“CMS officials identified the T-MSIS initiative…as its main effort to improve Medicaid data, and cited aspects of T-MSIS aimed at improving the scope and quality of state-reported data…”
“GAO was asked to review states’ experiences with T-MSIS implementation and planned uses of T-MSIS data. This report examines (1) states’ experiences regarding T-MSIS implementation, and (2) challenges to CMS’s and states’ use of T-MSIS data for oversight….”
“State-reported data help the federal government oversee the Medicaid program, which made an estimated $36.7 billion in payment errors in 2017. However, there have been longstanding concerns that those data are not sufficient for effective oversight…”
“To help, federal administrators established a new data repository. Nearly all states now submit data that could be used to improve oversight and program management. However, concerns persist over the completeness and comparability of state data…”
“We recommended federal administrators take steps to expedite collection of complete and comparable data, and draft a plan for how they will use the data…”
Source: Medicaid: Further Action Needed to Expedite Use of National Data for Program Oversight, January 8, 2018. Read the full report here.
