(a) Basis. This section implements section 1902(a)(6) and (a)(75) of the Act.

(b) Definitions. As used in this section—

(1) Timely means that all data for required data elements are submitted according to the cadence and not later than the deadline specified by CMS.

(2) Complete means that all data for required data elements are reported.

(3) Sufficient quality means that all data for required data elements are reported in a form and manner that adheres to specifications prescribed by CMS.

(c) Reporting requirement. For data about activities described in §§ 435.550 through 435.563 occurring on or after the State's implementation date under § 435.559, each State must submit to CMS the required data for the data elements described in paragraph (d) of this section to monitor enrollment, retention, and eligibility processes. Such data must be timely, complete, and of sufficient quality.

(d) Required data elements. States must submit data for the following categories for individuals who apply for and are receiving medical assistance, including individuals subject to the requirements of §§ 435.550 through 435.563:

(1) Enrollment totals of individuals receiving medical assistance.

(2) Application and renewal processing and timeliness, including information, if relevant, about pending applications and renewals that exceed the timeliness standards.

(3) Outcomes of determinations and redeterminations of eligibility.

(4) Population counts of individuals subject to and their compliance with the requirements of §§ 435.550 through 435.563, including their manner of compliance.

(5) Any other data specified by CMS to monitor State implementation of §§ 435.550 through 435.563.

(e) Corrective action and additional outreach notices. The agency may be subject to corrective action under section 1904 of the Act, additional data collection, or a requirement to send additional outreach notices under § 435.561(b)(3)(v), when—

(1) Reported data are not timely, complete, or of sufficient quality; or

(2) Reported data or other available information indicate a failure to comply substantially with §§ 435.550 through 435.562, or determination and/or redetermination outcomes indicate a need for increased outreach.