Fact Based List:

GAO Recommended CMS Actions Needed to Help Ensure Medicaid Data Reliability

  1. CMS should rovide states with more information on how to fulfill the requirement for independent encounter data audits, and what should be described in the resulting report.
  2. CMS should provide states information on the required content of the annual assessment of encounter data reporting.
  3. CMS should provide states with information on the circumstances under which CMS would defer or disallow matching funds in response to noncompliant encounter data submissions.

Source: GAO, November 19, 2018
Source URL: https://www.gao.gov/products/GAO-19-10