| BENE_ID |
Encrypted CCW Beneficiary Identifier |
| MSIS_ID |
Encrypted Medicaid State Assigned Beneficiary Unique Identifier |
| AHC data system/CCW (derived) |
Submitting State Alpha Abbreviation |
| MSIS_RFRNC_YR |
Medicaid Beneficiary Identifier Reference Year |
| BENE_STATE_CD |
Beneficiary State |
| BENE_ZIP_CD |
Beneficiary Zip Code |
| BENE_BIRTH_DT |
Beneficiary Birth Date |
| BENE_AGE_NUM |
Beneficiary Age at Screening |
| BENE_GNDR_CD |
Beneficiary Sex |
| BENE_RACE_ETHNCTY_CD |
Beneficiary Race and Ethnicity |
| BENE_PREFRD_LANG_TXT |
Beneficiary Preferred Language |
| BENE_EDCTN_CD |
Beneficiary Education |
| BENE_INCM_RNG_CD |
Beneficiary Income |
| BENE_INSRNC_TYPE_CD |
Beneficiary Payer Type |
| AHC_BRDG_ORG_ID |
AHC Bridge Organization Identifier |
| AHC_BRDG_ORG_STATE_CD |
AHC Bridge Organization State |
| AHC_TRK_CD |
AHC Assistance or Alignment Track |
| AHC_BENE_ID |
AHC Beneficiary Identifier |
| SR_SCRNG_ID |
Screening Identifier |
| SR_SCRNG_DT |
Screening Date |
| SR_SCRNG_BEFORE_DRNG_AFTR_CD |
Did Screening Occur Before, During, or After the Visit |
| SR_CORE_FOOD_1_CD |
Core HRSN Food 1: Worried Food Would Run Out Before Got Money for More |
| SR_CORE_FOOD_2_CD |
Core HRSN Food 2: Food Bought Didn't Last and Didn't Have Money to Get More |
| SR_CORE_FOOD_OVRL_SCRNG_IND |
Screened Core HRSN Food Overall Indicator |
| SR_CORE_HOUSNG_1_CD |
Core HRSN Housing 1: Current Living Situation |
| SR_CORE_HOUSNG_2_HEAT_SW |
Core HRSN Housing 2: Heat Inadequate |
| SR_CORE_HOUSNG_2_LEAD_SW |
Core HRSN Housing 2: Lead Paint Pipes |
| SR_CORE_HOUSNG_2_MOLD_SW |
Core HRSN Housing 2: Mold |
| SR_CORE_HOUSNG_2_OVEN_SW |
Core HRSN Housing 2: Oven not Working |
| SR_CORE_HOUSNG_2_PESTS_SW |
Core HRSN Housing 2: Pests |
| SR_CORE_HOUSNG_2_SMK_DTCTR_SW |
Core HRSN Housing 2: Smoke Detector not Working |
| SR_CORE_HOUSNG_2_WTR_LEAK_SW |
Core HRSN Housing 2: Water Leaks |
| SR_CORE_HOUSNG_2_PRBLM_CNT |
Core HRSN Housing 2: Number of Problems |
| SR_CORE_HOUSNG_2_SCRNG_CMPST_IND |
Core HRSN Housing 2: Problems Composite |
| SR_CORE_HOUSNG_OVRL_SCRNG_IND |
Screened Core HRSN Housing Overall Indicator |
| SR_CORE_SFTY_1_CD |
Core HRSN Safety 1: How Often Physically Hurt |
| SR_CORE_SFTY_2_CD |
Core HRSN Safety 2: How Often Insulted |
| SR_CORE_SFTY_3_CD |
Core HRSN Safety 3: How Often Threatened |
| SR_CORE_SFTY_4_CD |
Core HRSN Safety 4: How Often Screamed or Cursed At |
| SR_CORE_SFTY_OVRL_SCRNG_IND |
Screened Core HRSN Safety Overall Indicator |
| SR_CORE_TRNSPRTN_1_SW |
Core HRSN Transportation 1: Lack of Reliable Transportation |
| SR_CORE_TRNSPRTN_OVRL_SCRNG_IND |
