This best practice document outlines how states should approach reporting transportation Prepaid Ambulatory Health Plans (PAHPs) in the T‐MSIS Managed Care file, Claims files, and Eligible file.

This document outlines the challenges states have faced when reporting eligibles that share an MSIS identification number (MSIS-IDENTIFICATION-NUM) and guidance for states’ reporting.

This guidance outlines the challenges states have faced when reporting the indicator for an eligible individual’s primary eligibility group (PRIMARY-ELIGIBILITY-GROUP-IND) in their T-MSIS Eligibility Determinant segment (ELG00005) and recommends best practices for states’ reporting....

This guidance document outlines the specifications for reporting health insurance premium payments (HIPP) (AKA premium assistance subsidy payments) on the OT file. The specifications in the guidance provide a detailed explanation on how the data elements should be....

This document outlines the challenges states have faced when reporting the geographic service areas that managed care plans serve and recommends best practices for states' reporting.

This best practice document outlines some approaches for states when reporting the eligible populations that are authorized to be enrolled in a managed care plan in the T‐MSIS Managed Care Plan file record segment MANAGED‐CARE‐PLAN‐POPULATION‐ENROLLED‐MCR00006 using the data element MANAGED‐CARE‐PLAN‐POP (MCR077).

On February 26, 2016, CMCS issued a State Health Official (SHO) letter, SHO #16-002, to inform state Medicaid agencies and other state health officials about an update in payment policy affecting federal funding for services received by Medicaid-eligible individuals, who are...

This best practice document outlines the challenges states have faced when reporting ENROLLMENT-TYPE for their Children's Health Insurance Program (CHIP) populations in the Transformed Medicaid Statistical Information System (T-MSIS) Eligible file record segment ENROLLMENT-TIME-SPAN-SEGMENT-ELG00021 and recommends best practices for states' reporting.

This guidance document outlines best practice for reporting provider bed information in the T‐MSIS provider file. States report data about a provider’s facility beds on the T‐MSIS Provider File PROV‐BED‐TYPE‐INFO‐PRV‐00010 record segment, reported via the segment’s data elements, including BED‐TYPE‐CODE, BED‐COUNT, BED‐TYPE‐EFF‐DATE, and BED‐TYPE‐END‐DATE.

On September 16, 2016, CMS issued guidance to states to begin reporting Money Follows the Person (MFP) participation and services records in T-MSIS starting January 1, 2017. That guidance included a crosswalk from the legacy MFP reporting format to the T-MSIS data elements to facilitate this reporting. This T-MSIS guidance document provides additional information to support the T-MSIS reporting team inclusion of this data in monthly reporting.