{ "schemaVersion": "state-medicaid-data-visibility-1", "sourcePage": "https://www.david-medeiros.com/state-medicaid-data-visibility/", "contentReviewedOn": "2026-08-14", "scope": "Ten dated archive entries: seven official-source records and three Connecticut preserved public-request records. Not a state ranking or a complete census.", "limitations": "These are archive summaries with links to their sources, not copies of those sources or current agency findings. Read each record date, status and limits. Download availability does not grant a reuse license for underlying source materials.", "categories": [ { "id": "federal-data-submission", "name": "Federal data submission", "description": "Records about the completeness, consistency, or timing of data states provide for federal Medicaid oversight." }, { "id": "eligibility-visibility", "name": "Eligibility visibility", "description": "Records about whether available data allow reviewers to understand application, renewal, or disenrollment outcomes." }, { "id": "waiting-list-visibility", "name": "Waiting-list visibility", "description": "Records about how waiver capacity and waiting-list practices are documented and compared." }, { "id": "public-record-access", "name": "Public-record access", "description": "Dated request records showing the preserved status and completeness of a specific public-record trail." }, { "id": "reporting-framework", "name": "Reporting framework", "description": "Federal requirements intended to make future state reporting more consistent and publicly available." } ], "records": [ { "id": "gao-2012-application-processing", "jurisdiction": "Multiple states", "level": "multi-state", "category": "eligibility-visibility", "recordDate": "2012-11-15", "status": "Assessment limited by source data", "title": "Application-processing pace could not be assessed", "sourceSays": "GAO reported that it could not assess whether states processed applications at a rate that kept pace with new applications because most states provided incomplete or inconsistent data.", "visibilityContext": "Incomplete or inconsistent state reporting limited a federal review of application-processing performance.", "sourceName": "U.S. Government Accountability Office, GAO-13-55", "sourceUrl": "https://www.gao.gov/products/gao-13-55", "sourceKind": "official-federal", "limits": "The report covers state experiences from 2008 through 2011. It does not establish why any state data were incomplete or inconsistent." }, { "id": "oig-2014-paris-participation", "jurisdiction": "Multiple states", "level": "multi-state", "category": "federal-data-submission", "recordDate": "2014-08-27", "status": "Participation described as limited", "title": "Medicaid interstate-match participation was limited", "sourceSays": "HHS OIG reported limited state participation in the Medicaid Interstate Match. OIG also reported that CMS guidance was limited and that states said they needed more guidance.", "visibilityContext": "Variation in enrollment-data submission and follow-through limited the federal matching process used to identify possible duplicate enrollment.", "sourceName": "HHS Office of Inspector General, OEI-09-11-00780", "sourceUrl": "https://oig.hhs.gov/reports/all/2014/public-assistance-reporting-information-system-state-participation-in-the-medicaid-interstate-match-is-limited/", "sourceKind": "official-federal", "limits": "This is a 2014 evaluation of an August 2011 match sample. The record does not describe current participation." }, { "id": "oig-2017-tmsis-implementation", "jurisdiction": "Multiple states", "level": "multi-state", "category": "federal-data-submission", "recordDate": "2017-01-19", "status": "Historic implementation gap", "title": "T-MSIS did not yet include all state Medicaid programs", "sourceSays": "HHS OIG reported that 21 of 53 state programs were submitting data as of December 2016. States and CMS also raised concerns about incomplete elements, reliability, and differing interpretations.", "visibilityContext": "The delays and inconsistent definitions limited reliable national analysis at that time.", "sourceName": "HHS Office of Inspector General, OEI-05-15-00050", "sourceUrl": "https://oig.hhs.gov/reports/all/2017/t-msis-data-not-yet-available-for-overseeing-medicaid/", "sourceKind": "official-federal", "limits": "This is a dated implementation snapshot. It must not be read as the current T-MSIS status." }, { "id": "macpac-2020-waiting-list-administration", "jurisdiction": "All states and the District of Columbia", "level": "multi-state", "category": "waiting-list-visibility", "recordDate": "2020-08-27", "status": "Practices vary by waiver", "title": "Waiver waiting-list practices were documented in different ways", "sourceSays": "MACPAC reviewed 268 approved waivers. It reported that 199 of 254 Section 1915(c) waivers and 11 of 14 Section 1115 waivers documented how waiting lists were managed.", "visibilityContext": "Different waiver-entry rules and state practices make waiting-list numbers an imperfect measure of unmet need.", "sourceName": "Medicaid and CHIP Payment and Access Commission", "sourceUrl": "https://www.macpac.gov/publication/compendium-of-medicaid-home-and-community-based-services-waiver-waiting-list-administration/", "sourceKind": "official-commission", "limits": "The compendium reflects approved waivers as of March 2020. MACPAC cautions that a documented waiting-list policy does not prove that a waiver had an operational waiting list." }, { "id": "gao-2021-tmsis-standards", "jurisdiction": "All states and the District of Columbia", "level": "multi-state", "category": "federal-data-submission", "recordDate": "2021-01-14", "status": "Improved; some standards unmet", "title": "T-MSIS data improved, but