OMB control number

[Medicaid] Transformed - Medicaid Statistical Information System (T-MSIS) (CMS-R-284)

OMB 0938-0345 · HHS/CMS.

OMB 0938-0345

State data are reported by the federally mandated electronic process, known as MSIS is currently collecting eligibility and claim data in 5 separate files. These data are the basis of actuarial forecasts for Medicaid service utilization and costs; of analysis and cost savings estimates required for legislative initiatives relating to Medicaid and for responding to requests for information from CMS components, the Department, Congress and other customers. The expanded version of MSIS is now referred to as TMSIS will incorporate 3 additional files (Provider, Managed Care Plans, and Third Party Liability).

The latest form for [Medicaid] Transformed - Medicaid Statistical Information System (T-MSIS) (CMS-R-284) expires 2027-11-30 and is listed under ICR 202409-0938-023.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202606-0938-012 Revision of a currently approved collection 2026-06-15
202409-0938-023 Revision of a currently approved collection 2024-09-20
202206-0938-014 Revision of a currently approved collection 2022-06-10 Approved without change
201905-0938-019 Revision of a currently approved collection 2019-05-31 Approved with change
201604-0938-005 Revision of a currently approved collection 2016-04-21 Approved without change
201301-0938-002 Reinstatement with change of a previously approved collection 2013-01-04 Approved with change
201212-0938-001 Reinstatement with change of a previously approved collection 2012-12-04 Improperly submitted
200911-0938-001 Extension without change of a currently approved collection 2009-11-04 Approved without change
200702-0938-001 Revision of a currently approved collection 2007-02-01 Approved without change
200605-0938-011 Extension without change of a currently approved collection 2006-05-31 Approved without change
200303-0938-014 Revision of a currently approved collection 2003-03-27 Approved with change
200207-0938-004 Extension without change of a currently approved collection 2002-07-03 Approved with change
199908-0938-001 Revision of a currently approved collection 1999-08-03 Approved without change
199804-0938-005 Revision of a currently approved collection 1998-04-10 Approved without change
199703-0938-005 Revision of a currently approved collection 1997-03-28 Approved without change
199607-0938-005 Revision of a currently approved collection 1996-07-08 Approved without change
199509-0938-001 No material or nonsubstantive change to a currently approved collection 1995-09-30 Approved without change
199506-0938-001 Extension without change of a currently approved collection 1995-06-29 Approved without change
199404-0938-006 Reinstatement with change of a previously approved collection 1994-04-08 Approved without change
199305-0938-001 Reinstatement with change of a previously approved collection 1993-05-19 Approved without change
199202-0938-002 Reinstatement with change of a previously approved collection 1992-02-06 Approved without change
199102-0938-006 Reinstatement with change of a previously approved collection 1991-02-13 Approved without change
199003-0938-004 Reinstatement with change of a previously approved collection 1990-03-05 Approved without change
198901-0938-009 Revision of a currently approved collection 1989-01-27 Approved without change
198803-0938-008 Reinstatement with change of a previously approved collection 1988-03-29 Approved without change
198703-0938-010 Revision of a currently approved collection 1987-03-09 Approved without change
198608-0938-014 No material or nonsubstantive change to a currently approved collection 1986-08-01 Approved with change
198509-0938-016 No material or nonsubstantive change to a currently approved collection 1985-09-20 Approved with change
198503-0938-017 Revision of a currently approved collection 1985-03-27 Approved without change
198401-0938-001 New collection (Request for a new OMB Control Number) 1984-01-31 Approved without change