SAS Output

HRS MAX Research Files: Provider Version

This Data Dictionary defines the data elements in our Center's Medicaid Analytic Extract (MAX) research files as well as provides summary statistics about file contents.

File Type Description Years
MAX Summary File The Medicaid Analytic Extract (MAX) Summary File contains summary payment information aggregated from the IP, LT, OT, and RX claim files. The MAX Annual, Quarterly, and Monthly Summary Files contain demographic and enrollment information about each beneficiary enrolled within a calendar year. Some of the information contained in this file includes the beneficiary unique identifier, state and county codes, zipcode, date of birth, date of death, sex, race, and age. 1999-2012
Inpatient Services (IP) The MAX hospital inpatient (IP) file provides information on inpatient hospital stays for each recipient. Interim claim records are combined into a hospital stay record if they have the same 'MSIS Identification Number', the same 'Billing Provider Identification Number' and are for contiguous or overlapping periods of time. The IP file does not have final action claims, and claims are defined to be contiguous if the 'Ending Date of Service' on a previous claim is the same day or the day before the 'Service Beginning Date' for the next claim. Contiguous claims are combined if the 'Patient Status Code' = 30 (still a patient) or = 99 (unknown). However, contiguous claims are not combined into the same stay if the 'Patient Status Code' indicates that the patient was discharged and was admitted again on the same day (or the next day). 1999-2012
Long-Term Care Services (LT) The MAX long-term care (LT) services record provides information on services provided in long-term care institutions for each recipient. These services include nursing facility services, intermediate care facility services for individuals with intellectual disablities, psychiatric hospitals, and independent (free-standing) psychiatric wings of acute care hospitals. The records in this file are typically weekly or monthly long-term care claims. These records represent all medicaid-covered services for the eligible. However, they may not include all long-termcare services or complete information on medicaid-covered services when the eligible has other health insurance coverage (e.g. medicare and/or private coverage). 1999-2012
Other Services (OT) The MAX other services (OT) record contains information on services other than those provided by an inpatient hospital, long-term care facility or pharmacy. As a result, this file contains all other service records, including Healthcare Common Procedure Code System (HCPCS) or other state-specific codes. 1999-2012
Drug Record (RX) The MAX drug record contains information on drugs and other pharmacy services for each recipient. Such information includes records containing national drug codes (NDCs), which encompass codes for prescription and over-the-counter drugs as well as durable medical equipment (DME) and supplies. Please note that any service provided by a pharmacy or services that contain a national drug code (NDC) are reported in the MAX drug file. For this reason, DMG and supplies billed by pharmacy providers (and containing NDCs) are included in the MAX RX file. In contrast, DME and supplies billed by other types of providers (and containing HCPCs or other state-specific procedure codes) are included in the MAX other services file. Please also note that injectable items, which patients may receive from other types of providers (e.g., physicians and clinics), are identified using procedure (service) codes. 1999-2012
Personal Summary (PS) The Personal Summary (PS) File contains one record for every individual enrolled for at least one day during the year. The file contains demographic data (e.g. date of birth, gender, race), basis of eligibility, maintenance assistance status, and monthly enrollment status. 1999-2012

Dataset Detail Summary

Dataset Year # Observations # Of Vars File Size (Bytes) # Unique Beneficiaries
HRS_MAX_ASF_1999_2012 1999 - 2012 53,718 261 5,246,976 3,837
HRS_MAX_MSF_1999_2012 1999 - 2012 644,616 262 52,535,296 3,837
HRS_MAX_QSF_1999_2012 1999 - 2012 214,872 262 18,743,296 3,837
HRS_MAX_IP_1999 1999 304 127 262,144 1,377
HRS_MAX_IP_2000 2000 392 127 262,144 1,504
HRS_MAX_IP_2001 2001 494 127 327,680 1,657
HRS_MAX_IP_2002 2002 566 127 327,680 1,923
HRS_MAX_IP_2003 2003 671 127 327,680 2,186
HRS_MAX_IP_2004 2004 516 127 327,680 2,193
HRS_MAX_IP_2005 2005 581 134 327,680 2,176
HRS_MAX_IP_2006 2006 458 134 327,680 2,106
HRS_MAX_IP_2007 2007 455 134 327,680 2,050
HRS_MAX_IP_2008 2008 542 134 327,680 2,041
HRS_MAX_IP_2009 2009 484 134 327,680 1,975
HRS_MAX_IP_2010 2010 447 134 327,680 1,899
HRS_MAX_IP_2011 2011 517 134 327,680 1,818
HRS_MAX_IP_2012 2012 444 134 327,680 1,713
HRS_MAX_LT_1999 1999 1,196 43 327,680 1,377
HRS_MAX_LT_2000 2000 2,296 43 458,752 1,504
HRS_MAX_LT_2001 2001 2,981 43 589,824 1,657
HRS_MAX_LT_2002 2002 4,005 43 720,896 1,923
HRS_MAX_LT_2003 2003 5,187 43 851,968 2,186
HRS_MAX_LT_2004 2004 5,212 43 917,504 2,193
HRS_MAX_LT_2005 2005 7,282 50 1,179,648 2,176
HRS_MAX_LT_2006 2006 6,140 50 1,048,576 2,106
HRS_MAX_LT_2007 2007 6,156 50 1,048,576 2,050
HRS_MAX_LT_2008 2008 5,868 50 983,040 2,041
HRS_MAX_LT_2009 2009 5,663 50 1,048,576 1,975
HRS_MAX_LT_2010 2010 4,648 50 917,504 1,899
HRS_MAX_LT_2011 2011 3,827 50 786,432 1,818
HRS_MAX_LT_2012 2012 3,261 50 655,360 1,713
HRS_MAX_OT_1999 1999 57,311 40 8,716,288 1,377
HRS_MAX_OT_2000 2000 68,540 40 10,354,688 1,504
HRS_MAX_OT_2001 2001 77,564 40 11,665,408 1,657
HRS_MAX_OT_2002 2002 91,580 40 13,762,560 1,923
HRS_MAX_OT_2003 2003 103,650 40 15,597,568 2,186
HRS_MAX_OT_2004 2004 101,687 40 15,269,888 2,193
HRS_MAX_OT_2005 2005 102,869 48 15,859,712 2,176
HRS_MAX_OT_2006 2006 96,716 48 14,942,208 2,106
HRS_MAX_OT_2007 2007 105,618 48 16,318,464 2,050
HRS_MAX_OT_2008 2008 112,293 48 17,563,648 2,041
HRS_MAX_OT_2009 2009 119,373 48 19,922,944 1,975
HRS_MAX_OT_2010 2010 119,629 49 20,054,016 1,899
HRS_MAX_OT_2011 2011 116,088 49 19,660,800 1,818
HRS_MAX_OT_2012 2012 108,429 49 18,153,472 1,713
HRS_MAX_PS_1999 1999 1,377 227 983,040 1,377
HRS_MAX_PS_2000 2000 1,504 227 1,048,576 1,504
HRS_MAX_PS_2001 2001 1,658 227 1,114,112 1,657
HRS_MAX_PS_2002 2002 1,923 227 1,310,720 1,923
HRS_MAX_PS_2003 2003 2,186 227 1,376,256 2,186
HRS_MAX_PS_2004 2004 2,193 227 1,441,792 2,193
HRS_MAX_PS_2005 2005 2,176 326 1,441,792 2,176
HRS_MAX_PS_2006 2006 2,106 326 1,441,792 2,106
HRS_MAX_PS_2007 2007 2,050 326 1,441,792 2,050
HRS_MAX_PS_2008 2008 2,041 326 1,441,792 2,041
HRS_MAX_PS_2009 2009 1,975 326 1,441,792 1,975
HRS_MAX_PS_2010 2010 1,899 327 1,376,256 1,899
HRS_MAX_PS_2011 2011 1,818 327 1,310,720 1,818
HRS_MAX_PS_2012 2012 1,713 327 1,310,720 1,713
HRS_MAX_RX_1999 1999 41,376 44 7,536,640 1,377
HRS_MAX_RX_2000 2000 48,972 44 8,978,432 1,504
HRS_MAX_RX_2001 2001 57,215 44 10,485,760 1,657
HRS_MAX_RX_2002 2002 67,509 44 12,386,304 1,923
HRS_MAX_RX_2003 2003 82,138 44 15,007,744 2,186
HRS_MAX_RX_2004 2004 88,273 44 16,252,928 2,193
HRS_MAX_RX_2005 2005 88,263 50 16,252,928 2,176
HRS_MAX_RX_2006 2006 25,500 50 4,980,736 2,106
HRS_MAX_RX_2007 2007 23,625 48 4,128,768 2,050
HRS_MAX_RX_2008 2008 24,826 48 4,390,912 2,041
HRS_MAX_RX_2009 2009 25,617 48 4,849,664 1,975
HRS_MAX_RX_2010 2010 28,549 48 5,308,416 1,899
HRS_MAX_RX_2011 2011 25,700 48 4,849,664 1,818
HRS_MAX_RX_2012 2012 25,691 48 4,849,664 1,713

