This variable is the total Medicaid payment amount from all long-term care (LT) claims for the beneficiary during the year. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
Comments
CCW calculates this variable as the sum of all MDCD_PD_AMT from the Long-Term care (header) claims. The Center for Medicaid and CHIP Services (CMCS) at CMS has required redaction of this payment field for managed care claims due to the proprietary and confidential nature of this information. Therefore, when summing Medicaid expenditures using the claim files it is important to keep in mind that totals will not reflect the redacted managed care expenditures.
MMLEADS counts all claims in the MDCD_LT_TOTAL_USE variable. Use caution when calculating average spend per claim. There may be claims (i.e., use) for which there is no corresponding payment information.
Values: $
Source: T-MSIS Long-Term Care Claims File (derived)
CCW calculates this variable as the sum of all MDCD_PD_AMT from the Long-Term care (header) claims. The Center for Medicaid and CHIP Services (CMCS) at CMS has required redaction of this payment field for managed care claims due to the proprietary and confidential nature of this information. Therefore, when summing Medicaid expenditures using the claim files it is important to keep in mind that totals will not reflect the redacted managed care expenditures.
MMLEADS counts all claims in the MDCD_LT_TOTAL_USE variable. Use caution when calculating average spend per claim. There may be claims (i.e., use) for which there is no corresponding payment information.
Values: $
Source: T-MSIS Long-Term Care Claims File (derived)