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SSTATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION FOR THE MEDICAID ELIGIBLE AND FOR THE RESPECTIVE MONTH.
SSTATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION FOR THE MEDICAID ELIGIBLE AND FOR THE RESPECTIVE MONTH.
SSTATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION FOR THE MEDICAID ELIGIBLE AND FOR THE RESPECTIVE MONTH.
SSTATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION FOR THE MEDICAID ELIGIBLE AND FOR THE RESPECTIVE MONTH.
STATE SPECIFIC ELIGIBILITY CODE CLASSIFICATION FOR THE MEDICAID ELIGIBLE AND FOR THE MONTH.
NOTE: IN MAX 2008, A CLARIFICATION NOTE WAS ADDED ABOUT THE VALUE ASSIGNED WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION.
SSTATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION FOR THE MEDICAID ELIGIBLE AND FOR THE RESPECTIVE MONTH.
SSTATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION FOR THE MEDICAID ELIGIBLE AND FOR THE RESPECTIVE MONTH.
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); most recent in the calendar year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELIGIBILITY-GROUP algorithm (e.g., age information computed from DATE-OF-BIRTH or COUNTY-CODE).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
The composite of eligibility mapping factors used to create the corresponding Maintenance Assistance Status (MAS) and Basis of Eligibility (BOE) values (before January 1, 2014) and ELIGIBILITY-GROUP values (on or after January 1, 2014); in the month. There are separate variables for each of the 12 months during the year.
This field should not include information that already appears elsewhere on the EligibleFile record even if it is part of the MAS and BOE or ELGBLTY_GRP_CD algorithm (e.g., age information computed from BIRTH_DT or BENE_CNTY_CD).
This is a CCW-derived field that indicates whether the prescription was subject to a step therapy protocol, according to the benefit structure and formulary for the beneficiary’s plan. If a product is part of two different step therapy protocols, this field is populated with the maximum step value for the product.
If the value is greater than 1, then the beneficiary’s plan imposed some type of step therapy requirement, and the value indicates the number of steps or therapy trials needed before becoming eligible for the current drug.
This is a CCW-derived field that indicates whether the prescription was subject to a step therapy protocol, according to the benefit structure and formulary for the beneficiary’s plan.
Stroke - Medicaid Only Claims, First Ever Occurrence Date
Stroke - Medicare Only Claims, First Ever Occurrence Date
This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for stroke / transient ischemic attack (TIA) as of the end of the calendar year.
This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for stroke / transient ischemic attack (TIA).
This variable indicates whether a beneficiary met the Chronic Conditions Warehouse (CCW) criteria for stroke/transient ischemic attack (TIA) as of the end of the calendar year.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having a Stroke / Transient Ischemic Attack.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Stroke / Transient Ischemic Attack.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Stroke / Transient Ischemic Attack.
Indicates whether the provider’s taxonomy value maps to the student health care provider category; ever in the calendar year
For beneficiaries living in long-term care (LTC) facilities, this variable indicates how many days’ supply of the medication was dispensed by the long-term care pharmacy and provides some details about the dispensing event.
This variable is only populated when beneficiary lives in an LTC facility (i.e., when the PTNT_RSDNC_CD variable equals 03).
This column contains the date that the submission processing was complete.
The date the submission was received by the system.
This column contains the unique identifier of the submission file that contains this assessment when combined with state identifier.
This column indicates the submission required value for the assessment: 2 = SUB_REQ 2 (state required assessment) and 3 = SUB_REQ 3 (federal assessment).
Submission Sequence Number
The Case-Mix Group code that is submitted by the facility. This CMG code is calculated by the software the facility utilizes.
The version code of the CMG Grouper that was used by the facility's software in the calculation of the submitted CMG code.
The version of the submitted HIPPS (Health Insurance Prospective Payment System) code.
Submitting State (postal abbreviation)
The ANSI Federal Information Processing Standards (FIPS) numeric state code for the U.S. state, territory, or the District of Columbia that has submitted the data.
The unique, state-assigned identification number for the group with which the individual is associated.
The state-assigned unique identifier for the provider entity. Note that all individuals, practice groups, facilities, and other entities that provide Medicaid/CHIP goods or services to the state’s Medicaid/CHIP enrollees should be reflected in the T-MSIS provider data set (i.e. in the APR Base file).
A flag to indicate the provider’s SUBMTG_STATE_PRVDR_ID variable had a Base record in the given month, based upon the unique combination of submitting state code/submitting state provider ID/submission type and month.
A flag to indicate the provider’s SUBMTG_STATE_PRVDR_ID variable had a Base record in the given month, based upon the unique combination of submitting state code/submitting state provider ID/submission type and month.
A flag to indicate the provider’s SUBMTG_STATE_PRVDR_ID variable had a Base record in the given month, based upon the unique combination of submitting state code/submitting state provider ID/submission type and month.
A flag to indicate the provider’s SUBMTG_STATE_PRVDR_ID variable had a Base record in the given month, based upon the unique combination of submitting state code/submitting state provider ID/submission type and month.
A flag to indicate the provider’s SUBMTG_STATE_PRVDR_ID variable had a Base record in the given month, based upon the unique combination of submitting state code/submitting state provider ID/submission type and month.
A flag to indicate the provider’s SUBMTG_STATE_PRVDR_ID variable had a Base record in the given month, based upon the unique combination of submitting state code/submitting state provider ID/submission type and month.