Variable List - MAX Summary File


Variable Name Label
BID_MDCD Beneficiary Identifier
YEAR Indicator of year
MDCD_LTSS Long-Term Services and Supports (LTSS) flag; i) Institutional Only; ii) Institutional and Home and Community-Based Services (HCBS); iii) HCBS Waiver, no Institutional; iv) HCBS State Plan Only, no HCBS Waiver and no Institutional; presence of LTSS defined in Appendix 8
MDCD_SPMI_STATUS Severe and Persistent Mental Illness (SPMI) flag, 0 = SPMI not present, 1 = SPMI present; presence of SPMI defined in Appendix 4
MDCD_FFS_AMT Total Medicaid payments on all Fee-for-Service (FFS) payments (MAX TYPE-OF-SERVICE not equal to 20, 21, 22)
MDCD_HMO_AMT Total Medicaid spending on all Capitated Payments to Health Maintenance Organization (HMO/HIO) or Pace Plans (MAX TYPE-OF-SERVICE = 20)
MDCD_HMO_AMT_HCBS Total Medicaid spending on all Capitated Payments to HMO, HIO or Pace Plans (MAX TYPE-OF-SERVICE = 20) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
MDCD_PHP_AMT Total Medicaid spending on all Capitated Payments to Physicians Health Plan (PHPs) (MAX TYPE-OF-SERVICE = 21)
MDCD_PHP_AMT_HCBS Total Medicaid spending on all Capitated Payments to PHPs (MAX TYPE-OF-SERVICE = 21) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
MDCD_PCCM_AMT Total Medicaid spending on all Capitated Payments for Primary Care Case Management (PCCMs) (MAX TYPE-OF-SERVICE = 22)
MDCD_PCCM_AMT_HCBS Total Medicaid spending on all Capitated Payments for PCCMs (MAX TYPE-OF-SERVICE = 22) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
MDCD_IP_AMT Total Medicaid spending on all Inpatient services (MAX TYPE-OF-SERVICE = 1) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_ADMITS_FFS Total number of Inpatient admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 1) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_DAYS_FFS Total Inpatient days (MAX TYPE-OF-SERVICE = 1) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_ADMITS_ALL Total number of Inpatient admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 1) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IP_DAYS_ALL Total Inpatient days (MAX TYPE-OF-SERVICE = 1) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IP_AMT_HCBS Total Medicaid spending on all Inpatient Services (MAX TYPE-OF-SERVICE = 1) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_ADMITS_HCBS_FFS Total number of Inpatient admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 1) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_DAYS_HCBS_FFS Total Inpatient days (MAX TYPE-OF-SERVICE = 1) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_ADMITS_HCBS_ALL Total number of Inpatient admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 1) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IP_DAYS_HCBS_ALL Total Inpatient days (MAX TYPE-OF-SERVICE = 1) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IP_ER_ADMITS_FFS Total number of Inpatient Emergency Room (ER) admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 1 and with at least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_ER_DAYS_FFS Total Inpatient ER days (MAX TYPE-OF-SERVICE = 1 and with at least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_ER_ADMITS_ALL Total number of Inpatient ER admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 1 and with at least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IP_ER_DAYS_ALL Total Inpatient ER days (MAX TYPE-OF-SERVICE = 1 and with at least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IP_ER_ADMITS_HCBS_FFS Total number of Inpatient ER admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 1 and with at least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_ER_DAYS_HCBS_FFS Total Inpatient ER days (MAX TYPE-OF-SERVICE = 1 and with at least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IP_ER_ADMITS_HCBS_ALL Total number of Inpatient ER admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 1 and with at least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IP_ER_DAYS_HCBS_ALL Total Inpatient ER days (MAX TYPE-OF-SERVICE = 1 and with at least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_MHS_AMT Total Medicaid spending on all Mental Hospital Services (MAX TYPE-OF-SERVICE = 2) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_MHS_ADMITS_FFS Total number of Mental Hospital Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 2) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_MHS_DAYS_FFS Total Mental Hospital days (MAX TYPE-OF-SERVICE = 2) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_MHS_ADMITS_ALL Total number of Mental Hospital Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 2) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_MHS_DAYS_ALL Total Mental Hospital days (MAX TYPE-OF-SERVICE = 2) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_MHS_AMT_HCBS Total Medicaid spending on all Mental Hospital Services (MAX TYPE-OF-SERVICE = 2) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_MHS_ADMITS_HCBS_FFS Total number of Mental Hospital Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 2) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_MHS_DAYS_HCBS_FFS Total Mental Hospital days (MAX TYPE-OF-SERVICE = 2) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_MHS_ADMITS_HCBS_ALL Total number of Mental Hospital Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 2) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_MHS_DAYS_HCBS_ALL Total Mental Hospital days (MAX TYPE-OF-SERVICE = 2) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IPF_AMT Total Medicaid spending on all Inpatient Psychiatric Facility (IPF) Services (MAX TYPE-OF-SERVICE = 4) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IPF_ADMITS_FFS Total number of IPF Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 4) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IPF_DAYS_FFS Total IPF days (MAX TYPE-OF-SERVICE = 4) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IPF_ADMITS_ALL Total number of IPF Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 4) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IPF_DAYS_ALL Total IPF days (MAX TYPE-OF-SERVICE = 4) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IPF_AMT_HCBS Total Medicaid spending on all IPF Services (MAX TYPE-OF-SERVICE = 4) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IPF_ADMITS_HCBS_FFS Total number of IPF Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 4) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IPF_DAYS_HCBS_FFS Total IPF days (MAX TYPE-OF-SERVICE = 4) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_IPF_ADMITS_HCBS_ALL Total number of IPF Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 4) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_IPF_DAYS_HCBS_ALL Total IPF days (MAX TYPE-OF-SERVICE = 4) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ICF_AMT Total Medicaid spending on all Intermediate Care Facilities (ICF) Services (MAX TYPE-OF-SERVICE = 5) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ICF_ADMITS_FFS Total number of ICF Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 5) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ICF_DAYS_FFS Total ICF days (MAX TYPE-OF-SERVICE = 5) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ICF_ADMITS_ALL Total number of ICF Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 5) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ICF_DAYS_ALL Total ICF days (MAX TYPE-OF-SERVICE = 5) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ICF_AMT_HCBS Total Medicaid spending on all ICF Services (MAX TYPE-OF-SERVICE = 5) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ICF_ADMITS_HCBS_FFS Total number of ICF Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 5) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ICF_DAYS_HCBS_FFS Total ICF days (MAX TYPE-OF-SERVICE = 5) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ICF_ADMITS_HCBS_ALL Total number of ICF Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 5) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ICF_DAYS_HCBS_ALL Total ICF days (MAX TYPE-OF-SERVICE = 5) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_NF_AMT Total Medicaid spending on all Nursing Facility Services (MAX TYPE-OF-SERVICE = 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NF_ADMITS_FFS Total number of Nursing Facility Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NF_DAYS_FFS Total Nursing Facility days (MAX TYPE-OF-SERVICE = 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NF_ADMITS_ALL Total number of Nursing Facility Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_NF_DAYS_ALL Total Nursing Facility days (MAX TYPE-OF-SERVICE = 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_NF_AMT_HCBS Total Medicaid spending on all Nursing Facility Services (MAX TYPE-OF-SERVICE = 7) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NF_ADMITS_HCBS_FFS Total number of Nursing Facility Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 7) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NF_DAYS_HCBS_FFS Total Nursing Facility days (MAX TYPE-OF-SERVICE = 7) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NF_ADMITS_HCBS_ALL Total number of Nursing Facility Services admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 7) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_NF_DAYS_HCBS_ALL Total Nursing Facility days (MAX TYPE-OF-SERVICE = 7) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PHYS_AMT Total Medicaid spending on all Physician Services (MAX TYPE-OF-SERVICE = 8) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PHYS_EVENTS_FFS Total number of Physician visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 8) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PHYS_EVENTS_ALL Total number of Physician visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 8) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PHYS_AMT_HCBS Total Medicaid spending on all Physician Services (MAX TYPE-OF-SERVICE = 8) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PHYS_EVENTS_HCBS_FFS Total number of Physician visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 8) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PHYS_EVENTS_HCBS_ALL Total number of Physician visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 8) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_DN_AMT Total Medicaid spending on all Dental Services (MAX TYPE-OF-SERVICE = 9) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DN_EVENTS_FFS Total number of Dental visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 9) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DN_EVENTS_ALL Total number of Dental visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 9) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_DN_AMT_HCBS Total Medicaid spending on all Dental Services (MAX TYPE-OF-SERVICE = 9) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DN_EVENTS_HCBS_FFS Total number of Dental visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 9) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DN_EVENTS_HCBS_ALL Total number of Dental visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 9) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OPR_AMT Total Medicaid spending on all Other Practitioners Services (MAX TYPE-OF-SERVICE = 10) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPR_EVENTS_FFS Total number of Other Practitioner visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 10) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPR_EVENTS_ALL Total number of Other Practitioner visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 10) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OPR_AMT_HCBS Total Medicaid spending on all Other Practitioners Services (MAX TYPE-OF-SERVICE = 10) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPR_EVENTS_HCBS_FFS Total number of Other Practitioner visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 10) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPR_EVENTS_HCBS_ALL Total number of Other Practitioner visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 10) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OPH_AMT Total Medicaid spending on all Outpatient Hospital Services (MAX TYPE-OF-SERVICE = 11) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPH_EVENTS_FFS Total number of visits to Outpatient Hospitals (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 11) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPH_EVENTS_ALL Total number of visits to Outpatient Hospitals (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 11) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OPH_AMT_HCBS Total Medicaid spending on all Outpatient Hospital Services (MAX TYPE-OF-SERVICE = 11) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPH_EVENTS_HCBS_FFS Total number of visits to Outpatient Hospitals (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 11) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPH_EVENTS_HCBS_ALL Total number of visits to Outpatient Hospitals (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 11) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OPH_ER_ADMITS_FFS Total number of Outpatient Hospital ER admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPH_ER_DAYS_FFS Total Outpatient Hospital ER days (MAX TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPH_ER_ADMITS_ALL Total number of Outpatient Hospital ER admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OPH_ER_DAYS_ALL Total Outpatient Hospital ER days (MAX TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OPH_ER_ADMITS_HCBS_FFS Total number of Outpatient Hospital ER admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPH_ER_DAYS_HCBS_FFS Total Outpatient Hospital ER days (MAX TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OPH_ER_ADMITS_HCBS_ALL Total number of Outpatient Hospital ER admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OPH_ER_DAYS_HCBS_ALL Total Outpatient Hospital ER days (MAX TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_CLIN_AMT Total Medicaid spending on all Clinic Services (MAX TYPE-OF-SERVICE = 12) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_CLIN_EVENTS_FFS Total number of Clinic visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 12) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_CLIN_EVENTS_ALL Total number of Clinic visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 12) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_CLIN_AMT_HCBS Total Medicaid spending on all Clinic Services (MAX TYPE-OF-SERVICE = 12) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_CLIN_EVENTS_HCBS_FFS Total number of Clinic visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 12) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_CLIN_EVENTS_HCBS_ALL Total number of Clinic visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 12) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_HH_AMT Total Medicaid spending on all Home Health Services (MAX TYPE-OF-SERVICE = 13) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HH_ADMITS_FFS Total number of Home Health admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 13) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HH_DAYS_FFS Total Home Health Services days (MAX TYPE-OF-SERVICE = 13) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HH_ADMITS_ALL Total number of Home Health admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 13) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_HH_DAYS_ALL Total Home Health Services days (MAX TYPE-OF-SERVICE = 13) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_HH_AMT_HCBS Total Medicaid spending on all Home Health Services (MAX TYPE-OF-SERVICE = 13) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HH_ADMITS_HCBS_FFS Total number of Home Health admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 13) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HH_DAYS_HCBS_FFS Total Home Health Services days (MAX TYPE-OF-SERVICE = 13) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HH_ADMITS_HCBS_ALL Total number of Home Health admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 13) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_HH_DAYS_HCBS_ALL Total Home Health Services days (MAX TYPE-OF-SERVICE = 13) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_LX_AMT Total Medicaid spending on all Lab and X-Ray Services (MAX TYPE-OF-SERVICE = 15) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_LX_EVENTS_FFS Total number of Lab and X-Ray visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 15) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_LX_EVENTS_ALL Total number of Lab and X-Ray visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 15) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_LX_AMT_HCBS Total Medicaid spending on all Lab and X-Ray Services (MAX TYPE-OF-SERVICE = 15) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_LX_EVENTS_HCBS_FFS Total number of Lab and X-Ray visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 15) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_LX_EVENTS_HCBS_ALL Total number of Lab and X-Ray visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 15) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RX_AMT Total Medicaid spending on all prescribed drugs (MAX TYPE-OF-SERVICE = 16) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RX_EVENTS_FFS Total number of prescription drug claims (MAX TYPE-OF-SERVICE = 16) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RX_EVENTS_ALL Total number of prescription drug claims (MAX TYPE-OF-SERVICE = 16) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RX_AMT_HCBS Total Medicaid spending on all Prescribed Drugs (MAX TYPE-OF-SERVICE = 16) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RX_EVENTS_HCBS_FFS Total number of prescription drug claims (MAX TYPE-OF-SERVICE = 16) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RX_EVENTS_HCBS_ALL Total number of prescription drug claims (MAX TYPE-OF-SERVICE = 16) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_OS_AMT Total Medicaid spending on all Other Services (MAX TYPE-OF-SERVICE = 19) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_OS_AMT_HCBS Total Medicaid spending on all Other Services (MAX TYPE-OF-SERVICE = 19) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ST_AMT Total Medicaid spending on all Sterilizations (MAX TYPE-OF-SERVICE = 24) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ST_ADMITS_FFS Total number of admissions for Sterilizations (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 24) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ST_DAYS_FFS Total Sterilization days (MAX TYPE-OF-SERVICE = 24) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ST_ADMITS_ALL Total number of admissions for Sterilizations (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 24) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ST_DAYS_ALL Total Sterilization days (MAX TYPE-OF-SERVICE = 24) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ST_AMT_HCBS Total Medicaid spending on all Sterilizations (MAX TYPE-OF-SERVICE = 24) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ST_ADMITS_HCBS_FFS Total number of admissions for Sterilizations (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 24) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ST_DAYS_HCBS_FFS Total Sterilization days (MAX TYPE-OF-SERVICE = 24) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ST_ADMITS_HCBS_ALL Total number of admissions for Sterilizations (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 24) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ST_DAYS_HCBS_ALL Total Sterilization days (MAX TYPE-OF-SERVICE = 24) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_AB_AMT Total Medicaid spending on all Abortions (MAX TYPE-OF-SERVICE = 25) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_AB_ADMITS_FFS Total number of admissions for Abortions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 25) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_AB_DAYS_FFS Total Abortion days (MAX TYPE-OF-SERVICE = 25) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_AB_ADMITS_ALL Total number of admissions for Abortions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 25) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_AB_DAYS_ALL Total Abortion days (MAX TYPE-OF-SERVICE = 25) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_AB_AMT_HCBS Total Medicaid spending on all Abortions (MAX TYPE-OF-SERVICE = 25) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_AB_ADMITS_HCBS_FFS Total number of admissions for Abortions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 25) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_AB_DAYS_HCBS_FFS Total Abortion days (MAX TYPE-OF-SERVICE = 25) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_AB_ADMITS_HCBS_ALL Total number of admissions for Abortions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 25) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_AB_DAYS_HCBS_ALL Total Abortion days (MAX TYPE-OF-SERVICE = 25) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_TS_AMT Total Medicaid spending on all Transportation Services (MAX TYPE-OF-SERVICE = 26) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TS_EVENTS_FFS Total number of Transportation Services (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 26) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TS_EVENTS_ALL Total number of Transportation Services (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 26) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_TS_AMT_HCBS Total Medicaid spending on all Transportation Services (MAX TYPE-OF-SERVICE = 26) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TS_EVENTS_HCBS_FFS Total number of Transportation Services (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 26) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TS_EVENTS_HCBS_ALL Total number of Transportation Services (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 26) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PCS_AMT Total Medicaid spending on all Personal Care Services (MAX TYPE-OF-SERVICE = 30) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PCS_ADMITS_FFS Total number of admissions for Personal Care Services (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 30) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PCS_DAYS_FFS Total Personal Care Services days (MAX TYPE-OF-SERVICE = 30) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PCS_ADMITS_ALL Total number of admissions for Personal Care Services (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 30) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PCS_DAYS_ALL Total Personal Care Services days (MAX TYPE-OF-SERVICE = 30) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PCS_AMT_HCBS Total Medicaid spending on all Personal Care Services (MAX TYPE-OF-SERVICE = 30) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PCS_ADMITS_HCBS_FFS Total number of admissions for Personal Care Services (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 30) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PCS_DAYS_HCBS_FFS Total Personal Care Services days (MAX TYPE-OF-SERVICE = 30) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PCS_ADMITS_HCBS_ALL Total number of admissions for Personal Care Services (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 30) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PCS_DAYS_HCBS_ALL Total Personal Care Services days (MAX TYPE-OF-SERVICE = 30) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_TC_AMT Total Medicaid spending on all Targeted Case Management Services (MAX TYPE-OF-SERVICE = 31) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TC_ADMITS_FFS Total number of admissions for Targeted Case Management Services (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 31) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TC_DAYS_FFS Total Targeted Case Management days (MAX TYPE-OF-SERVICE = 31) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TC_ADMITS_ALL Total number of admissions for Targeted Case Management Services (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 31) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_TC_DAYS_ALL Total Targeted Case Management days (MAX TYPE-OF-SERVICE = 31) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_TC_AMT_HCBS Total Medicaid spending on all Targeted Case Management Services (MAX TYPE-OF-SERVICE = 31) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TC_ADMITS_HCBS_FFS Total number of admissions for Targeted Case Management Services (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 31) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TC_DAYS_HCBS_FFS Total Targeted Case Management days (MAX TYPE-OF-SERVICE = 31) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_TC_ADMITS_HCBS_ALL Total number of admissions for Targeted Case Management Services (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 31) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_TC_DAYS_HCBS_ALL Total Targeted Case Management days (MAX TYPE-OF-SERVICE = 31) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RS_AMT Total Medicaid spending on all Rehabilitation Services (MAX TYPE-OF-SERVICE = 33) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RS_EVENTS_FFS Total number of Rehabilitation Services visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 33) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RS_EVENTS_ALL Total number of Rehabilitation Services visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 33) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RS_AMT_HCBS Total Medicaid spending on all Rehabilitation Services (MAX TYPE-OF-SERVICE = 33) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RS_EVENTS_HCBS_FFS Total number of Rehabilitation Services visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 33) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RS_EVENTS_HCBS_ALL Total number of Rehabilitation Services visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 33) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_SH_AMT Total Medicaid spending on all Physical Therapist (PT), Other (OT), Speech, Hearing Language Services (MAX TYPE-OF-SERVICE = 34) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_SH_EVENTS_FFS Total number of PT, OT, Speech, Hearing Language visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 34) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_SH_EVENTS_ALL Total number of PT, OT, Speech, Hearing Language visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 34) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_SH_AMT_HCBS Total Medicaid spending on all PT, OT, Speech, Hearing Language Services (MAX TYPE-OF-SERVICE = 34) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_SH_EVENTS_HCBS_FFS Total number of PT, OT, Speech, Hearing Language visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 34) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_SH_EVENTS_HCBS_ALL Total number of PT, OT, Speech, Hearing Language visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 34) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_HS_AMT Total Medicaid spending on all Hospice Services (MAX TYPE-OF-SERVICE = 35) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HS_ADMITS_FFS Total number of Hospice admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 35) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HS_DAYS_FFS Total number of Hospice days (MAX TYPE-OF-SERVICE = 35) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HS_ADMITS_ALL Total number of Hospice admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 35) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_HS_DAYS_ALL Total number of Hospice days (MAX TYPE-OF-SERVICE = 35) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_HS_AMT_HCBS Total Medicaid spending on all Hospice Services (MAX TYPE-OF-SERVICE = 35) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HS_ADMITS_HCBS_FFS Total number of Hospice admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 35) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HS_DAYS_HCBS_FFS Total number of Hospice days (MAX TYPE-OF-SERVICE = 35) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_HS_ADMITS_HCBS_ALL Total number of Hospice admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 35) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_HS_DAYS_HCBS_ALL Total number of Hospice days (MAX TYPE-OF-SERVICE = 35) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_NMS_AMT Total Medicaid spending on all Nurse Midwife Services (MAX TYPE-OF-SERVICE = 36) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NMS_EVENTS_FFS Total number of Nurse Midwife visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 36) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NMS_EVENTS_ALL Total number of Nurse Midwife visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 36) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_NMS_AMT_HCBS Total Medicaid spending on all Nurse Midwife Services (MAX TYPE-OF-SERVICE = 36) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NMS_EVENTS_HCBS_FFS Total number of Nurse Midwife visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 36) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NMS_EVENTS_HCBS_ALL Total number of Nurse Midwife visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 36) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_NPS_AMT Total Medicaid spending on all Nurse Practitioner Services (MAX TYPE-OF-SERVICE = 37) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NPS_EVENTS_FFS Total number of Nurse Practitioner visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 37) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NPS_EVENTS_ALL Total number of Nurse Practitioner visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 37) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_NPS_AMT_HCBS Total Medicaid spending on all Nurse Practitioner Services (MAX TYPE-OF-SERVICE = 37) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NPS_EVENTS_HCBS_FFS Total number of Nurse Practitioner visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 37) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_NPS_EVENTS_HCBS_ALL Total number of Nurse Practitioner visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 37) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PDN_AMT Total Medicaid spending on all Private Duty Nursing Services (MAX TYPE-OF-SERVICE = 38) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PDN_ADMITS_FFS Total number of Private Duty Nursing admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 38) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PDN_DAYS_FFS Total Private Duty Nursing days (MAX TYPE-OF-SERVICE = 38) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PDN_ADMITS_ALL Total number of Private Duty Nursing admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 38) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PDN_DAYS_ALL Total Private Duty Nursing days (MAX TYPE-OF-SERVICE = 38) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PDN_AMT_HCBS Total Medicaid spending on all Private Duty Nursing Services (MAX TYPE-OF-SERVICE = 38) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PDN_ADMITS_HCBS_FFS Total number of Private Duty Nursing admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 38) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PDN_DAYS_HCBS_FFS Total Private Duty Nursing days (MAX TYPE-OF-SERVICE = 38) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PDN_ADMITS_HCBS_ALL Total number of Private Duty Nursing admissions (an admission is the first day in a series of contiguous claims where MAX TYPE-OF-SERVICE = 38) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PDN_DAYS_HCBS_ALL Total Private Duty Nursing days (MAX TYPE-OF-SERVICE = 38) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RNHC_AMT Total Medicaid spending on all Religious Non-Medical Health Care Institutions Services (MAX TYPE-OF-SERVICE = 39) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RNHC_EVENTS_FFS Total number of Religious Non-Medical Health Care Institutions Services visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 39) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RNHC_EVENTS_ALL Total number of Religious Non-Medical Health Care Institutions Services visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 39) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RNHC_AMT_HCBS Total Medicaid spending on all Religious Non-Medical Health Care Institutions Services (MAX TYPE-OF-SERVICE = 39) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RNHC_EVENTS_HCBS_FFS Total number of Religious Non-Medical Health Care Institutions Services visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 39) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RNHC_EVENTS_HCBS_ALL Total number of Religious Non-Medical Health Care Institutions Services visits (count of provider-day encounters with an MAX TYPE-OF-SERVICE = 39) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_US_AMT Total Medicaid spending on all missing, invalid, or unknown services (MAX TYPE-OF-SERVICE = 99+) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_US_AMT_HCBS Total Medicaid spending on all missing, invalid, or unknown services (MAX TYPE-OF-SERVICE = 99+) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DMES_AMT Total Medicaid spending on all Durable Medical Equipment and Supplies (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 51) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DMES_EVENTS_FFS Total number of Durable Medical Equipment and Supplies events (count of provider-day encounters when MAX TYPE-OF-SERVICE = 51) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DMES_EVENTS_ALL Total number of Durable Medical Equipment and Supplies events (count of provider-day encounters when MAX TYPE-OF-SERVICE = 51) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_DMES_AMT_HCBS Total Medicaid spending on all Durable Medical Equipment and Supplies (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 51) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DMES_EVENTS_HCBS_FFS Total number of Durable Medical Equipment and Supplies events (count of provider-day encounters when MAX TYPE-OF-SERVICE = 51) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_DMES_EVENTS_HCBS_ALL Total number of Durable Medical Equipment and Supplies events (count of provider-day encounters when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 51) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RC_AMT Total Medicaid spending on all Residential Care Services (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RC_ADMITS_FFS Total number of Residential Care admissions (an admission is the first day in a series of contiguous claims where at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RC_DAYS_FFS Total Residential Care days (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RC_ADMITS_ALL Total number of Residential Care admissions (an admission is the first day in a series of contiguous claims where at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RC_DAYS_ALL Total Residential Care days (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RC_AMT_HCBS Total Medicaid spending on all Residential Care Services (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RC_ADMITS_HCBS_FFS Total number of Residential Care admissions (an admission is the first day in a series of contiguous claims where at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RC_DAYS_HCBS_FFS Total Residential Care days (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_RC_ADMITS_HCBS_ALL Total number of Residential Care admissions (an admission is the first day in a series of contiguous claims where at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_RC_DAYS_HCBS_ALL Total Residential Care days (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 52) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PS_AMT Total Medicaid spending on all Psychiatric Services (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 53) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PS_EVENTS_FFS Total number of Psychiatric Services visits (count of provider-day encounters when MAX TYPE-OF-SERVICE = 53) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PS_EVENTS_ALL Total number of Psychiatric Services visits (count of provider-day encounters when MAX TYPE-OF-SERVICE = 53) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_PS_AMT_HCBS Total Medicaid spending on all Psychiatric Services (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 53) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PS_EVENTS_HCBS_FFS Total number of Psychiatric Services visits (count of provider-day encounters when MAX TYPE-OF-SERVICE = 53) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_PS_EVENTS_HCBS_ALL Total number of Psychiatric Services visits (count of provider-day encounters when MAX TYPE-OF-SERVICE = 53) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ADC_AMT Total Medicaid spending on all Adult Day Care Services (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ADC_ADMITS_FFS Total number of Adult Day Care admissions (an admission is the first day in a series of contiguous claims where at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ADC_DAYS_FFS Total Adult Day Care days (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ADC_ADMITS_ALL Total number of Adult Day Care admissions (an admission is the first day in a series of contiguous claims where at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ADC_DAYS_ALL Total Adult Day Care days (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ADC_AMT_HCBS Total Medicaid spending on all Adult Day Care Services (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ADC_ADMITS_HCBS_FFS Total number of Adult Day Care admissions (an admission is the first day in a series of contiguous claims where at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ADC_DAYS_HCBS_FFS Total Adult Day Care days (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5)
MDCD_ADC_ADMITS_HCBS_ALL Total number of Adult Day Care admissions (an admission is the first day in a series of contiguous claims where at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)
MDCD_ADC_DAYS_HCBS_ALL Total Adult Day Care days (when at least one claim in the claim group has a MAX TYPE-OF-SERVICE = 54) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5)

