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Beginning date of the submission file that contains the version of this assessment.
The number of the assessment.
Date of the submission file that contains the correction or inactivation request of this assessment.
The number of the assessment.
This date determines the year of the assessment. The effective date is based on the M0100 RFA field. This is the (M0030) Start of Cre date for RFA 01 or 02; (M0032) Resumption of Care Date for 03; (M0090) Information Completion Date for 04 or 05; and (M0906) Discharge/Transfer/Death date of 06, 07, 08, 09, or 10.
Ending date of the submission file that contains the version of this assessment.
A code designating the version of the assessment.
Designates version of the assessment
This indicates the assessment system to which the assessment belongs.
0/1 flag; =1 if beneficiary was assigned in final reconciliation period (from final reconciliation assignment tables in IDR) based on the ACO's certified participant list used in financial reconciliation. Note that for Prospective Assignment ACOs the prospectively assigned beneficiaries are the same for all periods with the exception of beneficiaries that have met exclusion criteria for one or more reasons during the performance year. As a result, the number of assigned beneficiaries for Prospective Assignment ACOs will be smaller for each consecutive assignment period.
0/1 flag; =1 if beneficiary was assigned in the initial performance year assignment run (Prospective Assignment or Preliminary Prospective Assignment with Retrospective Reconciliation). Note that for Prospective Assignment ACOs the prospectively assigned beneficiaries are the same for all periods with the exception of beneficiaries that have met exclusion criteria for one or more reasons during the performance year. As a result, the number of assigned beneficiaries for Prospective Assignment ACOs will be smaller for each consecutive assignment period.
PY 2019-A began in Quarter 3 of calendar year (CY) 2019. This field will be blank for PY 2019-A.
PY 2019-A began in Quarter 3 of CY 2019. This field will be blank for PY 2019-A.
0/1 flag; =1 if beneficiary was assigned in third quarter (from quarterly assignment table in IDR) based on the ACO's certified participant list used in third quarter assignment. Note that for Prospective Assignment ACOs the prospectively assigned beneficiaries are the same for all periods with the exception of beneficiaries that have met exclusion criteria for one or more reasons during the performance year. As a result, the number of assigned beneficiaries for Prospective Assignment ACOs will be smaller for each consecutive assignment period.
0/1 flag; =1 if beneficiary was assigned in fourth quarter (from quarterly assignment table in IDR) based on the ACO's certified participant list used in fourth quarter assignment. Note that for Prospective Assignment ACOs the prospectively assigned beneficiaries are the same for all periods with the exception of beneficiaries that have met exclusion criteria for one or more reasons during the performance year. As a result, the number of assigned beneficiaries for Prospective Assignment ACOs will be smaller for each consecutive assignment period.
This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for asthma as of the end of the calendar year.
This variable indicates whether a beneficiary met the Chronic Conditions Warehouse (CCW) criteria for asthma as of the end of the calendar year.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Asthma.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Asthma
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Asthma.
This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for asthma on July 1 of the specified reference period.
Asthma - Medicaid Only Claims, FIrst Evere Occurrence Date
Asthma - Medicare Only Claims, First Ever Occurrence Date
This variable indicates whether a beneficiary met the Chronic Conditions Warehouse (CCW) criteria for atrial fibrillation and flutter as of the end of the calendar year.
This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for atrial fibrillation as of the end of the calendar year.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Atrial Fibrillation.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Atrial Fibrillation.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Atrial Fibrillation.
This variable indicates whether a beneficiary met the Chronic Condition Data Warehouse (CCW) criteria for atrial fibrillation on July 1 of the specified reference period.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Autism.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Autism.
This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Autism.
This variable indicates whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for autism spectrum disorders as of the end of the calendar year.
This variable indicates whether a beneficiary met the condition criteria for autism spectrum disorders as of the end of the calendar year.
This variable indicates whether a beneficiary met the condition criteria for autism spectrum disorders as of the end of the calendar year.NOTE: The condition variable requires beneficiaries to satisfy both claims criteria (a minimum number/type of Medicare claims that have the proper diagnosis codes and occurred within a specified time period) and coverage criteria (Medicare FFS Part A and Part B coverage during the entire specified time period).NOTE1: For autism spectrum disorders, beneficiaries must have at least one Medicare inpatient claim or two other non-drug claims of any service type with a related code in any position during the 2-year reference period. You can find more detailed information on the criteria on the CCW website: https://www.ccwdata.org/web/guest/condition-categories
This variable shows the date when the beneficiary first met the criteria for the autism spectrum disorders indicator. The variable will be blank for beneficiaries that have never had the condition.
Autism Spectrum Disorder - Medicaid Only Claims, First Ever Occurrence Date
Autism Sectrum Disorder - Medicare Only Claims, First Ever Occurrence Date
Indicator of whether provider met criteria to avoid the 2018 PQRS payment adjustment
Atrial Fibrillation - Medicaid Only Claims, First Ever Occurrence Date
Atrial Fibrillation - Medicare Only Claims, First Ever Occurrence Date
The data in this column identifies whether or not the resident is comatose.
This data in this column identifies the resident's ability to hear.
The data in this column indicates whether or not the resident used a hearing aide or other hearing appliance.
The data in this column describes the resident's speech pattern.
The data in this column identifies the resident's ability to make themselves understood.
The data in this column identifies the resident's ability to understand others.
The data in this column identifies the resident's ability to see with adequate light and visual appliances, if used.
The data in this column identifies whether or not the resident utilizes corrective lenses.