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SAS Name
ALCO_MEDICARE
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having alcohol use disorder as of the end of the calendar year.
| Code | Code value |
|---|---|
| 0 | Beneficiary did not meet claims criteria or have sufficient fee-for-service (FFS) coverage |
| 1 | Beneficiary met claims criteria but did not have sufficient FFS coverage |
| 2 | Beneficiary did not meet claims criteria but had sufficient FFS coverage |
| 3 | Beneficiary met claims criteria and had sufficient FFS coverage |
The CCW’s other chronic or potentially disabling condition variables require enrollees to satisfy both claims criteria (a minimum number/type of Medicare claims that have the proper diagnosis codes and occurred within a specified time period) and coverage criteria (FFS Medicare Part A and Part B coverage during the entire specified time period).
For alcohol use disorders, beneficiaries must have at least one inpatient claim or two other non-drug claims of any service type with a related code in any position during the 2-year reference period. When 2 claims are required, they must occur at least one day apart.
You can find more detailed information on the algorithm criteria on the CCW website: https://www.ccwdata.org/web/guest/condition-categories