Variable List - Inpatient Services (IP)

Variable Name Type Length Label
ADJUSTMENT_CODE NUM 1 ADJUSTMENT CODE
MSIS_IDENTIFICATION_NUMBER CHAR 20 (Encrypted) MSIS IDENTIFICATION NUMBER
STATE CHAR 2 STATE ABBREVIATION CODE
BIRTH_DATE NUM 8 BIRTH DATE
SEX CHAR 1 SEX CODE
RACE_ETHNICITY CHAR 1 RACE/ETHNICITY CODE
RACE_ETHNICITY_WHITE CHAR 1 RACE - WHITE
RACE_ETHNICITY_BLACK CHAR 1 RACE - BLACK/AFRICAN AMERICAN
RACE_ETHNICITY_NATIVE CHAR 1 RACE - AMERICAN INDIAN/ALASKA NATIVE
RACE_ETHNICITY_ASIAN CHAR 1 RACE - ASIAN
RACE_ETHNICITY_HAWAI CHAR 1 RACE - NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER
RACE_ETHNICITY_LATIN CHAR 1 ETHNICITY - HISPANIC OR LATINO
STATE_SPECIFIC_ELIG_MOST_RECENT CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT
STATE_SPECIFIC_ELIG_MO_OF_SVC CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - FOR MONTH OF SERVICE
MAX_UNI_ELIG_CODE_MOST_RECENT CHAR 2 MAX UNIFORM ELIGIBILITY CODE - MOST RECENT
MAX_UNI_ELIG_CODE_MO_OF_SVC CHAR 2 MAX UNIFORM ELIGIBILITY CODE - FOR MONTH OF SERVICE
MISSING_ELIG_DATA CHAR 1 MISSING ELIGIBILITY DATA
CROSSOVER_CODE_FROM_CLAIMS_ONLY NUM 1 MEDICARE DUAL CODE - CLAIM-BASED
CROSSOVER_CODE_ANNUAL_NEW_VALUES CHAR 2 MEDICARE DUAL CODE - ANNUAL
MSIS_TYPE_OF_SERVICE NUM 2 MSIS TYPE OF SERVICE CODE
MSIS_TYPE_OF_PROGRAM NUM 1 MSIS TYPE OF PROGRAM CODE
SMRF_TYPE_OF_SERVICE NUM 2 MAX TYPE OF SERVICE CODE
BILLING_PROVIDER_IDENTIF_NUMBER CHAR 12 BILLING PROVIDER IDENTIFICATION NUMBER
NPI CHAR 12 NATIONAL PROVIDER IDENTIFIER
PROVIDER_TAXONOMY CHAR 12 PROVIDER TAXONOMY
TYPE_OF_CLAIM CHAR 1 TYPE OF CLAIM CODE
MANAGED_CARE_TYPE_OF_PLAN_CODE NUM 2 MANAGED CARE TYPE OF PLAN CODE
MANAGED_CARE_PLAN_IDENTIF_CODE CHAR 12 MANAGED CARE PLAN IDENTIFICATION NUMBER
MEDICAID_PAYMENT_AMOUNT NUM* 8 MEDICAID PAYMENT AMOUNT
THIRD_PARTY_PAYMENT_AMOUNT NUM* 8 THIRD PARTY PAYMENT AMOUNT
PAYMENT_ADJUDICATION_DATE NUM 8 PAYMENT DATE
CHARGE_AMOUNT NUM* 8 CHARGE AMOUNT
PREPAID_PLAN_VALUE NUM* 8 PREPAID PLAN SERVICE VALUE
MEDICARE_COINSURANCE_PAYMENT_AMT NUM* 8 MEDICARE COINSURANCE PAYMENT AMOUNT
MEDICARE_DEDUCTIBLE_PAYMENT_AMT NUM* 8 MEDICARE DEDUCTIBLE PAYMENT AMOUNT
ADMISSION_DATE NUM 8 ADMISSION DATE
BEGINNING_DATE_OF_SERVICE NUM 8 SERVICE BEGINNING DATE
ENDING_DATE_OF_SERVICE NUM 8 ENDING DATE OF SERVICE
DIAGNOSIS_CODE_1 CHAR 7 PRINCIPAL DIAGNOSIS CODE
DIAGNOSIS_CODE_2 CHAR 7 DIAGNOSIS CODE - 2
PRINCIPLE_PROCEDURE_DATE NUM 8 PRINCIPAL PROCEDURE DATE
PROCEDURE_CODING_SYSTEM_1 CHAR 2 PROCEDURE CODING SYSTEM CODE - PRINCIPAL
PROCEDURE_CODE_1 CHAR 8 PROCEDURE CODE - PRINCIPAL
PROCEDURE_CODING_SYSTEM_2 CHAR 2 PROCEDURE CODING SYSTEM CODE - 2
PROCEDURE_CODE_2 CHAR 8 PROCEDURE CODE - 2
DELIVERY_CODE NUM 1 DELIVERY CODE
MEDICAID_COVERED_INPATIENT_DAYS NUM* 3 MEDICAID-COVERED INPATIENT DAYS
PATIENT_STATUS_ NUM 2 PATIENT STATUS CODE
DIAGNOSIS_RELATED_GROUP_INDICATR CHAR 4 DIAGNOSIS RELATED GROUP INDICATOR
DIAGNOSIS_RELATED_GROUP NUM 4 DIAGNOSIS RELATED GROUP
UB_92_REVENUE_CODE_01 NUM 4 UB-92 REVENUE CODE - FIRST REVENUE CODE
UB_92_REVENUE_CODE_CHARGE_01 NUM* 8 UB-92 REVENUE CODE CHARGE - FIRST REVENUE CODE
UB_92_REVENUE_CODE_UNITS_01 NUM 7 UB-92 REVENUE CODE UNITS - FIRST REVENUE CODE

Variable List - Long-Term Care Services (LT)

