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Indicate whether the route(s) of transmission of the current reconciled medication list to the subsequent provider was verbal.
Provider type description.
Provider Validation Type Code
Assigns provider zip code when the address type represents the provider’s billing, practice or service location.
Provider's first name.
Provider's last name.
Provider's National Provider Identifier (NPI)
Personality Disorders - Medicaid Only Claims, First Ever Occurrence Date
Personality Disorders - Medicare Only Claims, First Ever Occurrence Date
Post-traumatic Stress Disorder - Medicaid Only Claims, First Ever Occurrence Date
Post-traumatic Stress Disorder - Medicare Only Claims, First Ever Occurrence Date
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having PTSD.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having PTSD.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having PTSD.
Peripheral Vascular Disease - Medicaid Only Claims, First Ever Occurrence Date
Peripheral Vascular Disease -Medicare Only Claims, First Ever Occurrence Date
The data in this column indicates whether the resident participated in the assessment process.
The data in this column indicates whether the family or significant other participated in the assessment process.
The data in this column indicates whether the guardian or legally authorized representative participated in the assessment process.
The data in this column indicates one of the resident's overall goal established during the assessment process.
The data in this column indicates the information source for Q300A.
The data in this column indicates whether an active discharge plan is in place for the resident to return to the community.
The data in this column indicates what determination was made by the resident and the care planning team regarding a discharge to the community.
The data in this column indicates whether the resident's clinical record states that this question be asked only on comprehensive asessments.
The data in this column indicates whether the resident (or family or significant other or guardian or legally authorized representative if resident is unable to understand or respond) has been asked about returning to the community.
The data in this column contains the response by the resident (or family or significant other or guardian or legally authorized representative if resident is unable to understand or respond) when asked the question "Do you want to talk to someone about the possibility of leaving the facility and returning to live and receive services in the community?"
The data in this column contains the response by the resident (or family or significant other or guardian or legally authorized representative if resident is unable to understand or respond) when asked the question "Do you want to talk to someone about the possibility of leaving the facility and returning to the community on all assessments?"
The data in this column indicates the information source for Q550A.
The data in this column indicates whether a referral has been made to the local contact agency.
This field indicates the number of units, grams, mililiters, or other quantity dispensed in the current drug event.
If the PDE was for a compounded item, the quantity dispensed is the total of all ingredients. If the PDE was for a partial fill, the quantity is the total amount prescribed, not the portion covered by the partial fill.
This is a CCW-derived field that indicates whether the prescription was subject to quantity limits, according to the benefit structure and formulary for the beneficiary’s plan.
Starting in 2010, this variable is included in the Formulary file (rather than the PDE file).
This is a CCW-derived field that indicates whether the prescription was subject to quantity limits, according to the benefit structure and formulary for the beneficiary’s plan.
This variable indicates whether the formulary specifies the drug product has a quantity limit.
This variable is valid from 2006-2009. Starting in 2010, it is included in the Formulary file.
THE NUMBER OF UNITS OF SERVICE RECEIVED BY THE ELIGIBLE.
FOR MAX 1999 AND BEYOND, THIS FIELD IS ONLY APPLICABLE WHEN THE SERVICE BEING BILLED CAN BE QUANTIFIED IN DISCRETE UNITS, E.G., A NUMBER OF VISITS OR THE NUMBER OF UNITS OF A PRESCRIPTION/REFILL THAT WERE FILLED. FOR PRESCRIPTIONS/REFILLS, USE THE MEDICAID DRUG REBATE DEFINITION OF A UNIT, WHICH IS THE SMALLEST UNIT BY WHICH THE DRUG IS NORMALLY MEASURED; E.G. TABLET, CAPSULE, MILLILITER, ETC. FOR DRUGS NOT IDENTIFIABLE OR DISPENSED BY A NORMAL UNIT, E.G. POWDER-FILLED VIALS, USE 1 AS THE NUMBER OF UNITS.
THIS FIELD IS NOT APPLICABLE FOR INSTITUTIONAL SERVICES, DENTAL SERVICES, LABORATORY AND X-RAY SERVICES, PREMIUM PAYMENTS, OR MISCELLANEOUS SERVICES (INCLUDES CLAIMS WITH TOS = 09, 15, 17, 19, 20, 21, 22). USE 8-FILL FOR THESE SERVICES.
Quarter of Beneficiary ACO Source Record (Null If Yearly Record)