Screened Core HRSN Transportation Overall Indicator |
| SR_CORE_UTILITIES_1_CD |
Core HRSN Utility 1: Utility Company Threatened to Shut Off Services to Home |
| SR_CORE_UTLTY_OVRL_SCRNG_IND |
Screened Core HRSN Utilities Overall Indicator |
| SR_SPLMTL_DSBLTS_1_SW |
Supplemental HRSN Disability 1: Serious Difficulty Concentrating, Remembering, or Making Decisions |
| SR_SPLMTL_DSBLTS_2_SW |
Supplemental HRSN Disabilities 2: Difficulty Doing Errands Alone |
| SR_SPLMTL_DSBLTS_OVRL_SCRNG_IND |
Screened Supplemental HRSN Disabilities Overall Indicator |
| SR_SPLMTL_EDCTN_1_SW |
Supplemental HRSN Education 1: Speak a Language Other Than English at Home |
| SR_SPLMTL_EDCTN_2_SW |
Supplemental HRSN Education 2: Want Help with School or Training |
| SR_SPLMTL_EDCTN_OVRL_SCRNG_IND |
Screened Supplemental HRSN Education Overall Indicator |
| SR_SPLMTL_EMPLYMT_1_CD |
Supplemental HRSN Employment 1: Want Help Finding or Keeping Job |
| SR_SPLMTL_EMPLYMT_OVRL_SCRN_IND |
Screened Supplemental HRSN Employment Overall Indicator |
| SR_SPLMTL_FMLY_CMNTY_SPRT_1_CD |
Supplemental HRSN Family and Community Support 1: Get Help with Day-to-Day Activities |
| SR_SPLMTL_FMLY_CMNTY_SPRT_2_CD |
Supplemental HRSN Family and Community Support 2: How Often Feel Lonely or Isolated |
| SR_SPLM_FMLY_CMNTY_OVRL_SCRN_IND |
Screened Supplemental HRSN Family and Community Support Overall Indicator |
| SR_SPLMTL_FINCL_1_CD |
Supplemental HRSN Financial Strain 1: How Hard to Pay for Basics |
| SR_SPLMTL_FINCL_OVRL_SCRNG_IND |
Screened Supplemental HRSN Financial Strain Overall Indicator |
| SR_SPLMTL_MH_1_CD |
Supplemental HRSN Mental Health 1: Little Interest or Pleasure in Things |
| SR_SPLMTL_MH_2_CD |
Supplemental HRSN Mental Health 2: Feeling Down, Depressed, or Hopeless |
| SR_SPLMTL_MH_1_2_SUM |
Supplemental HRSN Mental Health Sum of SR_SPLMTL_MH_1_CD and SR_SPLMTL_MH_2_CD |
| SR_SPLMTL_MH_3_CD |
Supplemental HRSN Mental Health 3: Feel Tense, Restless, Anxious, Sleepless, Troubled |
| SR_SPLMTL_MH_OVRL_SCRNG_IND |
Screened Supplemental HRSN Mental Health Overall Indicator |
| SR_SPLMTL_PHYS_ACTVTY_1_CD |
Supplemental HRSN Physical Activity 1: Number of Days Moderate Exercise |
| SR_SPLMTL_PHYS_ACTVTY_2_CD |
Supplemental HRSN Physical Activity 2: Number Minutes of Moderate Exercise |
| SR_SPLMTL_PHYS_ACTVTY_1_2_QTY |
Supplemental HRSN Physical Activity Items 1 x 2 Numb of Days/Minutes Moderate Exercise |
| SR_SPLM_PHYS_ACTV_OVRL_SCRN_IND |
Screened Supplemental HRSN Physical Activity Overall Indicator |
| SR_SPLMTL_SBSTNC_USE_1_CD |
Supplemental HRSN Substance Use 1: Past 12 Months Alcohol Use |
