The National Quality Forum (NQF) issued a report that provides a framework for measuring Home and Community Based Services (HCBS) quality and makes recommendations for future measure development. This work is particularly important as more states undertake delivery system reforms towards managed long-term services and supports and integration. The report is the product of a two-year NQF committee process that was supported by the Department of Health and Human Services, including the Administration for Community Living (ACL) and CMS. The Committee was co-chaired by Joe Caldwell, Co-PI of the Family Support Research and Training Center (FSRTC) and Director of Long-Term Services and Supports Policy at the National Council on Aging, and H. Stephen Kaye, PI and Director of the Community Living Policy Center at the University of California San Francisco. One of the key domains of quality identified in the report is Caregiver Support. The report highlight promising measure concepts and provides direction for development of performance measures in areas of caregiver well-being, training and skill building, involvement in planning, and access to resources.