important gaps remained", "sourceSays": "GAO reported broad improvement in T-MSIS data. It also reported that 30 states did not submit acceptable inpatient managed-care encounter data and that eight related recommendations remained not fully addressed.", "visibilityContext": "Data that did not meet CMS standards limited oversight of services and payments in the affected topic areas.", "sourceName": "U.S. Government Accountability Office, GAO-21-196", "sourceUrl": "https://www.gao.gov/products/gao-21-196", "sourceKind": "official-federal", "limits": "The report evaluates CMS assessments available during GAO’s review. It does not say that all data from any listed state were unusable." }, { "id": "cms-2024-hcbs-transparency", "jurisdiction": "All state Medicaid programs with applicable HCBS", "level": "multi-state", "category": "reporting-framework", "recordDate": "2024-05-10", "status": "Future reporting framework", "title": "Federal rule adds waiting-list and website-transparency reporting", "sourceSays": "CMS states that the 2024 Access Final Rule requires states to report on waiver waiting lists and service-delivery timeliness and to publish specified HCBS quality, performance, and compliance information.", "visibilityContext": "The rule establishes a more consistent reporting framework for information that was not previously subject to the same nationwide public-reporting requirements.", "sourceName": "Centers for Medicare & Medicaid Services, HCBS provisions", "sourceUrl": "https://www.medicaid.gov/medicaid/access-care/home-and-community-based-services-provisions", "sourceKind": "official-federal", "limits": "Implementation dates vary. This entry describes a reporting requirement, not proof that a state is currently compliant or noncompliant." }, { "id": "gao-2025-unwinding-data-lag", "jurisdiction": "All states and the District of Columbia", "level": "multi-state", "category": "eligibility-visibility", "recordDate": "2025-06-24", "status": "Updated data lagged preliminary data", "title": "Updated eligibility-redetermination data arrived months later", "sourceSays": "GAO reported that CMS publicly shared preliminary and updated state data for Medicaid and CHIP unwinding. The updated data generally lagged the preliminary data by five or more months and included outcomes for millions of cases that had been pending.", "visibilityContext": "A preliminary snapshot could differ materially from the later, more complete record.", "sourceName": "U.S. Government Accountability Office, GAO-25-107413", "sourceUrl": "https://files.gao.gov/reports/GAO-25-107413/index.html", "sourceKind": "official-federal", "limits": "The report concerns the COVID-19 continuous-enrollment unwinding period. A reporting lag does not establish intentional withholding." }, { "id": "connecticut-request-176222", "jurisdiction": "Connecticut", "level": "state", "category": "public-record-access", "recordDate": "2024-11-13", "status": "Archive status: Awaiting Response", "title": "DSS request for Medicaid billing, ADA, and related records", "sourceSays": "The preserved request export records a submission to the Connecticut Department of Social Services on November 13, 2024. Its archive status is Awaiting Response. No exact request-ID-linked response thread was safely attributable in the accessible source set.", "visibilityContext": "The archive preserves the request and its status while clearly identifying the missing response-thread evidence.", "sourceName": "David Medeiros Public Evidence Archive, request 176222", "sourceUrl": "/muckrock-requests/176222/", "sourceKind": "preserved-public-request", "limits": "The archive status is not a legal finding and does not establish that the agency failed to respond. The supplied external MuckRock URL returned Page Not Found during a July 19, 2026 archive check." }, { "id": "connecticut-request-176753", "jurisdiction": "Connecticut", "level": "state", "category": "public-record-access", "recordDate": "2024-11-22", "status": "Archive status: Processing", "title": "OPM request concerning ADA compliance and interagency correspondence", "sourceSays": "The preserved request export records a submission to the Connecticut Office of Policy and Management on November 22, 2024, with tracking number OPM ID # 24-94. Its archive status is Processing. The export also contains a January 9, 2025 completion timestamp, but no exact linked response thread was safely attributable.", "visibilityContext": "The preserved fields conflict in a way that requires the source record to remain visible without guessing which field controls.", "sourceName": "David Medeiros Public Evidence Archive, request 176753", "sourceUrl": "/muckrock-requests/176753/", "sourceKind": "preserved-public-request", "limits": "The record is disclosed as internally inconsistent. It is not classified as a denial, delay finding, or proof of misconduct." }, { "id": "connecticut-request-180806", "jurisdiction": "Connecticut", "level": "state", "category": "public-record-access", "recordDate": "2025-02-26", "status": "Recovered partial trail", "title": "Recovered OPM acknowledgment correspondence", "sourceSays": "The archive preserves one February 26, 2025 acknowledgment from Connecticut OPM Legal Affairs. The message referred to an attached letter, but the attachment and complete request-response thread were not recovered in the accessible source set.", "visibilityContext": "The entry shows exactly what was recovered and what remains unavailable for independent review.", "sourceName": "David Medeiros Public Evidence Archive, request 180806", "sourceUrl": "/muckrock-requests/180806/", "sourceKind": "preserved-public-request", "limits": "A partial trail cannot establish the full agency response, timing, or outcome." } ] }