Variable Name Type Length Label
ADJUSTMENT_CODE NUM 1 ADJUSTMENT CODE
MSIS_IDENTIFICATION_NUMBER CHAR 20 (Encrypted) MSIS IDENTIFICATION NUMBER
STATE CHAR 2 STATE ABBREVIATION CODE
BIRTH_DATE NUM 8 BIRTH DATE
SEX CHAR 1 SEX CODE
RACE_ETHNICITY CHAR 1 RACE/ETHNICITY CODE
RACE_ETHNICITY_WHITE CHAR 1 RACE - WHITE
RACE_ETHNICITY_BLACK CHAR 1 RACE - BLACK/AFRICAN AMERICAN
RACE_ETHNICITY_NATIVE CHAR 1 RACE - AMERICAN INDIAN/ALASKA NATIVE
RACE_ETHNICITY_ASIAN CHAR 1 RACE - ASIAN
RACE_ETHNICITY_HAWAI CHAR 1 RACE - NATIVE HAWAIIAN/ OTHER PACIFIC ISLANDER
RACE_ETHNICITY_LATIN CHAR 1 ETHNICITY - HISPANIC OR LATINO
STATE_SPECIFIC_ELIG_MOST_RECENT CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT
STATE_SPECIFIC_ELIG_MO_OF_SVC CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - FOR MONTH OF SERVICE
MAX_UNI_ELIG_CODE_MOST_RECENT CHAR 2 MAX UNIFORM ELIGIBILITY CODE - MOST RECENT
MAX_UNI_ELIG_CODE_MO_OF_SVC CHAR 2 MAX UNIFORM ELIGIBILITY CODE - FOR MONTH OF SERVICE
MISSING_ELIG_DATA CHAR 1 MISSING ELIGIBILITY DATA
CROSSOVER_CODE_FROM_CLAIMS_ONLY NUM 1 MEDICARE DUAL CODE - CLAIM-BASED
CROSSOVER_CODE_ANNUAL_NEW_VALUES CHAR 2 MEDICARE DUAL CODE - ANNUAL
MSIS_TYPE_OF_SERVICE NUM 2 MSIS TYPE OF SERVICE CODE
MSIS_TYPE_OF_PROGRAM NUM 1 MSIS TYPE OF PROGRAM CODE
SMRF_TYPE_OF_SERVICE NUM 2 MAX TYPE OF SERVICE CODE
BILLING_PROVIDER_IDENTIF_NUMBER CHAR 12 BILLING PROVIDER IDENTIFICATION NUMBER
NPI CHAR 12 NATIONAL PROVIDER IDENTIFIER
PROVIDER_TAXONOMY CHAR 12 PROVIDER TAXONOMY
TYPE_OF_CLAIM CHAR 1 TYPE OF CLAIM CODE
MANAGED_CARE_TYPE_OF_PLAN_CODE NUM 2 MANAGED CARE TYPE OF PLAN CODE
MANAGED_CARE_PLAN_IDENTIF_CODE CHAR 12 MANAGED CARE PLAN IDENTIFICATION NUMBER
MEDICAID_PAYMENT_AMOUNT NUM* 8 MEDICAID PAYMENT AMOUNT
THIRD_PARTY_PAYMENT_AMOUNT NUM* 8 THIRD PARTY PAYMENT AMOUNT
PAYMENT_ADJUDICATION_DATE NUM 8 PAYMENT DATE
CHARGE_AMOUNT NUM* 8 CHARGE AMOUNT
PREPAID_PLAN_VALUE NUM* 8 PREPAID PLAN SERVICE VALUE
MEDICARE_COINSURANCE_PAYMENT_AMT NUM* 8 MEDICARE COINSURANCE PAYMENT AMOUNT
MEDICARE_DEDUCTIBLE_PAYMENT_AMT NUM* 8 MEDICARE DEDUCTIBLE PAYMENT AMOUNT
ADMISSION_DATE NUM 8 INSTITUTIONAL LONG-TERM CARE ADMISSION DATE
BEGINNING_DATE_OF_SERVICE NUM 8 SERVICE BEGINNING DATE
ENDING_DATE_OF_SERVICE NUM 8 ENDING DATE OF SERVICE
DIAGNOSIS_CODE_1 CHAR 7 DIAGNOSIS CODE - FIRST DIAGNOSIS
MENTAL_HOSPITAL_FOR_AGED_DAYS NUM* 3 MENTAL HOSPITAL FOR THE AGED DAY COUNT
INPATIENT_PSYCHIATRIC_DAYS NUM* 3 INPATIENT PSYCHIATRIC FACILITY (AGE < 21) DAY COUNT
ICF_MR_DAYS NUM* 3 INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABLITIES DAY COUNT
NURSING_FACILITY_DAYS NUM* 3 NURSING FACILITY DAY COUNT
LEAVE_DAYS NUM* 3 LONG-TERM CARE LEAVE DAY COUNT
PATIENT_STATUS NUM 2 PATIENT STATUS CODE
PATIENT_LIABILITY_AMOUNT NUM* 8 PATIENT LIABILITY AMOUNT

Variable List - Other Services (OT)

