CMS has developed a new Medicaid DQ Atlas, an interactive, web-based tool that helps policymakers, analysts, researchers, and other stakeholders explore the quality and usability of the Medicaid TMSIS Analytic File (TAF). The charts, maps, and tables in the new DQ Atlas show state-level DQ assessments and associated measure values for topics that are pertinent to Medicaid and CHIP.
This document describes the development and content of the TAF annual Demographic & Eligibility (DE) file. The TAF DE includes information on the demographic, eligibility, and enrollment characteristics of beneficiaries who were enrolled in Medicaid or in CHIP for at least one day during any given calendar year.
This document describes the development and content of the four claims files that contain service use and payment records: (1) the IP file includes institutional inpatient services and payments, (2) the LT file includes institutional long-term care services and payments, (3) the OT file includes all other medical services and payments, and (4) the RX file includes prescription drug fills and pharmacy payments.
This document provides instructions for analyzing claims data submitted by Illinois. This is a short-term solution that will help make the data usable until the state can implement changes to address this issue.
2019 Preliminary Medicaid and CHIP Data Now Available
CMS is pleased to announce the availability of Preliminary Medicaid T-MSIS Analytic Files (TAFs) for calendar year 2019. Beginning with 2019 data, CMS plans to release a “Preliminary” version of the TAF RIF for each service year to give TAF users earlier access to Medicaid data in the research file format. The Preliminary RIF data is not fully mature because states are still submitting service use records for that year, so users should be aware of this when planning their analytics.
Kyra Wicklund
Kyra joined ResDAC as a Technical Advisor in November 2020. She completed her Bachelor of Arts degree in Biochemistry and Molecular Biology from Gustavus Adolphus College followed by her Master of Public Health degree in Global Health Epidemiology from the University of Michigan. She has experience coordinating clinical research trials in several areas including pediatric pulmonology, emergency medicine, otolaryngology, and critical care.
Jessica Braverman
Jessica Braverman came to ResDAC in November 2020 with a Bachelor of Science in Biological Sciences from Colorado State University and a Master of Public Health from Florida International University. Her previous work experience includes knowledge in HIV programs and quality improvement.
Steve Beekman
Steve has been a Technical Advisor since November 2020. Previous work experience includes grant coordination and health promotion for local public health. He received his Bachelor of Science in Health Education from South Dakota State University and a Master of Public Health from the University of South Dakota.
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 2017 and 2018 benefit years to requesters who seek the data for research purposes.
Updated 2014-2016 Medicaid and CHIP Data Now Available
The research-ready T-MSIS Analytic Files (TAFs) contain data on Medicaid and Children's Health Insurance Program (CHIP) beneficiary demographics, program enrollment, service use, and payments. In November 2019, CMS made TAF enrollment and claims files* for service years 2014, 2015, and 2016 available to researchers.