| SR_SPLMTL_SBSTNC_USE_2_CD |
Supplemental HRSN Substance Use 2: Past 12 Months Tobacco Use |
| SR_SPLMTL_SBSTNC_USE_3_CD |
Supplemental HRSN Substance Use 3: Past 12 months Non-Medical Prescription Drug Use |
| SR_SPLMTL_SBSTNC_USE_4_CD |
Supplemental HRSN Substance Use 4: Past 12 Months Illegal Drug Use |
| SR_SPLMT_SBST_USE_OVRL_SCRNG_IND |
Screened Supplemental HRSN Substance Use Overall Indicator |
| SR_HAS_CORE_HRSN_IND |
Beneficiary Has at Least 1 Core HRSN |
| SR_ER_VISITS_CD |
Beneficiary Number of ED Visits Last 12 Months |
| SR_ELGBL_FOR_NVGTN_IND |
Beneficiary Eligibility for Navigation, includes Track 1 Control Group Benes |
| SR_GRP_ASGNMT_IND |
Beneficiary Group Assignment Assistance Track |
| SR_NVGTN_OPT_IN_OUT_IND |
Beneficiary Opted In or Out of Navigation services |
| SR_NVGTN_OPT_IN_OUT_DT |
Navigation Case Opt In/Out Date |
| NC_NVGTN_CASE_ID |
Navigation Case Unique Identifier |
| NC_NVGTN_CASE_STRT_DT |
Navigation Case Opt In Date |
| NC_NVGTN_CASE_TRMNTN_DT |
Navigation Case termination date |
| NC_NVGTN_ACTN_PLAN_CMPLT_SW |
Navigation Case Action Plan Complete Indicator |
| NN_NVGTD_CORE_FOOD_SW |
Navigated Core HRSN Food Indicator |
| NN_NVGTD_CORE_HOUSNG_SW |
Navigated Core HRSN Housing Indicator |
| NN_NVGTD_CORE_SFTY_SW |
Navigated Core HRSN Safety Indicator |
| NN_NVGTD_CORE_TRNSPRTN_SW |
Navigated Core HRSN Transportation Indicator |
| NN_NVGTD_CORE_UTILITIES_SW |
Navigated Core HRSN Utilities Indicator |
| NN_NVGTD_SPLMTL_DSBLTY_SW |
Navigated Supplemental HRSN Disability Indicator |
| NN_NVGTD_SPLMTL_EDCTN_SW |
Navigated Supplemental HRSN Education Indicator |
| NN_NVGTD_SPLMTL_EMPLYMT_SW |
Navigated Supplemental HRSN Employment Indicator |
| NN_NVGTD_SPLMTL_FMLY_CMNTY_SW |
Navigated Supplemental HRSN Family and Community Support Indicator |
| NN_NVGTD_SPLMTL_FINCL_SW |
Navigated Supplemental HRSN Financial Strain Indicator |
| NN_NVGTD_SPLMTL_MH_SW |
Navigated Supplemental HRSN Mental Health Indicator |
| NN_NVGTD_SPLMTL_PHYS_ACTVTY_SW |
Navigated Supplemental HRSN Physical Activity Indicator |
| NN_NVGTD_SPLMTL_SBSTNC_USE_SW |
Navigated Supplemental HRSN Substance Use Indicator |
| NE_NVGTR_CNTCT_ATMPT_NUM |
Number of navigator attempts to contact beneficiary (successful or not) |
| NE_NVGTR_SUCSFL_CNTCT_NUM |
Number of navigator successful contacts with beneficiary |
| NE_NVGTR_AVG_CNTCT_MNTS_NUM |
Average duration of successful contacts with beneficiary |
| NN_CORE_1_CNCTED_TO_CSP_SW |
At Least 1 Core HRSN Connected to CSP, None Resolved |
| NN_CORE_1_RSLVD_SW |
At Least 1 Core HRSN Resolved |
| NN_CORE_ALL_RSLVD_SW |
All Core HRSNs Resolved |
