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2019 Medicaid and CHIP Data Now Available
CMS is pleased to announce that updated Medicaid T-MSIS Analytic Files (TAFs) for service year 2019 are now available. The TAF research files* contain data on Medicaid and Children's Health Insurance Program (CHIP) beneficiary demographics, program enrollment, service use, and payments. They are designed to meet the diverse research needs of the Medicaid and CHIP data user community. In December 2020, CMS made "preliminary" TAF enrollment and claims files for service year 2019 available to researchers.
Background:
This document describes the development and content of the TAF Annual Provider (APR) file. Based on data submitted to CMS from states through the T-MSIS process, the APR captures information about all providers authorized by a state to render services to Medicaid and CHIP beneficiaries at any point in the calendar year, as well as providers whose authorization is pending, denied, or terminated, regardless of whether or how often the providers billed the state for services.
Year of Data:
Source:
CMS
Format:
PDF
Background:
This document describes the development and content of the TAF Annual Managed Care Plan (APL) file. The APL provides TAF users with detailed information about each managed care entity authorized to enroll Medicaid or CHIP beneficiaries, including the plan’s business characteristics (such as profit status), its contract with the state (such as type of reimbursement arrangement and operating authority), and the location and type of beneficiaries the plan is allowed to enroll.
Year of Data:
Source:
CMS
Format:
PDF
Updated 2017-2018 Medicaid and CHIP Data Now Available
CMS is pleased to announce that updated Medicaid T-MSIS Analytic Files (TAFs) for service years 2017 and 2018 are now available. The TAF research files contain data on Medicaid and Children's Health Insurance Program (CHIP) beneficiary demographics, program enrollment, service use, and payments. In September 2020, CMS made TAF enrollment and claims files* for service years 2017 and 2018 available to researchers.
New Enrollee-level EDGE Data Now Available for Research
CMS is pleased to announce the availability of the Enrollee-Level External Data Gathering Environment (EDGE) Limited Data Set (LDS) for the 2019 benefit year to requesters who seek the data for research purposes. The EDGE LDS contains certain masked enrollment and claims data for on- and off-Exchange enrollees in risk adjustment covered plans in the individual and small group (including merged) markets, in states where HHS operated the risk adjustment program for the 2019 b