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TOTAL AMOUNT OF MONEY PAID BY A THIRD PARTY (I.E. ALL SOURCES OTHER THAN MEDICAID, MEDICARE AND THE ELIGIBLE'S PERSONAL FUNDS) FOR THIS SERVICE.
(DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS FOR SERVICES FOR THE RECIPIENT DURING THE CALENDAR YEAR.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.
(SAS USERS: ZONED DECIMAL - ZD8)
TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATAELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21, 22, AND 23.(SAS USERS: ZONED DECIMAL - ZD8)
The level of experience the facility had with providing hospital at home services at the time the CMS waiver for AHCAH was requested. Tier 1 hospitals treated “at home” at least 25 patients meeting inpatient admission criteria through their program prior to requesting an AHCAH waiver; Tier 2 hospitals treated “at home” 24 or fewer patients (or none at all) prior to requesting a CMS waiver.
Medicare Part D formulary tier identifier. This field represents the cost sharing tier in which the drug product was placed in the sponsor's formulary. This identifier is also a key that links a Part D sponsor's cost sharing tier record in the Plan Characteristics File to a prescription drug event record (i.e., the PDE data) using contract ID, plan ID, and tier ID.
This variable identifies which formulary tiers require beneficiary cost sharing during the deductible phase. The value contains a string of binary digits; each digit of the value indicates which tiers are on the formulary.
This variable identifies which formulary tiers require beneficiary cost sharing during the Part D deductible phase.
The value contains a string of binary digits; each digit of the value indicates which tiers are on the formulary.
Time to complete Pain II Section section (non-communicative)
Legal business name associated with the ACO participant TIN included on the ACO's certified participant list used in financial reconciliation
Identifier for the processing run that produced the T-MSIS source data.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having TO 10 Depression.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having TO10 Depression.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having TO10 Depression.
This variable indicates whether a beneficiary met the condition criteria for tobacco use disorders as of the end of the calendar year.
This variable shows the date when the beneficiary first met the criteria for the tobacco use disorders indicator. The variable will be blank for beneficiaries that have never had the condition.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Tobacco Use Disorders.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Tobacco Use Disorders.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Tobacco Use Disorders.