The Medicaid and CHIP TAF (T-MSIS Analytic File) Inpatient (IP) file contains records for enrollees who had an inpatient hospital stay. Records include fee-for-service (FFS) claims, managed care encounters and supplemental payments for Medicaid, Medicaid-expansion CHIP and separate CHIP.

The Medicaid and CHIP TAF (T-MSIS Analytic File) Other Services (OT) file contains records for a variety of Medicaid services, including physician services, outpatient hospital institutional utilization, lab/X-ray, clinic services, home health, hospice and premium payments. Records include fee-for-service (FFS) claims, managed care encounters and supplemental payments for Medicaid, Medicaid-expansion CHIP and separate CHIP.

The Medicaid and CHIP TAF (T-MSIS Analytic File) Long Term Care (LT) file contains records for institutional long term care provided by specific facilities identified by the Type of Service variable:

• Nursing Facility Services
• Mental Facility Services
• Independent (free-standing) Psychiatric Wings of Acute Care Hospitals
• Intermediate Care Facility (ICF) Services for Individuals With Intellectual Disabilities

The records in the LT TAF include fee-for-service (FFS) claims, managed care encounters and supplemental payments for Medicaid, Medicaid-expansion CHIP, and separate CHIP.

The Medicaid and CHIP TAF (T-MSIS Analytic File) Pharmacy (RX) file includes records of filled prescriptions. Records include fee-for-service (FFS) claims, managed care encounters and supplemental payments for Medicaid, Medicaid-expansion CHIP and separate CHIP.

The TAF APL file contains information about managed care organizations serving Medicaid enrollees. By linking the information in the APL to other TAFs, users can enhance their analyses focused on plans and providers. For example, users can describe their results by plan name. Users can also identify whether the plan serves Medicaid, CHIP, or both; whether the plan operates under a waiver or state plan authority; how the plan reimburses its providers; and whether the plan is for profit.

The TAF APR file contains information about providers of Medicaid services—both facilities and individual providers. By linking the information in the APR to other TAFs by provider ID, users can enhance their analyses focused of providers. For example, users can identify whether the provider is a facility, group or individual; whether the provider’s specialty is primary care, obstetrics, or something else; how the provider is affiliated with other providers in a group practice; where the provider is located; and many other characteristics.

The Medicaid MAX (Medicaid Analytic Extract) Inpatient (IP) file contains complete stay records for enrollees who had an inpatient hospital stay. Records include fee-for-service (FFS) claims and encounter records submitted for stays covered by Medicaid managed care.

Medicaid MAX (Medicaid Analytic Extract) Other Services (OT) file contains claim records for a variety of Medicaid services, including physician services, outpatient hospital institutional utilization, lab/X-ray, clinic services, home health, hospice and premium payments.

Medicaid MAX (Medicaid Analytic Extract) Long Term (LT) Care file contains claim records for institutional long term care provided at four specific facility identified by the MAX Type of Service:

• Nursing Facility Services
• Mental Hospital Services for the Aged
• Inpatient Psychiatric Facility Services for Individuals Under the Age Of 21
• Intermediate Care Facility (ICF) Services for Individuals With Intellectual Disabilities

Medicaid MAX (Medicaid Analytic Extract) Prescription Drug (RX) file includes records of filled prescriptions from fee-for-service (FFS) claims paid by Medicaid and encounter records for prescription drugs paid by a Medicaid managed care organization.