| NN_CORE_ALL_CNCTED_TO_CSP_SW |
All Core HRSNs: Connected to CSP |
| NN_CORE_ALL_OPTOUT_NVGTN_SW |
All Core HRSNs: Opted Out of Further Navigation Services |
| NN_CORE_ALL_OUTRCH_ATMPT_FAIL_SW |
All Core HRSNs: Attempt to Reach Failed |
| NN_CORE_ALL_CSP_UNAVLBL_SW |
All Core HRSNs: CSP Unavailable or Unable to Help |
| NN_CORE_ALL_OUTCM_UNK_SW |
All Core HRSNs: Outcome Unknown |
| NN_CORE_FOOD_RSLVD_SW |
Navigated Core HRSN Food Resolved |
| NN_CORE_FOOD_CNCT_CSP_SW |
Navigated Core HRSN Food Connected to Community Service Provider |
| NN_CORE_FOOD_OPTOUT_SW |
Navigated Core HRSN Food Opted Out |
| NN_CORE_FOOD_CNTCT_FAIL_SW |
Navigated Core HRSN Food Attempts to Reach Failed |
| NN_CORE_FOOD_CSP_UNAVBL_SW |
Navigated Core HRSN Food Community Service Provider Unable to Help |
| NN_CORE_FOOD_OUTCM_UNK_SW |
Navigated Core HRSN Food Outcome Unknown |
| NN_CORE_HOUSNG_RSLVD_SW |
Navigated Core HRSN Housing Resolved |
| NN_CORE_HOUSNG_CNCT_CSP_SW |
Navigated Core HRSN Housing Connected to Community Service Provider |
| NN_CORE_HOUSNG_OPTOUT_SW |
Navigated Core HRSN Housing Opted Out |
| NN_CORE_HOUSNG_CNTCT_FAIL_SW |
Navigated Core HRSN Housing Attempts to Reach Failed |
| NN_CORE_HOUSNG_CSP_UNAVBL_SW |
Navigated Core HRSN Housing Community Service Provider Unable to Help |
| NN_CORE_HOUSNG_OUTCM_UNK_SW |
Navigated Core HRSN Housing Outcome Unknown |
| NN_CORE_SFTY_RSLVD_SW |
Navigated Core HRSN Safety Resolved |
| NN_CORE_SFTY_CNCT_CSP_SW |
Navigated Core HRSN Safety Connected to Community Service Provider |
| NN_CORE_SFTY_OPTOUT_SW |
Navigated Core HRSN Safety Opted Out |
| NN_CORE_SFTY_CNTCT_FAIL_SW |
Navigated Core HRSN Safety Attempts to Reach Failed |
| NN_CORE_SFTY_CSP_UNAVBL_SW |
Navigated Core HRSN Safety Community Service Provider Unable to Help |
| NN_CORE_SFTY_OUTCM_UNK_SW |
Navigated Core HRSN Safety Outcome Unknown |
| NN_CORE_TRNSPRTN_RSLVD_SW |
Navigated Core HRSN Transportation Resolved |
| NN_CORE_TRNSPRTN_CNCT_CSP_SW |
Navigated Core HRSN Transportation Connected to Community Service Provider |
| NN_CORE_TRNSPRTN_OPTOUT_SW |
Navigated Core HRSN Transportation Opted Out |
| NN_CORE_TRNSPRTN_CNTCT_FAIL_SW |
Navigated Core HRSN Transportation Attempts to Reach Failed |
| NN_CORE_TRNSPRTN_CSP_UNAVBL_SW |
Navigated Core HRSN Transportation Community Service Provider Unable to Help |
| NN_CORE_TRNSPRTN_OUTCM_UNK_SW |
Navigated Core HRSN Transportation Outcome Unknown |
| NN_CORE_UTILITIES_RSLVD_SW |
Navigated Core HRSN Utilities Resolved |
| NN_CORE_UTILITIES_CNCT_CSP_SW |
Navigated Core HRSN Utilities Connected to Community Service Provider |
