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CMS Releases
Updates to the Medicaid and CHIP Transformed Medicaid Statistical
Information System (T-MSIS) Data
Data release
marks CMS’s continued commitment to to promoting transparency and
accountability in the Medicaid program through seamless data sharing
Today, the Centers for
Medicare & Medicaid Services (CMS), updated certain research-ready
Transformed Medicaid Statistical Information System (T-MSIS) data files,
which provides for a more robust and evolving collection of Medicaid and
Children’s Health Insurance Program (CHIP) data. T-MSIS data is the
most current and complete Medicaid and CHIP data resource available and
builds upon years of CMS’ work toward strengthening data availability for
these coverage programs that serve more than 75 million low-income Americans.
The data CMS released
through T-MSIS provides timely and accurate information on utilization and
spending under Medicaid and CHIP, and are needed to enable research and
analysis to improve quality of care, assess beneficiary care costs and
enrollment, improve program integrity and monitor performance. The data is
utilized by researchers, entrepreneurs, Congress, oversight agencies and
others.
“The Trump
Administration has repeatedly taken historic action to provide transparency
into the Medicaid program, which for too long has been shrouded in
mystery,” said CMS Administrator Seema Verma. “T-MSIS can be a treasure
trove of information to researchers looking to analyze Medicaid-related
trends. Today’s update represents the continuation of President Trump’s
long-running commitment to transparency in healthcare.”
Today’s release
includes an update to T-MSIS data for calendar years 2014 through 2016 to
reflect improved state data quality. Currently, T-MSIS information for
calendar years 2014 through 2018 is available to the public. Today’s data
refresh provides updates to research files for calendar years 2014, 2015
and 2016, used for monitoring program performance and analyzing state and
federal payments for services. CMS is also adding updated data quality
information for those years to its recently launched Data Quality (DQ)
Atlas tool, aninteractive, web-based tool that helps policymakers,
analysts, researchers and other stakeholders explore the quality and
usability of data files to determine if the data can meet their analytic
needs. The Agency is also releasing initial data quality information for
calendar year 2019 that will allow researchers to view data quality
measures in anticipation of the preliminary data file becoming available in
the near future.
The updated research
files include more robust claims data from states for these calendar years,
which is a significant data quality improvement over the original files
that were released in November 2019. Arkansas is now included in the 2016
data, and Puerto Rico is now included in both the 2015 and 2016 data. With
the addition of these data, the 2014-2016 research files now contain data
from every state and territory who submitted a complete year of data for
that timeframe, reflecting increased state data quality.
Today’s announcement
is the product of the efforts that CMS and CMS’s state partners have
engaged in to improve the quality and completeness of its T-MSIS data. In
keeping with that continued effort, CMS has identified 32
priority areas for all states to address as a high priority to improve the quality and completeness of their T-MSIS
data. The agency
established an ongoing collaboration with states to address these focus
areas, and is tracking these as part of the Administrator’s
Scorecard that was just updated for 2020 on October 30, 2020.
External researchers
can obtain access to this data by submitting a request to the CMS Research
Data Assistance Center (ResDAC) and signing a CMS data use
agreement containing strict beneficiary privacy and data security
requirements. To learn more visit the ResDAC website: https://www.resdac.org/.
To view fact sheet,
please visit: https://www.cms.gov/newsroom/fact-sheets/fact-sheet-medicaid-and-chip-t-msis-analytic-files-data-release
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