Search Data Variables

Designates version of the assessment

This indicates the assessment system to which the assessment belongs.

0/1 flag; =1 if beneficiary was assigned in final reconciliation period (from final reconciliation assignment tables in IDR)  based on the ACO's certified participant list used in financial reconciliation. Note that for  Prospective Assignment ACOs the prospectively assigned beneficiaries are the same for all periods with the exception of beneficiaries that have met exclusion criteria for one or more reasons during the performance year. As a result, the number of assigned beneficiaries for Prospective Assignment ACOs will be smaller for each consecutive assignment period. 

0/1 flag; =1 if beneficiary was assigned in the initial performance year assignment run (Prospective Assignment or Preliminary Prospective Assignment with Retrospective Reconciliation). Note that for Prospective Assignment  ACOs the prospectively assigned beneficiaries are the same for all periods with the exception of beneficiaries that have met exclusion criteria for one or more reasons during the performance year. As a result, the number of assigned beneficiaries for Prospective Assignment ACOs will be smaller for each consecutive assignment period. 

PY 2019-A began in Quarter 3 of calendar year (CY) 2019. This field will be blank for PY 2019-A.

PY 2019-A began in Quarter 3 of CY 2019. This field will be blank for PY 2019-A.

0/1 flag; =1 if beneficiary was assigned in third quarter (from quarterly assignment table in IDR) based on the ACO's certified participant list used in third quarter assignment. Note that for Prospective Assignment ACOs the prospectively assigned beneficiaries are the same for all periods with the exception of beneficiaries that have met exclusion criteria for one or more reasons during the performance year. As a result, the number of assigned beneficiaries for Prospective Assignment ACOs will be smaller for each consecutive assignment period. 

0/1 flag; =1 if beneficiary was assigned in fourth quarter (from quarterly assignment table in IDR)  based on the ACO's certified participant list used in fourth quarter assignment. Note that for Prospective Assignment ACOs the prospectively assigned beneficiaries are the same for all periods with the exception of beneficiaries that have met exclusion criteria for one or more reasons during the performance year. As a result, the number of assigned beneficiaries for Prospective Assignment ACOs will be smaller for each consecutive assignment period. 

This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for asthma as of the end of the calendar year.

This variable indicates whether a beneficiary met the Chronic Conditions Warehouse (CCW) criteria for asthma 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 Asthma.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Asthma

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Asthma.

This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for asthma on July 1 of the specified reference period.

Asthma - Medicaid Only Claims, FIrst Evere Occurrence Date

Asthma - Medicare Only Claims, First Ever Occurrence Date

This variable indicates whether a beneficiary met the Chronic Conditions Warehouse (CCW) criteria for atrial fibrillation and flutter as of the end of the calendar year.

This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for atrial fibrillation 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 Atrial Fibrillation.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Atrial Fibrillation.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Atrial Fibrillation.

This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for atrial fibrillation on July 1 of the specified reference period.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Autism.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Autism.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Autism.

This variable indicates whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for autism spectrum disorders as of the end of the calendar year.

This variable shows the date when the beneficiary first met the criteria for the autism spectrum disorders indicator. The variable will be blank for beneficiaries that have never had the condition.

Autism Spectrum Disorder - Medicaid Only Claims, First Ever Occurrence Date 

Autism Sectrum Disorder - Medicare Only Claims, First Ever Occurrence Date

Atrial Fibrillation - Medicaid Only Claims, First Ever Occurrence Date

Atrial Fibrillation - Medicare Only Claims, First Ever Occurrence Date

The data in this column identifies whether or not the resident is comatose.

This data in this column identifies the resident's ability to hear.

The data in this column indicates whether or not the resident used a hearing aide or other hearing appliance.

The data in this column describes the resident's speech pattern.

The data in this column identifies the resident's ability to make themselves understood.

The data in this column identifies the resident's ability to understand others.

The data in this column identifies the resident's ability to see with adequate light and visual appliances, if used.

The data in this column identifies whether or not the resident utilizes corrective lenses.

The sum of the claim base operating DRG amounts reported on the claims that comprise the stay.

The data in this column identifies the patient's ability to express ideas and wants at the time of admission. Includes verbal and non-verbal expression; excluding any language barriers.

The data in this column identifies the patient's ability to understand verbal or non-verbal content, with hearing aid or device if used and excluding language barriers during the three-day assessment period.

A count of the number of beds available at the facility for the category of bed identified in the bed type code data element (BED_TYPE_CD).

A code to classify types of beds available at a facility.

The beginning date of the beneficiary's qualifying stay.

For Inpatient claims, the date relates to the prospective payment system (PPS) portion of the inlier for which there is no utilization to benefits. For skilled nursing facility (SNF) claims, the date relates to the qualifying stay from a hospital that is at least two days in a row if the source of admission is an 'A', or at least three days in a row if the source of admission is other than an 'A'.