What Data are CMS & States Developing to Support Program Improvement?
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 three of the many ways states and the Centers for Medicare & Medicaid Services (CMS) collaborate to develop nationally standardized data to support quality-improvement activities. More information is available in the cited sources and notes.
Sources: Federal Fiscal Year (FFY) 2017 Adult Core Set Chart Pack (PDF 16.65 MB) and FFY 2017 Child Core Set Chart Pack (PDF 21.33 MB) and Transformed Medicaid Statistical Information System (T-MSIS).
Notes: States can voluntarily report the Adult and Child Core Set Measures. The count of state-reported Child Core Set measures does not include the Pediatric Central Line-Associated Bloodstream Infection (CLABSI) measure, which is from the Centers for Disease Control’s (CDC) National Healthcare Safety Network.
States current 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 submits regular monthly files to CMS. T-MSIS states current in production include 50 states (includes DC) and 2 territories (Puerto Rico and Virgin Islands).