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Source-linked public index

State Medicaid Data Visibility Index

This page organizes dated records about limits in Medicaid and waiver data visibility. Each entry states what the source reported, why it matters for review, and what the record cannot prove.

How to read one entry

  1. Check the record date and jurisdiction. A dated report is not a statement of current conditions everywhere.
  2. Read the source summary beside its limit. A data gap is not, by itself, proof of wrongdoing.
  3. Open the official source or preserved request. Compare the original wording before citing the summary.
Three checks for a Medicaid data entry: date and jurisdiction, source wording, and the stated limit. A data gap alone does not prove intentional withholding or wrongdoing.
Check the record date and jurisdiction; a historical report is not a statement of current conditions everywhere. Read what the source reported beside its stated limit, then compare the original report or preserved request. A data gap, reporting delay or incomplete trail does not by itself prove intentional withholding, misconduct or a legal violation. This index does not rank states.

Dated records

10

Official sources

7

Connecticut request records

3

Last reviewed

2026-08-14

Download these ten entries

The JSON file contains the same ten archive summaries, dates, categories, source links and limits shown here. JSON is structured text for researchers and software; the readable cards below remain available without special tools.

This is not a download of the underlying official reports, a current agency-status feed or permission to reuse third-party material.

Download ten-entry JSON

Use and verify the data download

This is version 1 of a ten-record archive export. Its recorded content-review date remains 2026-08-14. Documentation version: 2026-09-23. Documentation updates do not make historic records current.

Download the JSON Schema · Download provenance, version and checksum

The schema describes every field and permitted category. All record fields are required. Category identifiers connect records to category definitions. Record identifiers are unique within this file. Source links identify either an official source or a preserved request; they do not certify its claims.

Field dictionary — what each record value means
id
Stable identifier assigned to this archive entry; not an agency finding or docket number.
jurisdiction
Geographic scope as described in this entry; Multiple states does not mean every state.
level
Whether the entry addresses multiple states or a single state.
category
Identifier linking this entry to one of the categories defined in this export.
recordDate
Date associated with the cited record, in YYYY-MM-DD form; not a claim of current conditions.
status
Dated archive summary of the source-reported status, not a live agency-status feed.
title
Reader-facing archive title describing the record.
sourceSays
Archive summary of what the cited source reports; compare the linked original before relying on it.
visibilityContext
Archive explanation of how the record relates to data visibility; not an official finding.
sourceName
Name of the cited issuer or preserved request and any identifier supplied in the entry.
sourceUrl
HTTPS link to the official source, or a site-relative link to a preserved request. Resolve relative links against sourcePage.
sourceKind
Distinguishes a federal official source, an official commission source, and a preserved public request.
limits
What this dated entry cannot establish and cautions needed when interpreting it.

Exact JSON download: 12,563 bytes. SHA-256: 7011bb5591ccb34839f349f541eaddc3c6136e37fc660b72a847fbd145431d0d. Compare this with the digest of your downloaded file. A matching digest checks the bytes; it does not prove authorship, accuracy or a legal finding.

Read reuse terms and limits before redistributing material. The export provides summaries and source links, not a new license to underlying reports.

What the categories mean

Federal data submission

Records about the completeness, consistency, or timing of data states provide for federal Medicaid oversight.

Eligibility visibility

Records about whether available data allow reviewers to understand application, renewal, or disenrollment outcomes.

Waiting-list visibility

Records about how waiver capacity and waiting-list practices are documented and compared.

Public-record access

Dated request records showing the preserved status and completeness of a specific public-record trail.

Reporting framework

Federal requirements intended to make future state reporting more consistent and publicly available.

Official oversight record

Federal and multi-state records

These entries summarize reports from GAO, HHS OIG, CMS, and MACPAC. The dates matter. A historic gap may have changed after the source was published.

Multiple states Assessment limited by source data

Application-processing pace could not be assessed

What the source says

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.

Visibility context

Incomplete or inconsistent state reporting limited a federal review of application-processing performance.

Limit

The report covers state experiences from 2008 through 2011. It does not establish why any state data were incomplete or inconsistent.

Open official source: U.S. Government Accountability Office, GAO-13-55

Link check: . The server denied the automated check (HTTP 403). This does not show that the source is missing; try the official link in your browser. This observation is separate from the content-review date above and is not a continuous availability guarantee.

Multiple states Participation described as limited

Medicaid interstate-match participation was limited

What the source says

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.

Visibility context

Variation in enrollment-data submission and follow-through limited the federal matching process used to identify possible duplicate enrollment.

