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A New Medicaid Access Monitoring System

Chapter 1 makes recommendations to create a new and more robust system for monitoring access to care for Medicaid beneficiaries that would allow for comparisons across states and delivery systems. States and the federal government both have statutory obligations to ensure that Medicaid provides access to services. However, the current approach to monitoring access does not measure key domains of access or provide comparable or actionable data, which are needed for policymakers and stakeholders to assess whether the program is meeting this obligation.

The Commission also recommends that a new monitoring approach include an annual federal Medicaid beneficiary survey to collect information on beneficiary perceptions and experiences with care. In addition, the Centers for Medicare & Medicaid Services should further standardize and improve the Transformed Medicaid Statistical Information System (T-MSIS) data to allow for meaningful cross-state comparisons and provide technical assistance to states to collect and analyze access measures.

From: June 2022 Report to Congress on Medicaid and CHIP