthcare Research and Quality (AHRQ), in close collaboration with the Centers for Medicare & Medicaid Services (CMS), implemented a process for considering potential retirement of CMS-selected measures in the initial Child Core Set (CCS) identified in 2009. The initial CCS was required by the Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009. The initial CCS, consisting of 24 quality measures, was to be used voluntarily by State Medicaid and CHIP programs, who were encouraged to provide resulting data to CMS. In turn, CMS used the State-level data to develop CHIPRA-required reports to Congress. Besides reporting, State Medicaid and CHIP programs could use the data to target specific quality improvement efforts to reduce gaps in quality.