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This variable indicates the type of qualified provider who performed the initial comprehensive medication review (CMR).
This variable indicates whether the beneficiary received the annual comprehensive medication review (CMR) with written summary in the CMS standardized format.
This variable indicates the recipient of the comprehensive medication review (CMR) interaction and not the recipient of the CMR documentation.
This variable is the FDA-approved indication for which the drug (represented by the FRMLRY_RX_ID) is considered on-formulary.
Primary language grouped into categories; most recent in the calendar and the two prior years.
Does this patient/resident use a bladder appliance?
Day 1st noted use of bladder appliance. CHECK ALL THAT APPLY
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2014. It may or may not be the same as the Contract ID in the reference year (2015).
This field is a key that links plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2015. It may or may not be the same as the Contract ID in the reference year (2016).
This field is a key that links the plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2016. It may or may not be the same as the Contract ID in the reference year (2017).
This field is a key that links the plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2015 (the reference year). It may or may not be the same as the Contract ID in the previous year (2014).
This field is a key that links the plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2016 (the reference year). It may or may not be the same as the Contract ID in the previous year (2015).
This field is a key that links of the plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2017 (the reference year). It may or may not be the same as the Contract ID in the previous year (2016).
This field is a key that links of the plan sponsor's contract and plan identifiers.
This variable is the name of the plan sponsor's contract with CMS.
This variable identifies the beneficiary copayment amount for the drug products covered by the Part D Senior Savings (PDSS) model. The insulin drug products (represented by the FRMLRY_RX_ID) covered as part of the PDSS have a different payment structure than other insulins (or other drug products) on the formulary.
Chronic Obstructive Pulmonary Disease - Combined Medicare & Medicaid Claims
Chronic Obstructive Pulmonary Disease - Combined Medicare & Medicaid Claims, First Ever Occurrence Date
Chronic Obstructive Pulmonary Disease - Medicaid Only Claims
Chronic Obstructive Pulmonary Disease - Medicaid Only Claims, First Ever Occurrence Date
Chronic Obstructive Pulmonary Disease - Medicare Only Claims
Chronic Obstructive Pulmonary Disease - Medicare Only Claims, First Ever Occurrence Date
The charge amount (rounded to whole dollars) for coronary care accommodations related to a beneficiary's stay.
The count of the number of coronary care unit (CCU) days used by the beneficiary for the stay.
The code indicating that the beneficiary has spent time under coronary care during the stay. It also specifies the type of coronary care unit.
This column contains the sequential correction number of assessment.
This column contains the correction status code indicating the status of the assessment: current (C), modified (M) or inactivated (X).
The number of patients discharged from the inpatient care episode during the data submission period.
The number of patients served by the hospital at home program who died during the data submission period, including those whose care was escalated to the hospital (excluding those on hospice or those for whom death was expected).
The number of patients served by the hospital at home program who were transferred back to the traditional inpatient setting from the home during the data submission period.
The number of days, during the period covered by Medicaid, on which the patient did not reside in the long-term care (LTC) facility.
The count of the number of diagnosis codes included in the stay.
The count of the number of diagnosis E codes reported on the Inpatient/SNF claim. The purpose of this count is to indicate how many diagnosis E trailers are present.
The number of days of nursing care included in this claim that were paid for, in whole or in part, by Medicaid. Includes days during which nursing facility received partial payment for holding a bed during patient leave days.
The number of inpatient psychiatric days covered by Medicaid on this claim.
The number of inpatient psychiatric days covered by Medicaid on this claim.
The number of inpatient psychiatric days covered by Medicaid on this claim.
The number of days in an intermediate care facility (ICF) for beneficiaries with an intellectual disability (IID) that were paid for in whole or in part by Medicaid.
The count of the number of Present on Admission (POA) diagnosis codes reported on the Inpatient/SNF claim.
The count of the number of Present on Admission (POA) codes associated with the diagnosis E codes reported on the Inpatient/SNF claim.
This code specifies the Social Security Administration (SSA) code for the county of identified through the beneficiary mailing address of the beneficiary.
ANSI county numeric FIPS code indicating the county for the selected type of address
The 3-digit social security administration (SSA) standard county code of a beneficiary's residence.
FEDERAL INFORMATION PROCESSING STANDARD (FIPS) CODE INDICATING THE ELIGIBLE'S COUNTY OF RESIDENCE.
This variable indicates whether the requirement that beneficiaries be entitled to Medicare Part A is waived.
The value will indicate whether beneficiaries with only Part B entitlement may enroll in the plan benefit package.
This variable is the medical subject heading (MeSH) concept unique identifier (CUI)
TOTAL MEDICAID COVERED DAYS OF CARE FOR INPATIENT HOSPITAL DISCHARGES, FOR THE CALENDAR YEAR.
(SAS USERS: ZONED DECIMAL - ZD3)
TOTAL MEDICAID COVERED DAYS OF CARE FOR INPATIENT HOSPITAL STAYS, FOR THE CALENDAR YEAR.
(SAS USERS: ZONED DECIMAL - ZD3)
The count of the number of covered days of care that are chargeable to Medicare utilization for the stay.