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This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
This variable is the total Medicaid payment amount from all Other Services (OT) claims for capitated payments for the beneficiary during the year.
This variable is the number of months during the year that the beneficiary was enrolled in a Medicaid managed care mental health or substance abuse managed care plan.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
This variable is the sum of the Medicaid payment amounts from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary for the month – after removing the Medicaid managed care capitated payments. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
The number of days of inpatient care not covered by the payer for this sequence as qualified by the payer organization.
Indicates the provider’s Medicaid and/or CHIP enrollment status is one of the values for an active enrollment status; ever in the calendar year.
Indicates the provider’s Medicaid and/or CHIP enrollment status is one of the values for a denied enrollment status; ever in the calendar year.
Indicates the provider’s Medicaid and/or CHIP enrollment status is one of the values for a pending enrollment status; ever in the calendar year.
Indicates the provider’s Medicaid and/or CHIP enrollment status is one of the values for a terminated enrollment status; ever in the calendar year.
The date Medicaid paid on this claim or adjustment.
TOTAL AMOUNT OF MONEY PAID BY MEDICAID FOR THIS SERVICE.
(DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8)
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
(SAS USERS: ZONED DECIMAL - ZD8)
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.
FIELD CONTAINING THE FIRST OF 21 MEDICAID PAYMENT AMOUNTS EXISTING FOR EACH MAX COMMUNITY-BASED LONG-TERM CARE INDICATOR CODE. THERE IS ONE DATA ELEMENT FOR EACH LISTED CODE REFLECTING TOTAL FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT DURING THE YEAR. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN PROGRAM TYPE CODES 6 OR 7.