Technical Assistance to States for Managed Care Encounter Data
Guidance for Task X of the Medicaid Analytic eXtract Production, Enhancement, and Data Quality (MAX-PDQ) contract and what it was designed for: to improve the quality and completeness of encounter data reporting into the Medicaid Statistical Information System (MSIS) by providing technical assistance (TA) to state Medicaid agencies.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 31, 2019
Reports and Issue Briefs
- “Assessing the Usability of Encounter Data for Enrollees in Comprehensive Managed Care Across MAX 2007–2009 (PDF)”. This issue brief assesses the availability, completeness, and quality of encounter data in MAX 2007–2009. The analysis builds on our previous reviews of MAX 2007 and 2008 encounter data by evaluating MAX 2009 physician, outpatient, and clinic services (OT), inpatient hospital services (IP), and prescription drug services (RX), and by assessing trends in the availability and usability of encounter data across the three year period. The analysis provides tools to assist researchers and policymakers in determining which states’ encounter data to analyze.
- “Assessing the Usability of MAX 2008 Encounter Data for Enrollees in Comprehensive Managed Care (PDF).” This issue brief provides an assessment of the selected other services (OT), inpatient (IP), and prescription drug (RX) encounter data for enrollees in comprehensive managed care during 2008. This issue brief summarizes the availability, completeness, quality and usability of the encounter data for comprehensive managed care enrollees by basis of eligibility (BOE) category as well as gives specific information by state. It also examines the changes in the IP and RX encounter data from 2007 to 2008.
- “Assessing the Usability of the MAX 2007 Inpatient Hospital (IP) and Prescription Drug (RX) Encounter Data for Enrollees in Comprehensive Managed Care (PDF)”. This issue brief summarizes the availability, completeness, quality and usability of the MAX encounter data for comprehensive managed care enrollees in 2007 by basis of eligibility (BOE) category as well as gives specific information by state.
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