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This variable indicates whether the beneficiary met the Chronic Condition Data Warehouse (CCW) criteria on July 1 of the specified reference period.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
A monthly flag to indicate whether the beneficiary received coverage through the Community First Choice (CFC) State Plan Option (SPO). There are separate variables for each of the 12 months during the year.
CODE INDICATING THE MAX TYPE OF SERVICE AND/OR PROGRAM TYPE THAT CAN QUALIFY THE FEE-FOR-SERVICE CLAIM AS A POTENTIAL COMMUNITY-BASED LONG-TERM CARE SERVICE CLAIM. WAIVER SERVICES INCLUDE SERVICES COVERED UNDER 1915(C) WAIVERS THAT ARE IDENTIFIED IN 'MSIS TYPE OF PROGRAM CODE' = 6 OR 7.
This field indicates whether or not the dispensed drug was compounded or mixed.
Some prescribed drugs must be compounded to obtain the prescribed ingredients in the dosage and form that is necessary. When this occurs, the value of this variable should be 2.
Source: PDE
Indicator to specify if the drug is compound or not
Number of months the beneficiary was enrolled in a Comprehensive Managed Care Organization (MCO) Managed Care Plan in the calendar year.
This variable indicates the delivery method for the comprehensive medication review (CMR).
This variable indicates whether the beneficiary was offered an annual comprehensive medication review (CMR).
This variable indicates the type of qualified provider who performed the initial comprehensive medication review (CMR).
This variable indicates whether the beneficiary received the annual comprehensive medication review (CMR) with written summary in the CMS standardized format.
This variable indicates the recipient of the comprehensive medication review (CMR) interaction and not the recipient of the CMR documentation.
This variable is the FDA-approved indication for which the drug (represented by the FRMLRY_RX_ID) is considered on-formulary.
Values: Text description (e.g., CROHN DISEASE and ARTHRITIS, PSORIATIC)
Source: CMS (HPMS files)
Primary language grouped into categories; most recent in the calendar and the two prior years.
Does this patient/resident use a bladder appliance?
Day 1st noted use of bladder appliance. CHECK ALL THAT APPLY
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2014. It may or may not be the same as the Contract ID in the reference year (2015).
This field is a key that links plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2015. It may or may not be the same as the Contract ID in the reference year (2016).
This field is a key that links the plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2016. It may or may not be the same as the Contract ID in the reference year (2017).
This field is a key that links the plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2015 (the reference year). It may or may not be the same as the Contract ID in the previous year (2014).
This field is a key that links the plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2016 (the reference year). It may or may not be the same as the Contract ID in the previous year (2015).
This field is a key that links of the plan sponsor's contract and plan identifiers.
This variable is the unique number CMS assigns to each contract that a plan has with CMS. This was the Contract ID for the plan in 2017 (the reference year). It may or may not be the same as the Contract ID in the previous year (2016).
This field is a key that links of the plan sponsor's contract and plan identifiers.
This variable is the name of the plan sponsor's contract with CMS.
This variable identifies the beneficiary copayment amount for the drug products covered by the Part D Senior Savings (PDSS) model. The insulin drug products (represented by the FRMLRY_RX_ID) covered as part of the PDSS have a different payment structure than other insulins (or other drug products) on the formulary.
Values: up to 3-digit numeric value
Source: CMS (HPMS files)
Chronic Obstructive Pulmonary Disease - Combined Medicare & Medicaid Claims
Chronic Obstructive Pulmonary Disease - Combined Medicare & Medicaid Claims, First Ever Occurrence Date
Chronic Obstructive Pulmonary Disease - Medicaid Only Claims
Chronic Obstructive Pulmonary Disease - Medicaid Only Claims, First Ever Occurrence Date
Chronic Obstructive Pulmonary Disease - Medicare Only Claims
Chronic Obstructive Pulmonary Disease - Medicare Only Claims, First Ever Occurrence Date
The charge amount (rounded to whole dollars) for coronary care accommodations related to a beneficiary's stay.
The count of the number of coronary care unit (CCU) days used by the beneficiary for the stay.
The code indicating that the beneficiary has spent time under coronary care during the stay. It also specifies the type of coronary care unit.
This column contains the sequential correction number of assessment.
This column contains the correction status code indicating the status of the assessment: current (C), modified (M) or inactivated (X).
The number of patients discharged from the inpatient care episode during the data submission period.
Source: AHCAH facility-submitted data
Values: 0─###
The number of patients served by the hospital at home program who died during the data submission period, including those whose care was escalated to the hospital (excluding those on hospice or those for whom death was expected).
Source: AHCAH facility-submitted data
Values: 0, 1+
The number of patients served by the hospital at home program who were transferred back to the traditional inpatient setting from the home during the data submission period.
Source: AHCAH facility-submitted data
Values: 0, 1+