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What Data are CMS & States Developing to Support Program Improvement?
VISIT THE PILLAR: National Context
States administer Medicaid and the Children’s Health Insurance Program (CHIP) according to federal requirements and monitor program performance at the state level. The following data show four of the many ways states and CMS collaborate to develop nationally standardized data to support quality improvement activities. More information is available in the cited sources and notes.
| What Data are CMS & States Developing to Support Program Improvement? |
Examples of the ways states and CMS collaborate to develop nationally standardized data to support quality improvement activities. |
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National Context |
Median Number of Child Core Set Measures Reported by StatesMedian Number of Child Core Set Measures Reported by States is 19
Number of Child Core Set Measures Reported by StateImage
 Number of Child Core Set Measures Reported by State US Map shows which states fall under what groups of numbers
Median Number of Adult Core Set Measures Reported by StatesImage
 Median Number of Adult Core Set Measures Reported by States is 22
Number of Adult Core Set Measures Reported by StateImage
 Number of Adult Core Set Measures Reported by State US Map with the categories and values:
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Sources: 2021 Child Core Set Chart Pack, FFY 2020 and 2021 Adult Core Set Chart Pack, FFY 2020 Notes: The term “states” includes the 50 states, the District of Columbia, and Puerto Rico. States can voluntarily report the Child and Adult Core Set measures. The 2020 Child Core Set includes 24 measures. The 2020 Adult Core Set includes 33 measures. States used Child or Adult Core Set specifications to calculate the measures. Some states calculated measures using “other specifications.” Measures were denoted as using “other specifications” when the state deviated substantially from the Child or Adult Core Set specifications, such as using alternate data sources, different populations, or other methodologies. The state median includes the total number of measures reported by each state, regardless of whether the state used Child or Adult Core Set or “other” specifications. |
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| What Data are CMS & States Developing to Support Program Improvement? |
Examples of the ways states and CMS collaborate to develop nationally standardized data to support quality improvement activities. |
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National Context |
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 Transformed Medicaid Statistical Information System (T-MSIS): Production and Currency Status Map showing states and territories that are current and complete, which aren't, which are working towards production and which do not participate in T-MSIS
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Source: Transformed Medicaid Statistical Information System Notes: States in T-MSIS production have developed systems that meet requirements to submit Medicaid and CHIP data to the CMS T-MSIS federal production system. In addition, the state met operational readiness criteria and began submitting regular monthly files to CMS. States current in T-MSIS production are up-to-date on monthly file submissions to CMS as of July 29, 2021. |
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| What Data are CMS & States Developing to Support Program Improvement? |
Examples of the ways states and CMS collaborate to develop nationally standardized data to support quality improvement activities. |
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National Context |
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 States Receiving Medicare Data to Coordinate Care for Dually Eligible Individuals with US Map showing which receive data and which don't
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Source: Medicare-Medicaid Coordination Office This measure reports which states as of May 2021 receive Medicare Parts A, B, and D data at least monthly from CMS to support care coordination for dually eligible individuals. Medicare data are an essential tool for states seeking to coordinate care, improve quality, and control costs for dually eligible individuals. Requesting Medicare data is voluntary for states. The Medicaid-Medicare Coordination Office and State Data Resource Center track which states receive Medicare data. For more information, including available data files and how to request data, contact the State Data Resource Center at sdrc@econometricainc.com. |