Limit

This is a 2014 evaluation of an August 2011 match sample. The record does not describe current participation.

Open official source: HHS Office of Inspector General, OEI-09-11-00780

Link check: . The server returned a page (HTTP 200). This is not a new review of the report or its accuracy. This observation is separate from the content-review date above and is not a continuous availability guarantee.

Multiple states Historic implementation gap

T-MSIS did not yet include all state Medicaid programs

What the source says

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.

Visibility context

The delays and inconsistent definitions limited reliable national analysis at that time.

Limit

This is a dated implementation snapshot. It must not be read as the current T-MSIS status.

Open official source: HHS Office of Inspector General, OEI-05-15-00050

Link check: . The server returned a page (HTTP 200). This is not a new review of the report or its accuracy. This observation is separate from the content-review date above and is not a continuous availability guarantee.

All states and the District of Columbia Practices vary by waiver

Waiver waiting-list practices were documented in different ways

What the source says

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.

Visibility context

Different waiver-entry rules and state practices make waiting-list numbers an imperfect measure of unmet need.

Limit

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.

Open official source: Medicaid and CHIP Payment and Access Commission

Link check: . The server returned a page (HTTP 200). This is not a new review of the report or its accuracy. This observation is separate from the content-review date above and is not a continuous availability guarantee.

All states and the District of Columbia Improved; some standards unmet

T-MSIS data improved, but important gaps remained

What the source says

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.

Visibility context

Data that did not meet CMS standards limited oversight of services and payments in the affected topic areas.

Limit

The report evaluates CMS assessments available during GAO’s review. It does not say that all data from any listed state were unusable.

Open official source: U.S. Government Accountability Office, GAO-21-196

Link check: . The server denied the automated check (HTTP 403). This does not show that the source is missing; try the official link in your browser. This observation is separate from the content-review date above and is not a continuous availability guarantee.

All state Medicaid programs with applicable HCBS Future reporting framework

Federal rule adds waiting-list and website-transparency reporting

What the source says

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.

Visibility context

The rule establishes a more consistent reporting framework for information that was not previously subject to the same nationwide public-reporting requirements.

Limit

Implementation dates vary. This entry describes a reporting requirement, not proof that a state is currently compliant or noncompliant.

Open official source: Centers for Medicare & Medicaid Services, HCBS provisions

Link check: . The server denied the automated check (HTTP 403). This does not show that the source is missing; try the official link in your browser. This observation is separate from the content-review date above and is not a continuous availability guarantee.

All states and the District of Columbia Updated data lagged preliminary data

Updated eligibility-redetermination data arrived months later

What the source says

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.

Visibility context

A preliminary snapshot could differ materially from the later, more complete record.

Limit

The report concerns the COVID-19 continuous-enrollment unwinding period. A reporting lag does not establish intentional withholding.

Open official source: U.S. Government Accountability Office, GAO-25-107413

Link check: . The server returned a page (HTTP 200). This is not a new review of the report or its accuracy. This observation is separate from the content-review date above and is not a continuous availability guarantee.

State-level preserved records

Connecticut public-request records

These are narrow archive snapshots. They show the preserved request fields and evidence gaps. They do not decide whether an agency met a legal deadline or produced every responsive record.

Connecticut Archive status: Awaiting Response

DSS request for Medicaid billing, ADA, and related records

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.

Visibility context
The archive preserves the request and its status while clearly identifying the missing response-thread evidence.
Limit
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.
Open preserved request record
Connecticut Archive status: Processing

OPM request concerning ADA compliance and interagency correspondence

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.

Visibility context
The preserved fields conflict in a way that requires the source record to remain visible without guessing which field controls.
Limit
The record is disclosed as internally inconsistent. It is not classified as a denial, delay finding, or proof of misconduct.
Open preserved request record
Connecticut Recovered partial trail

Recovered OPM acknowledgment correspondence

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.

Visibility context
The entry shows exactly what was recovered and what remains unavailable for independent review.
Limit
A partial trail cannot establish the full agency response, timing, or outcome.
Open preserved request record

Method and limits

  1. Use a dated official report or an exact preserved public-request record.
  2. State what the source reports without adding a motive or legal conclusion.
  3. Explain the visibility issue in plain language.
  4. Publish the limitation beside the summary.
  5. Keep historic records dated. Do not present them as current status.

This is a bounded index, not a complete census of every state or every Medicaid dataset. Corrections can be submitted through the archive’s corrections policy.