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Data

State and Federal Reporting

Stay compliant and reduce costs with a proven CMS-certified solution.

Experience the benefits of accurate and timely reporting

The Optum® State and Federal Reporting™ analytics module is a proven Medicaid administrative and reporting system that generates required federal reports accurately, while catching discrepancies beforehand. Supported by Optum experts who regularly review CMS requirements, it offers a compliant solution while saving time and resources.

Product features

Stay up to date with CMS requirements

Detailed documentation lets you see changes due to CMS requirements — and the impact of those changes.

Easily analyze detailed data

Staff can access exactly what they need to verify reports and respond to CMS questions.

Save time with automation

Historical data is automatically saved for audit purposes. Quarter-end data remains unchanged once certified.

Implement quickly at lower cost

Out-of-the-box, cloud-native system is easy to implement without costly custom development.

Automatically reconcile your data and reporting

Stamp every applicable transaction with appropriate codes for consistent reporting across T-MSIS extracts and CMS reports.

Key benefits

Find, analyze and communicate discrepancies with configurable reporting and clean, intuitively designed dashboards.

Identify, investigate and resolve discrepancies

Easily identify the source system for impacted data as soon as it is flagged to improve communication across teams and with stakeholders.

Customize your reporting

Run on pre-defined schedules with thresholds you define and monitor performance with user-friendly dashboards that include drill-down capabilities.

Proactively manage data quality issues

The innovative T-MSIS Data Quality Early Warning System — part of State and Federal Reporting™ — generates more than 1000 data quality audits, so states can proactively catch and resolve data quality issues prior to submitting CMS’ monthly outcomes-based assessments (OBA).

Industry insights

AI in Action: Practical Use Cases for State Health Programs

Case study

AI in action: Practical use cases for state health programs

AI transforms state health programs by automating detection, strengthening oversight and driving impact. Get key insights from experts.

Accelerating Rural Health Transformation for States: An Interview

Article

Executive insights on accelerating rural health transformation

States face urgent timelines to launch rural health initiatives and show progress. The right analytics and consulting partner can help.

A Lower‑Risk Approach to Community Engagement Verification

Article

A lower-risk approach to Community Engagement Verification (CEV)

In a recent demo of the Optum CEV solution, experts covered how states can address requirements under HR1.

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