State Toolkit for Validating Medicaid Managed Care Encounter Data

This toolkit provides practical information that states can use to validate and improve the Medicaid encounter data they receive from managed care plans. It’s designed to support state Medicaid staff who manage the daily operations involved in validating encounter data, as well as senior managers and policymakers who oversee this function. Besides describing the foundational activities all states should perform to ensure high quality data, this toolkit contains examples of current state practices, checklists to help readers conduct validation, and links to resources that provide helpful tips and tools.