Medicaid Managed Care Capitated Payment Amount — December

This variable is contained in the following files:

Medicare-Medicaid Linked Enrollee Analytic Data Source 3.0

SAS Name

MDCD_MC_CAPTD_SPEND_12

This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.

Comments

CCW creates this variable by identifying OT header claims that are for managed care capitated payments. These are header claims where the claim type code (T-MSIS variable called CLM_TYPE_CD) is equal to '2' (Medicaid or expansion claim) 'B' (S-CHIP claim) or 'V' (Other Services claim).

Values: $

Source: T-MSIS OT Claims File (derived)