| NN_CORE_UTILITIES_OPTOUT_SW |
Navigated Core HRSN Utilities Opted Out |
| NN_CORE_UTILITIES_CNTCT_FAIL_SW |
Navigated Core HRSN Utilities Attempts to Reach Failed |
| NN_CORE_UTILITIES_CSP_UNAVBL_SW |
Navigated Core HRSN Utilities Community Service Provider Unable to Help |
| NN_CORE_UTILITIES_OUTCM_UNK_SW |
Navigated Core HRSN Utilities Outcome Unknown |
| NN_SPLMTL_DSBLTS_RSLVD_SW |
Navigated Supplemental HRSN Disability Resolved |
| NN_SPLMTL_DSBLTS_CNCT_CSP_SW |
Navigated Supplemental HRSN Disability Connected to Community Service Provider |
| NN_SPLMTL_DSBLTS_OPTOUT_SW |
Navigated Supplemental HRSN Disability Opted Out |
| NN_SPLMTL_DSBLTS_CNTCT_FAIL_SW |
Navigated Supplemental HRSN Disability Attempts to Reach Failed |
| NN_SPLMTL_DSBLTS_CSP_UNAVBL_SW |
Navigated Supplemental HRSN Disability Community Service Provider Unable to Help |
| NN_SPLMTL_DSBLTS_OUTCM_UNK_SW |
Navigated Supplemental HRSN Disability Outcome Unknown |
| NN_SPLMTL_EDCTN_RSLVD_SW |
Navigated Supplemental HRSN Education Resolved |
| NN_SPLMTL_EDCTN_CNCT_CSP_SW |
Navigated Supplemental HRSN Education Connected to Community Service Provider |
| NN_SPLMTL_EDCTN_OPTOUT_SW |
Navigated Supplemental HRSN Education Opted Out |
| NN_SPLMTL_EDCTN_CNTCT_FAIL_SW |
Navigated Supplemental HRSN Education Attempts to Reach Failed |
| NN_SPLMTL_EDCTN_CSP_UNAVBL_SW |
Navigated Supplemental HRSN Education Community Service Provider Unable to Help |
| NN_SPLMTL_EDCTN_OUTCM_UNK_SW |
Navigated Supplemental HRSN Education Outcome Unknown |
| NN_SPLMTL_EMPLYMT_RSLVD_SW |
Navigated Supplemental HRSN Employment Resolved |
| NN_SPLMTL_EMPLYMT_CNCT_CSP_SW |
Navigated Supplemental HRSN Employment Connected to Community Service Provider |
| NN_SPLMTL_EMPLYMT_OPTOUT_SW |
Navigated Supplemental HRSN Employment Opted Out |
| NN_SPLMTL_EMPLYMT_CNTCT_FAIL_SW |
Navigated Supplemental HRSN Employment Attempts to Reach Failed |
| NN_SPLMTL_EMPLYMT_CSP_UNAVBL_SW |
Navigated Supplemental HRSN Employment Community Service Provider Unable to Help |
| NN_SPLMTL_EMPLYMT_OUTCM_UNK_SW |
Navigated Supplemental HRSN Employment Outcome Unknown |
| NN_SPLMT_FMLY_CMNT_RSLVD_SW |
Navigated Supplemental HRSN Family and Community Support Resolved |
| NN_SPLMT_FMLY_CMNT_CNCT_CSP_SW |
Navigated Supplemental HRSN Family and Community Support Connected to Community Service Provider |
| NN_NVGTD_SPLMTL_PHYS_ACTVTY_SW |
Navigated Supplemental HRSN Family and Community Support Opted Out |
| NN_SPLMT_FMLY_CMNT_CNTCT_FAIL_SW |
Navigated Supplemental HRSN Family and Community Support Attempts to Reach Failed |
| NN_SPLMT_FMLY_CMNT_CSP_UNAVBL_SW |
