State Budget & Expenditure Reporting for Medicaid and CHIP
- Expenditure Reports MBES/CBES
  - CMS-64 FFCRA and CAA Increased FMAP Expenditure Data
  - Medicaid Supplemental Payment Expenditure Data

Medicaid Supplemental Payment Expenditure Reporting

Related Resources

New Supplemental Payment Reporting and Medicaid Disproportionate Share Hospital Requirements under the Consolidated Appropriations Act, 2021 (12/10/2021)
Medicaid Payment Limit Demonstrations Page

Section 202 of the Consolidated Appropriations Act (CAA), 2021 established new supplemental payment reporting requirements through the addition of section 1903(bb) of the Social Security Act (the Act). The statute requires CMS to make all reports and related data submitted under the requirements publicly available on a timely basis. CMS released State Medicaid Director Letter (SMD) #21-006 on December 10, 2021 to present states with general information on the new statutory requirements, describe processes available to states to comply and provide technical guidance to facilitate states’ compliance with the statute.

Section 1903(bb)(1) of the Act required CMS to establish a system for each state to submit reports on supplemental payment expenditures. Within the system, states must report summary-level data and complete supplemental payment information on an annual basis as outlined in the CAA provisions. Each state submits its supplemental payment expenditure data, by provider, along with a narrative report, which includes an explanation of how supplemental payments made under the state plan or a state plan amendment will result in payments that are consistent with standards for efficiency, economy, quality of care, access as required under section 1902(a)(30)(A) of the Act. In addition the narrative reports must state the purpose and intended effects of the supplemental payment; the criteria used to determine which providers are eligible to receive the supplemental payment; and a comprehensive description of the methodology used to calculate the amount of, and distribute, the supplemental payment to each eligible provider.

Pursuant to section 1903(bb)(1)(A) of the Act, CMS designated the Medicaid Budget and Expenditure System (MBES) as the system for states to submit the reporting information required under section 1903(bb)(1) of the Act, through a form titled “Supplemental Payment Validation,” or SPV. The data reports include provider, payment, and narrative files within MBES. The data files contain the list of providers that received payments in the current or previous reporting periods, inclusive of both base and supplemental payments. The files also include narrative information about the alignment of supplemental payments with standards for efficiency, economy, quality of care, access, criteria for eligible providers, and the methodology for payment computation, distribution, and scheduling.

Current data are available as zip files, which contain Excel files, and include descriptions of the data elements of the data file:

FY2023 Medicaid Supplemental Payment Expenditure Data (Posted 12/19/2024)
FY2022 Medicaid Supplemental Payment Expenditure Data (Posted 12/19/2024)