By OPEN MINDS Circle
Thirty-nine state or territorial Medicaid programs met Outcomes-Based Assessment (OBA) data quality targets in April 2024, compared to 35 in April 2023 and 25 in April 2022. The OBA is an improved assessment framework to review the quality of state Transformed Medicaid Statistical Information System (T-MSIS) data submissions. These data submissions are then used for Medicaid and Children’s Health Insurance Program (CHIP) program performance monitoring and analyzing service payments.
| State Medicaid Outcomes-Based Assessment Quality Target Status | |
| States That Met Target Status | States That Did Not Meet Target Status |
| Alabama Alaska Arizona Arkansas Colorado Connecticut Delaware District of Columbia Georgia Hawaii Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Missouri Montana Nebraska Nevada New Jersey New Mexico North Carolina North Dakota Ohio Puerto Rico Rhode Island Tennessee U.S. Virgin Islands Vermont Virginia Washington West Virginia Wisconsin Wyoming | California Florida Idaho Minnesota Mississippi New Hampshire New York Oklahoma Oregon Pennsylvania South Carolina South Dakota Texas Utah |
The Medicaid and CHIP (MAC) Scorecard also reported that both the share of total long-term services and support (LTSS) users that receive care through home- and community-based services (HCBS), and the share of total Medicaid LTSS spending devoted to HCBS, reached all-time highs in 2021 as states continued to focus on serving more people in home and community-based settings and reducing use of institutional services. In 2021, 63.2% of Medicaid LTSS expenditures were for HCBS, and 86.2% of LTSS users received HCBS. That year, among states that submitted data, Wisconsin had the highest percentage of Medicaid LTSS expenditures for HCBS at 93.5%, while Illinois had the lowest at 27.9%.
OBA is evaluated each year by the Centers for Medicare and Medicaid Services (CMS), and the results of these evaluations are presented in the MAC Scorecard dashboard, designed by Mathematica. The MAC Scorecard draws from more than 30 data sets derived from state and federal reporting efforts.
CMS released its 2024 MAC Scorecard on December 11, 2024. The MAC Scorecard highlights program characteristics such as care delivery; the use of data to support program improvement, eligibility and enrollment, and expenditures; health care quality performance; and program administration. The goal of the Scorecard is to improve transparency and accountability for the Medicaid and CHIP programs. This year’s version includes a new feature that allows users to focus on the data of one, two, or three states or territories at a time.
For more information, contact: Office of Communications, U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244; 202-690-6145; Website: https://www.cms.gov/