Navigated Supplemental HRSN Family and Community Support Community Service Provider Unable to Help |
| NN_SPLMT_FMLY_CMNT_OUTCM_UNK_SW |
Navigated Supplemental HRSN Family and Community Support Outcome Unknown |
| |
Navigated Supplemental HRSN Financial Strain Resolved |
| NN_SPLMTL_FINCL_CNCT_CSP_SW |
Navigated Supplemental HRSN Financial Strain Connected to Community Service Provider |
| NN_SPLMTL_FINCL_OPTOUT_SW |
Navigated Supplemental HRSN Financial Strain Opted Out |
| NN_SPLMTL_FINCL_CNTCT_FAIL_SW |
Navigated Supplemental HRSN Financial Strain Attempts to Reach Failed |
| NN_SPLMTL_FINCL_CSP_UNAVBL_SW |
Navigated Supplemental HRSN Financial Strain Community Service Provider Unable to Help |
| NN_SPLMTL_FINCL_OUTCM_UNK_SW |
Navigated Supplemental HRSN Financial Strain Outcome Unknown |
| NN_SPLMTL_MH_RSLVD_SW |
Navigated Supplemental HRSN Mental Health Resolved |
| NN_SPLMTL_MH_CNCT_CSP_SW |
Navigated Supplemental HRSN Mental Health Connected to Community Service Provider |
| NN_SPLMTL_MH_OPTOUT_SW |
Navigated Supplemental HRSN Mental Health Opted Out |
| NN_SPLMTL_MH_CNTCT_FAIL_SW |
Navigated Supplemental HRSN Mental Health Attempts to Reach Failed |
| NN_SPLMTL_MH_CSP_UNAVBL_SW |
Navigated Supplemental HRSN Mental Health Community Service Provider Unable to Help |
| NN_SPLMTL_MH_OUTCM_UNK_SW |
Navigated Supplemental HRSN Mental Health Outcome Unknown |
| NN_SPLMT_PHYS_ACT_RSLVD_SW |
Navigated Supplemental HRSN Physical Activity Resolved |
| NN_SPLMT_PHYS_ACT_CNCT_CSP_SW |
Navigated Supplemental HRSN Physical Activity Connected to Community Service Provider |
| NN_SPLMT_PHYS_ACT_OPTOUT_SW |
Navigated Supplemental HRSN Physical Activity Opted Out |
| NN_SPLMT_PHYS_ACT_CNTCT_FAIL_SW |
Navigated Supplemental HRSN Physical Activity Attempts to Reach Failed |
| NN_SPLMT_PHYS_ACT_CSP_UNAVBL_SW |
Navigated Supplemental HRSN Physical Activity Community Service Provider Unable to Help |
| NN_SPLMT_PHYS_ACT_OUTCM_UNK_SW |
Navigated Supplemental HRSN Physical Activity Outcome Unknown |
| NN_SPLMT_SBSTN_USE_RSLVD_SW |
Navigated Supplemental HRSN Substance Use Resolved |
| NN_SPLMT_SBSTN_USE_CNCT_CSP_SW |
Navigated Supplemental HRSN Substance Use Connected to Community Service Provider |
| NN_SPLMT_SBSTN_USE_OPTOUT_SW |
Navigated Supplemental HRSN Substance Use Opted Out |
| NN_SPLMT_SBSTN_USE_CNTCT_FAIL_SW |
Navigated Supplemental HRSN Substance Use Attempts to Reach Failed |
| NN_SPLMT_SBSTN_USE_CSP_UNAVBL_SW |
Navigated Supplemental HRSN Substance Use Community Service Provider Unable to Help |
| NN_SPLMT_SBSTN_USE_OUTCM_UNK_SW |
Navigated Supplemental HRSN Substance Use Outcome Unknown |
