Child & Teen Checkups Program

CMS 416 Reports

State of Minnesota
CHB/Tribe

CHB/Tribe Line 10

Racial/Ethnic Groups
Fee-for-Service and Health Plan

CHB/Tribe Dental Services

Participation Reports

The CMS – 416 Report is a federal requirement for Minnesota’s annual reporting to the federal Centers for Medicare and Medicaid Services (CMS) on the Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT) or Child and Teen Checkups Program (C&TC) as it is called in Minnesota.

Individual county breakdown reports are created from the annual state report. The same methods are used to calculate all 14 line items for both state and county reports. The report line items include both Medical Assistance (MA) and MinnesotaCare enrolled children for both state and county reports.

Read the “Total” line when reviewing either the state or county reports. (CN or Categorically Needy, and MN or Medically Needy, are federal reporting categories, based on certain kinds of eligibility factors.)

State of Minnesota Participation Reports

FFY 2015 CMS-416 MN Statewide Participation ReportFFY 2014 CMS-416 MN Statewide Participation ReportFFY 2013 CMS-416 MN Statewide Participation ReportFFY 2012 CMS-416 MN Statewide Participation ReportFFY 2011 CMS-416 MN Statewide Participation Report

CHB/Tribe Participation Reports

FFY 2014FFY 2013FFY 2012FFY 2011

CHB/Tribe Line 10 Participation Reports

County/Tribe Comparison – C&TC Federal 416 Calculation Method of Line 10 Participation Rates for:

FFY 2014FFY 2013FFY 2012FFY 2011

Racial/Ethnic Groups Participation Reports

This report is generated using the same methodology as the statewide, county and tribal CMS-416 C&TC participation reports. This report breaks the data out by racial/ethnic groups as reported on the Minnesota Health Care Programs application.

FFY 2014 CMS-416 by Race/EthnicityFFY 2013 CMS-416 by Race/EthnicityFFY 2009 CMS-416 by Race/Ethnicity

Fee-for-Service and Health Plan Participation Reports

FFY 2013 Fee-for-Service and Health Plan Participation Reports, Comparison of Participation Ratios Report and CMS 416 Participation Report

CHB/Tribe Dental Services Participation Report

CMS-416 FFY 2003-2007 Children who received dental services


The CMS Website provides additional information about the CMS 416 Report, including line item definitions. Scroll to the EPSDT Data section of the page.

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