CMS is pleased to announce the release of two new annual files to the suite of research files based on state Transformed Medicaid Statistical Information System (T-MSIS) submissions, called T-MSIS Analytic Files (TAFs).
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.
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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.
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CMS is pleased to announce the release of the Preliminary 2019 Medicare Advantage (MA, also known as Part C) Encounter Research Identifiable Files (RIFs). Beginning with 2019 data, CMS will release a “Preliminary” version of the Medicare Advantage Encounter RIFs for each service year to give researchers earlier access to Encounter data in the research file format.
CMS has created an analytical file that contains information about providers who are participating in the Comprehensive ESRD Care (CEC) Model. A related file, the CEC Beneficiary RIF, contains identifying information about the beneficiaries assigned to a provider who is participating in the CEC Model.
The CEC Provider Performance Year RIF files contain PY finder files for the providers participating in the ESRD Seamless Care Organization (ESCO).
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CMS has created an analytical file that contains enrollment data for beneficiaries in the Comprehensive ESRD Care (CEC) Model. A related file, the CEC Provider RIF, contains identifying information about the providers participating in the CEC Model.
The CEC Beneficiary Performance Year RIF files contain PY finder files for the beneficiary population attributed to an ESRD Seamless Care Organization (ESCO).
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The Home Health Outcome and Assessment Information Set (OASIS) contains data items developed to measure patient outcomes and for improve home health care. The OASIS assessments are required of all home health agencies certified to accept Medicare and Medicaid payments.
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The Long Term Care Minimum Data Set (MDS) is a health status screening and assessment tool used for all residents of long term care nursing facilities certified to participate in Medicare or Medicaid, regardless of payer. The assessment is also required for Medicare payment of skilled nursing facility stays. Assessment data for Skilled Nursing Swing Beds 2.0 is included in a separate file. Version 2.0 was replaced by MDS version 3.0 on October 1, 2010.
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The Plan Characteristics file contains Medicare Advantage plan and Prescription Drug Plan information separated into six subfiles.
The subfiles are:
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The Long Term Care Minimum Data Set (MDS) is a health status screening and assessment tool used for all residents of long term care nursing facilities certified to participate in Medicare or Medicaid, regardless of payer. The assessment is also required for Medicare payment of skilled nursing facility stays. Assessment data for Skilled Nursing Swing Beds 3.0 is included in a separate file, MDS version 3.0 was implemented on October 1, 2010, replacing version 2.0.
What does this file include? (variable highlights)
