Diffusion models have become a popular choice for representing actor policies in behavior cloning and offline reinforcement learning. This is due to their natural ability to optimize an expressive class of distributions over a continuous space. However, previous works fail to exploit the score-based structure of diffusion models, and instead utilize a simple behavior cloning term to train the actor, limiting their ability in the actor-critic setting. In this paper, we present a theoretical framework linking the structure of diffusion model policies to a learned Q-function, by linking the structure between the score of the policy to the action gradient of the Q-function. We focus on off-policy reinforcement learning and propose a new policy update method from this theory, which we denote Q-score matching. We conduct experiments in simulated environments to demonstrate the viability of our proposed method and compare to popular baselines.