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

OMB 0938-0345

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 Transformed - Medicaid Statistical Information System (T-MSIS) (CMS-R-284) expires 2022-07-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2022-06-10
Approved with change
Revision of a currently approved collection 2019-05-31
Approved without change
Revision of a currently approved collection 2016-04-21
Approved with change
Reinstatement with change of a previously approved collection 2013-01-04
Improperly submitted
Reinstatement with change of a previously approved collection 2012-12-04
Approved without change
Extension without change of a currently approved collection 2009-11-04
Approved without change
Revision of a currently approved collection 2007-02-01
Approved without change
Extension without change of a currently approved collection 2006-05-31
Approved with change
Revision of a currently approved collection 2003-03-27
Approved with change
Extension without change of a currently approved collection 2002-07-03
Approved without change
Revision of a currently approved collection 1999-08-03
Approved without change
Revision of a currently approved collection 1998-04-10
Approved without change
Revision of a currently approved collection 1997-03-28
Approved without change
Revision of a currently approved collection 1996-07-08
Approved without change
No material or nonsubstantive change to a currently approved collection 1995-09-30
Approved without change
Extension without change of a currently approved collection 1995-06-29
Approved without change
Reinstatement with change of a previously approved collection 1994-04-08
Approved without change
Reinstatement with change of a previously approved collection 1993-05-19
Approved without change
Reinstatement with change of a previously approved collection 1992-02-06
Approved without change
Reinstatement with change of a previously approved collection 1991-02-13
Approved without change
Reinstatement with change of a previously approved collection 1990-03-05
Approved without change
Revision of a currently approved collection 1989-01-27
Approved without change
Reinstatement with change of a previously approved collection 1988-03-29
Approved without change
Revision of a currently approved collection 1987-03-09
Approved with change
No material or nonsubstantive change to a currently approved collection 1986-08-01
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-09-20
Approved without change
Revision of a currently approved collection 1985-03-27
Approved without change
New collection (Request for a new OMB Control Number) 1984-01-31
OMB Details

Medicaid Statistical Information System (MSIS)

Federal Enterprise Architecture: Health - Health Care Services


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