Not All States Reported Medicaid Managed Care Encounter Data As Required

The Office of Inspector General within the U.S. Department of Health and Human Services (HHS) released this report on July 3, 2015. In the report, HHS examined the third-quarter fiscal year 2011 Medicaid Statistical Information System (MSIS) claims files for the 38 States that had the types of managed care programs for which encounter data must be reported to MSIS. For each state HHS reviewed, it was determined whether encounter data was present in MSIS for all of the managed care entities with which the state had contracts . . .