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A flag to indicate whether the beneficiary was ever enrolled in a Section 1115A demonstration during the month. There are separate variables for each of the 12 months. 1115A is a CMS Center for Medicare & Medicaid Innovation (CMMI) demonstration.
A flag to indicate whether the beneficiary was ever enrolled in a Section 1115A demonstration during the month. There are separate variables for each of the 12 months. 1115A is a CMS Center for Medicare & Medicaid Innovation (CMMI) demonstration.
A flag to indicate that the person had claims for the year but no eligibility information.
An indicator signifying that the copay was waived by the provider.
A flag to indicate whether the beneficiary was deceased in the calendar year of the data file.
The amount of additional payment (rounded to whole dollars) made to teaching hospitals for Indirect Medical Education (IME) for the stay.
Individual NPI number
The indicator switch used to identify if a beneficiary is enrolled in a Managed Care Organization (MCO).
INGREDIENT LIST IDENTIFIER (FORMERLY HIERARCHICAL INGREDIENT CODE LIST SEQUENCE NUMBER) IDENTIFIES A COMBINATION OF ACTIVE INGREDIENTS IRRESPECTIVE OF MANUFACTURER. CONCEPT DEVISED BY FIRST DATA BANK. [P. 1688]. FIND EACH HIC_SEQN FOR A SINGLE HICL_SEQNO TO FIND EACH ACTIVE INCREDIENT ASSOCIATED WITH A HICL_SEQNO. SEE FDB NDDF PLUS DOCUMENTATION P. 92 FOR LINKING INSTRUCTIONS.NOTE: IN MAX 2007, THIS VARIABLE WAS ADDED TO THE FILE.
The charge amount (rounded to whole dollars) for inhalation therapy services (respiratory and pulmonary function) provided during the beneficiary's stay.
The diagnosis code indicating the beneficiary's initial diagnosis at the time of admission.
Initial diagnosis date.
The code indicating the type and priority of the beneficiary's admission to a facility for the Inpatient hospital stay.
The amount paid over the DRG amount (rounded to whole dollars) for the disproportionate share hospital (DSH) for the stay.
This variable is the count of emergency department (ED) claims in the inpatient setting for the year. The revenue center codes indicating Emergency Room use were (0450, 0451, 0452, 0456, 0459).
This field represents the year and month of the reporting period.
For inpatient hospital facility claims, the accommodation rate is captured here.
MEDICAID PAYMENT AMOUNT FOR ALL INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 4 (FEDERALLY QUALIFIED HEALTH CENTERS)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 6 (HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 7 (HOME AND COMMUNITY-BASED CARE WAIVER SERVICES)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 5 (INDIAN HEALTH SERVICES)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 3 (RURAL HEALTH CLINIC)
(SAS USERS: ZONED DECIMAL - ZD8)
NUMBER OF INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING).
NUMBER OF INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 4 (FEDERALLY QUALIFIED HEALTH CENTERS).
NUMBER OF INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 6 (HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER).
NUMBER OF INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 7 (HOME AND COMMUNITY-BASED CARE WAIVER SERVICES).
NUMBER OF INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 5 (INDIAN HEALTH SERVICES).
NUMBER OF INPATIENT HOSPITAL RECORDS CONTAINING MSIS PROGRAM TYPE = 3 (RURAL HEALTH CLINIC).
The amount field used to identify a payment adjustment given to hospitals to account for the higher costs per discharge for low-income hospitals under the Inpatient Prospective Payment System (IPPS).
TOTAL NUMBER OF MEDICAID COVERED DAYS FOR THE RECIPIENT IN AN INPATIENT PSYCHIATRIC FACILITY FOR INDIVIDUALS UNDER THE AGE OF 21 (NOT A HOSPITAL) FOR THE CALENDAR YEAR.
(SAS USERS: ZONED DECIMAL - ZD3)
TOTAL NUMBER OF DAYS OF INPATIENT PSYCHIATRIC FACILITY FOR INDIVIDUALS UNDER THE AGE OF 21 PAID FOR IN WHOLE OR IN PART BY MEDICAID.
(DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD3)
Indicator representing the iteration of the file.
Institute type description.
MEDICAID PAYMENT AMOUNT FOR ALL LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 4 (FEDERALLY QUALIFIED HEALTH CENTERS)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 6 (HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 7 (HOME AND COMMUNITY-BASED CARE WAIVER SERVICES)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 5 (INDIAN HEALTH SERVICES)
(SAS USERS: ZONED DECIMAL - ZD8)
MEDICAID PAYMENT AMOUNT FOR ALL LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 3 (RURAL HEALTH CLINIC)
(SAS USERS: ZONED DECIMAL - ZD8)
NUMBER OF LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING).
NUMBER OF LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 4 (FEDERALLY QUALIFIED HEALTH CENTERS).
NUMBER OF LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 6 (HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER).
NUMBER OF LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 7 (HOME AND COMMUNITY-BASED CARE WAIVER SERVICES).
NUMBER OF LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 5 (INDIAN HEALTH SERVICES).
NUMBER OF LONG TERM CARE RECORDS CONTAINING MSIS PROGRAM TYPE = 3 (RURAL HEALTH CLINIC).
Insulin Type as Defined by the Model
Intellectual Disabilities and Related Conditions - Combined Medicare & Medicaid Claims, First Ever Occurrence Date
Intellectual Disabilities and Related Conditions - Medicaid Only Claims, First Ever Occurrence Date
Intellectual Disabilities and Related Conditions - Medicare Only Claims, First Ever Occurrence Date