Data

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  1. HHS

    Medicaid Statistical Information System (MSIS)

    The 25 MSIS statistical tables contain national state-by-state data. These tables contain high-level aggregated statistics relating to Medicaid eligibility and claims data. nn

    Agency: Centers for Medicare & Medicaid Services
    Subject: Medicaid
    Date Released: Oct 1, 2009
    Date Updated: Nov 1, 2009
    Geographic Granularity: State

  2. HHS

    Medicaid Statistical Information System (MSIS) State Summary Datamart

    The MSIS State Summary Datamart is an efficient user-friendly tool to obtain high level statistics for commonly requested data such as eligibility, claim and demographic information for all individuals on Medicaid, their utilization and payments.

    Agency: Centers for Medicare & Medicaid Services
    Subject: Medicaid
    Date Released: Mar 1, 2004
    Date Updated: Nov 23, 2009
    Geographic Granularity: State

  3. HHS

    Medicaid Fraud Control Units (MFCU) Annual Spending and Performance Statistics

    Medicaid Fraud Control Units (MFCU or Unit) investigate and prosecute Medicaid fraud as well as patient abuse and neglect in health care facilities. OIG certifies, and annually recertifies, each MFCU. OIG collects information about MFCU operations and assesses whether they comply with statutes, regulations, and OIG policy. OIG also analyzes MFCU performance based on 12 published performance standards and recommends program improvements where appropriate.

    Agency: Department of Health & Human Services
    Subject: Medicaid

  4. HHS

    Medicaid Analytic eXtract (MAX) General Information

    The Medicaid Analytic eXtract (MAX) data is a set of person-level data files on Medicaid eligibility, service utilization, and payments. The MAX data are created to support research and policy analysis. The MAX data are extracted from the Medicaid Statistical Information System (MSIS). The MAX development process combines MSIS initial claims, interim claims, voids, and adjustments for a given service into final action events. Unlike fiscal-based MSIS quarterly files, MAX data are organized into annual calendar year files. There are a number of other "value added" enhancements to the MAX data for users as described below.

    Agency: Centers for Medicare & Medicaid Services
    Subject: Medicaid
    Date Released: Jan 1, 2003
    Date Updated: Nov 18, 2011

  5. HHS

    Medicaid Pharmacy Benefit Use and Reimbursement- Introduction and Chartbooks

    Under a research contract from CMS's former Office of Research, Development and Information (ORDI) now the Center for Strategic Planning, Mathematica Policy Research, Inc. (MPR) is producing a series of research products related to pharmacy benefit use and reimbursement in Medicaid. MPR is using the Medicaid Analytic eXtract (MAX) data files for calendar year 1999 and later years for these research products. The MAX files are constructed from claims and eligibility data that states submit to CMS electronically through the Medicaid Statistical Information System (MSIS). One set of products is the Statistical Compendium: Medicaid Pharmacy Benefit Use and Reimbursement (hereafter "the Compendium") for calendar years 1999 and 2001-2007. The Compendium for each year provides detailed state-by-state and national data on the use of and reimbursement for prescription drugs in Medicaid. (A Compendium was not produced for calendar year 2000.) Using the detailed data from the Compendium, MPR has also prepared Chartbooks for 1999 and 2001-2007. The Chartbooks present selected highlights from the Compendium and include comparisons across states. The 2001-2007 Chartbooks also include comparisons to earlier years.

    Agency: Centers for Medicare & Medicaid Services
    Subject: Medicaid
    Date Released: Oct 1, 2004
    Date Updated: Jul 31, 2011
    Geographic Granularity: State

  6. HHS

    Medicaid Analytic eXtract (MAX) Chartbooks

    The Medicaid Analytic eXtract (MAX) Chartbooks are research tools and reference guides on Medicaid enrollees and their Medicaid experience in 2002 and 2004. Developed for state Medicaid directors, policymakers, researchers, and others interested in the Medicaid program, the chartbooks consists of illustrative graphs, descriptive text, and an extensive data appendix with summary national- and state-level information on enrollee demographic and eligibility characteristics, Medicaid service use, and Medicaid expenditures in 2002 and 2004. The chartbooks summarize the Medicaid program and the MAX data system. They also present figures and tables that reflect the Medicaid population in 2002 and 2004. Chapter 2 profiles Medicaid enrollees and their Medicaid experience nationally, Chapter 3 presents state-level detail, and Chapters 4 through 6 provide supplementary information on special topic areas, including managed care, dual Medicare/Medicaid enrollees, and service use and expenditures by detailed type of service. An appendix contains source data tables for Chapters 3 through 6. The MAX Chartbooks (in PDF format) and their associated appendix tables (as zipped Excel files) can be downloaded below.

    Agency: Centers for Medicare & Medicaid Services
    Subject: Medicaid
    Date Released: Sep 1, 2008
    Date Updated: Sep 12, 2011
    Geographic Granularity: State

  7. HHS

    Medicaid Analytic Rx eXtract (MAX Rx) Table Listing

    The Statistical Compendium options below enable users to choose to view Medicaid prescription drug tables for 1999 and 2001-2007, and to select the tables for the nation as a whole or for individual states. Within the national or state tables, users can also choose to view only those tables that focus on dual eligibles, only those that focus on nonduals, or only those that focus on all Medicaid beneficiaries combined. Note that the 1999 Statistical Compendium does not include separate tables that focus only on nonduals. Note also that there may be cross-references to other tables in the table footnotes, so all tables may not be fully self-explanatory.

