Search Data Variables

The data in this column contains the calculated state Medicaid CMI text.

The data in this column contains the second calculated state Medicaid CMI text.

CMS Certification Number (CCN; formerly OSCAR number)

CMS Certification Number (formerly OSCAR Number) included as an organization associated with an ACO participant TIN during the period of performance (based on information in PECOS). Limited to CCNs associated with ACO participant TINs used in financial reconciliation.

CMS Certification Number (Facility Provider Number)

CMS Certification Number; the hospital provider number used to verify Medicare/Medicaid certification

CMS Certification Number (Pioneer ACO)

The CMS Certification Number (CCN) of a participating institutional provider (when applicable and available).

CMS Certification Number of Provider

CMS Certification Number assigned by CMS for all facilities.

CMS Region for Submitting State

Submitting State FIPS Code grouped into the 10 CMS Regions.

CMS-21 Form Category of Service for the Paid Claim

A code indicating the category of service for the paid claim. The category of service is the line item from the CMS-21 form that states use to report their expenditures and request federal financial participation.

CMS-64 Form Category of Service for the Paid Claim

A code indicating the category of service for the paid claim. The category of service is the line item from the CMS-64 form that states use to report their expenditures and request federal financial participation.

CMS-64 Form Code for Federal Reimbursement

This code indicates if the claim was matched with Title XIX or Title XXI, ACA, or funding under other legislation

CMS-HCC Risk Score for Aged/Dual Status

Final, prospective risk score based on the applicable risk adjustment model for the most recently available MA payment year, renormalized so that the mean national assignable FFS risk score equals 1.0. Populated based on the beneficiary's last eligible month and =. if Final_assign =1.

CMS-HCC Risk Score for Aged/Non-dual Status

CMS-HCC Risk Score for Disabled Status

CMS-HCC Risk Score for ESRD Status

Code identifying status of patient as of CLM_THRU_DT

The code used to identify the status of the patient as of the CLM_THRU_DT.

Code indicating day of week beneficiary was admitted to facility

The code indicating the day of the week on which the beneficiary was admitted to a facility.

Code Indicating the DME Services Offered

For pharmacies that indicated they offer some level of durable medical equipment (DME) (see variable called DME_SRVC_IND), this variable identifies the type of DME services offered.

Code Indicating the E-Prescribing Services Offered

For pharmacies that indicated they offer e-prescribing (see variable called EPRSCRB_SRVC_IND), this variable identifies the type of ePrescribing transactions offered.

Code Indicating the Level of 340B Services Offered

For pharmacies that indicated they offer some level of 340 B service (see variable called STATUS_340B_IND), this variable identifies the level of 340B services offered.

Code Indicating the Level of Immunization Services Offered

For pharmacies that indicated they offer some level of immunizations (see variable called IMMUNIZATIONS_IND), this variable identifies the level of Immunization services offered.

Code Indicating the Level of Walk-in Clinic Services Offered

For pharmacies that indicated they offer some level of walk-in clinic services (see variable called WALKIN_CLINIC_IND), this variable identifies the level of walk-in clinic services offered.

Code indicating whether Group Health Organization (GHO) has paid provider for claim(s)

The code indicating whether a group health organization (GHO; also known as a managed care organization) has paid the provider for the claim(s).

Code To Indicate if a Portion of Claim is Paid by Medicare

An indicator specifying whether the claim is a crossover claim where a portion is paid by Medicare.

Code To Indicate Source of Non-Federal Funding

A code to indicate the source of non-federal share funds

Code Used to Document the Service

Code used to document the service. The ACC/AHA risk calculation used clinical information submitted by the practice to ascertain CVD risk. The risk factors are documented for each patient. There is one record in the file for each patient and each risk factor that was assessed on a given date (i.e., the ACTIVITY_DATE).

Cognition II Section Notes

Colorectal Cancer End-of-Year Indicator

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

Colorectal Cancer End-of-Year Indicator

This variable indicates whether a beneficiary met the Chronic Conditions Warehouse (CCW) criteria for colorectal cancer as of the end of the calendar year.

Colorectal Cancer Indicator - Combined Data

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

Colorectal Cancer Indicator - Medicaid-Only Data

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

Colorectal Cancer Indicator - Medicare-Only Data

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

Colorectal Cancer Mid-Year Indicator

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

Community First Choice State Plan Option Indicator - April

A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.

Community First Choice State Plan Option Indicator - August

Community First Choice State Plan Option Indicator - December

Community First Choice State Plan Option Indicator - February

Community First Choice State Plan Option Indicator - January

Community First Choice State Plan Option Indicator - July

Community First Choice State Plan Option Indicator - June

Community First Choice State Plan Option Indicator - March

Community First Choice State Plan Option Indicator - May

Community First Choice State Plan Option Indicator - November

Community First Choice State Plan Option Indicator - October

Community First Choice State Plan Option Indicator - September

Community-based LT care (CLTC) flag

CODE INDICATING THE MAX TYPE OF SERVICE AND/OR PROGRAM TYPE THAT CAN QUALIFY THE FEE-FOR-SERVICE CLAIM AS A POTENTIAL COMMUNITY-BASED LONG-TERM CARE SERVICE CLAIM. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN 'MSIS TYPE OF PROGRAM CODE' = 6 OR 7.

Compound Code

This field indicates whether or not the dispensed drug was compounded or mixed.

Some prescribed drugs must be compounded to obtain the prescribed ingredients in the dosage and form that is necessary. When this occurs, the value of this variable should be 2.

Compound Drug Indicator

Indicator to specify if the drug is compound or not

Comprehensive Managed Care Organization (MCO) Plan Months

Number of months the beneficiary was enrolled in a Comprehensive Managed Care Organization (MCO) Managed Care Plan in the calendar year.

Comprehensive Medication Review (CMR) delivery method

This variable indicates the delivery method for the comprehensive medication review (CMR).

Comprehensive Medication Review (CMR) offered

This variable indicates whether the beneficiary was offered an annual comprehensive medication review (CMR).