    Agency: Centers for Medicare & Medicaid Services
    Subject: Medicaid
    Date Released: Oct 1, 2004
    Date Updated: May 18, 2011
    Geographic Granularity: State

  8. HHS

    MAX Validation Reports

    Medicaid Analytic eXtract (MAX) Validation Reports These documents contain validation reports for all 50 States and Washington D.C..

    Agency: Centers for Medicare & Medicaid Services
    Subject: Medicaid
    Date Released: Jan 1, 2003
    Date Updated: Oct 19, 2011
    Geographic Granularity: State

  9. HHS

    CMS Data Navigator

    The CMS Data Navigator is an easy-to-use, menu-driven search tool that makes the data and information resources of the Centers for Medicare and Medicaid Services (CMS) more easily available. Use the Data Navigator to find data and information products for specific CMS programs, such as Medicare and Medicaid, or on specific health care topics or settings-of-care. Navigator displays search results by data type making it easier to locate specific types of information (e.g., data files, publications, statistical reports, etc.).

    Agency: Centers for Medicare & Medicaid Services
    Subject: Medicaid
    Subject: Medicare
    Date Released: Oct 1, 2012

  10. HHS

    List of Excluded Individuals and Entities

    Our objective is to ensure that providers who bill Federal health care programs do not submit claims for services furnished, ordered or prescribed by an excluded individual or entity. The LEIE is updated monthly with all individuals and entities who have been excluded from participation in Federal health care programs. Providers who bill Medicare, Medicaid, or other Federal health care programs must ensure that they know what individuals or entities are excluded and not bill for their services (e.g., a pharmacy should not bill Medicaid for a drug prescribed by an excluded physician nor for drugs dispensed by an excluded pharmacist).

    Agency: Department of Health & Human Services
    Subject: Health Care Providers
    Subject: Medicaid
    Subject: Medicare
    Date Released: Nov 30, 2012

  11. HHS

    Medicaid Fraud Control Units (MFCU) Annual Spending and Performance Statistics

    To inform HHS, States, Congress, and the public about the results and accomplishments of the State Medicaid Fraud Control Units.

    Agency: Department of Health & Human Services
    Subject: Medicaid
    Date Released: Nov 30, 2012

  12. HHS

    Repository of Evaluation Reports

    To inform the HHS, Congress, and the public about the efficiency, effectiveness, and integrity of HHS programs and to recommend actions to promote those goals.

    Agency: Department of Health & Human Services
    Subject: Health Care Cost
    Subject: Medicaid
    Subject: Medicare
    Date Released: Nov 30, 2012

  13. HHS

    Repository of Audit Reports

    To inform the HHS, Congress, and the public about the efficiency, effectiveness, and integrity of HHS programs and to recommend actions to promote those goals. To identify misspent funds and recommend recoveries, as appropriate, and to recommend improvements to internal controls, as needed.

    Agency: Department of Health & Human Services
    Subject: Medicaid
    Subject: Medicare
    Subject: Other
    Date Released: Nov 30, 2012

  14. HHS

    Transfer Income Model (TRIM3)

    The Transfer Income Model, version 3 (TRIM3) is a comprehensive microsimulation model that simulates the major governmental tax, transfer, and health programs that affect the U.S. population, and can produce results at the individual, family, state, and national levels. Since the first TRIM model was operational in 1973, the TRIM models have been used to understand the potential outcomes of public policy changes such as welfare reform, tax reform, and national health care reform.

    Each year, the TRIM project also conducts “baseline” simulations of program operations under current law, estimating program eligibility and correcting for under-reporting of benefits in survey data. The project’s website, trim.urban.org, provides public access to the annual simulation results and to a comprehensive database of federal and state policies.

    Agency: Department of Health & Human Services
    Subject: Health Care Cost
    Subject: Medicaid
    Subject: Population Statistics

  15. State

    Data Requestsfor Drugs Data 05082012

    Data Requestsfor Drugs Data 05082012

    Agency: State of Illinois
    Subject: Medicaid
    Date Updated: May 1, 2014

  16. State

    2014 Grants Information Collection Act Report

    Grants issued by Healthcare and Family Services for the support of various programs and initiatives.

    Agency: State of Illinois
    Subject: Medicaid
    Date Updated: May 1, 2014

  17. State

    2011 Program Enrollment Data

    2011 Program Enrollment Data

    Agency: State of Illinois
    Subject: Medicaid
    Date Updated: May 1, 2014

  18. State

    2013 Program Enrollment Data

    2013 Program Enrollment Data

    Agency: State of Illinois
    Subject: Medicaid
    Date Updated: May 1, 2014

  19. State

    2013 Program Enrollment Data Dictionary

    2013 Program Enrollment Data Dictionary

    Agency: State of Illinois
    Subject: Medicaid
    Date Updated: May 1, 2014

  20. State

    2010 Provider- Level Data

    2010 Provider- Level Data

    Agency: State of Illinois
    Subject: Medicaid
    Date Updated: May 1, 2014

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