Variable Name Type Length Label
ADJUSTMENT_CODE NUM 1 ADJUSTMENT CODE
MSIS_IDENTIFICATION_NUMBER CHAR 20 (Encrypted) MSIS IDENTIFICATION NUMBER
STATE CHAR 2 STATE ABBREVIATION CODE
BIRTH_DATE NUM 8 BIRTH DATE
SEX CHAR 1 SEX CODE
RACE_ETHNICITY CHAR 1 RACE/ETHNICITY CODE
RACE_ETHNICITY_WHITE CHAR 1 RACE - WHITE
RACE_ETHNICITY_BLACK CHAR 1 RACE - BLACK/AFRICAN AMERICAN
RACE_ETHNICITY_NATIVE CHAR 1 RACE - AMERICAN INDIAN/ALASKAN NATIVE
RACE_ETHNICITY_ASIAN CHAR 1 RACE - ASIAN
RACE_ETHNICITY_HAWAI CHAR 1 RACE - NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER
RACE_ETHNICITY_LATIN CHAR 1 ETHNICITY - HISPANIC OR LATINO
STATE_SPECIFIC_ELIG_MOST_RECENT CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT
STATE_SPECIFIC_ELIG_MO_OF_SVC CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - FOR MONTH OF SERVICE
MAX_UNI_ELIG_CODE_MOST_RECENT CHAR 2 MAX UNIFORM ELIGIBILITY CODE - MOST RECENT
MAX_UNI_ELIG_CODE_MO_OF_SVC CHAR 2 MAX UNIFORM ELIGIBILITY CODE - FOR MONTH OF SERVICE
MISSING_ELIG_DATA CHAR 1 MISSING ELIGIBILITY DATA
CROSSOVER_CODE_FROM_CLAIMS_ONLY NUM 1 MEDICARE DUAL CODE - CLAIM-BASED
CROSSOVER_CODE_ANNUAL_NEW_VALUES CHAR 2 MEDICARE DUAL CODE - ANNUAL
MSIS_TYPE_OF_SERVICE NUM 2 MSIS TYPE OF SERVICE CODE
MSIS_TYPE_OF_PROGRAM NUM 1 MSIS TYPE OF PROGRAM CODE
SMRF_TYPE_OF_SERVICE NUM 2 MAX TYPE OF SERVICE CODE
COM_BASED_LTC_FLAG CHAR 2 COMMUNITY-BASED LONG-TERM CARE (CLTC) FLAG
HCBS_TAXONOMY_WAIVERS CHAR 5 HOME AND COMMUNITY-BASED SERVICES (HCBS) TAXONOMY CODE FOR WAIVERS
BILLING_PROVIDER_IDENTIF_NUMBER CHAR 12 BILLING PROVIDER IDENTIFICATION NUMBER
NPI CHAR 12 NATIONAL PROVIDER IDENTIFIER
PROVIDER_TAXONOMY CHAR 12 PROVIDER TAXONOMY
TYPE_OF_CLAIM CHAR 1 TYPE OF CLAIM CODE
MANAGED_CARE_TYPE_OF_PLAN_CODE NUM 2 MANAGED CARE TYPE OF PLAN CODE
MANAGED_CARE_PLAN_IDENTIF_CODE CHAR 12 MANAGED CARE PLAN IDENTIFICATION NUMBER
MEDICAID_PAYMENT_AMOUNT NUM* 8 MEDICAID PAYMENT AMOUNT
THIRD_PARTY_PAYMENT_AMOUNT NUM* 8 THIRD PARTY PAYMENT AMOUNT
PAYMENT_ADJUDICATION_DATE NUM 8 PAYMENT DATE
CHARGE_AMOUNT NUM* 8 CHARGE AMOUNT
PREPAID_PLAN_VALUE NUM* 8 PREPAID PLAN SERVICE VALUE
MEDICARE_COINSURANCE_PAYMENT_AMT NUM* 8 MEDICARE COINSURANCE PAYMENT AMOUNT
MEDICARE_DEDUCTIBLE_PAYMENT_AMT NUM* 8 MEDICARE DEDUCTIBLE PAYMENT AMOUNT
BEGINNING_DATE_OF_SERVICE NUM 8 SERVICE BEGINNING DATE
ENDING_DATE_OF_SERVICE NUM 8 ENDING DATE OF SERVICE
PROCEDURE_CODING_SYSTEM CHAR 2 PROCEDURE CODING SYSTEM CODE
PROCEDURE_CODE CHAR 8 PROCEDURE (SERVICE) CODE
PROCEDURE_CODE_MODIFIER CHAR 2 PROCEDURE (SERVICE) MODIFIER CODE
DIAGNOSIS_CODE_1 CHAR 7 DIAGNOSIS CODE-1
DIAGNOSIS_CODE_2 CHAR 7 DIAGNOSIS CODE-2
QUANTITY_OF_SERVICE NUM 5 QUANTITY OF SERVICE
SERVICING_PROVIDER_IDENT_NUMBER CHAR 12 SERVICING PROVIDER IDENTIFICATION NUMBER
SERVICING_PROVIDER_SPECIALTY_CD CHAR 4 SERVICING PROVIDER SPECIALTY CODE
PLACE_OF_SERVICE NUM 2 PLACE OF SERVICE CODE
UB_92_REVENUE_CODE NUM 4 UB-92 REVENUE CODE

Variable List - Drug Record (RX)

Variable Name Type Length Label
ADJUSTMENT_CODE NUM 1 ADJUSTMENT CODE
MSIS_IDENTIFICATION_NUMBER CHAR 20 (Encrypted) MSIS IDENTIFICATION NUMBER
STATE CHAR 2 STATE ABBREVIATION CODE
MEDICARE_HIC_NUMBER CHAR 12 MEDICARE HEALTH INSURANCE CLAIM (HIC) NUMBER - FROM MSIS
BIRTH_DATE NUM 8 BIRTH DATE
SEX CHAR 1 SEX CODE
RACE_ETHNICITY CHAR 1 RACE/ETHNICITY CODE
RACE_ETHNICITY_WHITE CHAR 1 RACE - WHITE
RACE_ETHNICITY_BLACK CHAR 1 RACE - BLACK/AFRICAN AMERICAN
RACE_ETHNICITY_NATIVE CHAR 1 RACE - AMERICAN INDIAN/ALASKA NATIVE
RACE_ETHNICITY_ASIAN CHAR 1 RACE - ASIAN
RACE_ETHNICITY_HAWAI CHAR 1 RACE - NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER
RACE_ETHNICITY_LATIN CHAR 1 ETHNICITY - HISPANIC OR LATINO
STATE_SPECIFIC_ELIG_MOST_RECENT CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT
STATE_SPECIFIC_ELIG_MO_OF_SVC CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - FOR MONTH OF SERVICE
MAX_UNI_ELIG_CODE_MOST_RECENT CHAR 2 MAX UNIFORM ELIGIBILITY CODE - MOST RECENT
MAX_UNI_ELIG_CODE_MO_OF_SVC CHAR 2 MAX UNIFORM ELIGIBILITY CODE - FOR MONTH OF SERVICE
MISSING_ELIG_DATA CHAR 1 MISSING ELIGIBILITY DATA
CROSSOVER_CODE_ANNUAL_NEW_VALUES CHAR 2 MEDICARE DUAL CODE - ANNUAL
MSIS_TYPE_OF_SERVICE NUM 2 MSIS TYPE OF SERVICE CODE
MSIS_TYPE_OF_PROGRAM NUM 1 MSIS TYPE OF PROGRAM CODE
SMRF_TYPE_OF_SERVICE NUM 2 MAX TYPE OF SERVICE CODE
BILLING_PROVIDER_IDENTIF_NUMBER CHAR 12 BILLING PROVIDER IDENTIFICATION NUMBER
NPI CHAR 12 NATIONAL PROVIDER IDENTIFIER
PROVIDER_TAXONOMY CHAR 12 PROVIDER TAXONOMY
TYPE_OF_CLAIM CHAR 1 TYPE OF CLAIM CODE
MANAGED_CARE_TYPE_OF_PLAN_CODE NUM 2 MANAGED CARE TYPE OF PLAN CODE
MANAGED_CARE_PLAN_IDENTIF_CODE CHAR 12 MANAGED CARE PLAN IDENTIFICATION NUMBER
MEDICAID_PAYMENT_AMOUNT NUM* 8 MEDICAID PAYMENT AMOUNT
THIRD_PARTY_PAYMENT_AMOUNT NUM* 8 THIRD PARTY PAYMENT AMOUNT
PAYMENT_ADJUDICATION_DATE NUM 8 PAYMENT DATE
CHARGE_AMOUNT NUM* 8 CHARGE AMOUNT
PREPAID_PLAN_VALUE NUM* 8 PREPAID PLAN SERVICE VALUE
PRESCRIBING_PHYSICIAN_ID_NUMBER CHAR 12 PRESCRIBING PHYSICIAN IDENTIFICATION NUMBER
PRESCRIBED_DATE NUM 8 PRESCRIBED DATE
PRESCRIPTION_FILL_DATE NUM 8 PRESCRIPTION FILLED DATE
NEW_OR_REFILL_INDICATOR NUM 2 NEW OR REFILL INDICATOR
NATIONAL_DRUG_CODE CHAR 12 NATIONAL DRUG CODE (NDC)
QUANTITY_OF_SERVICE NUM 5 QUANTITY OF SERVICE
DAYS_SUPPLY NUM 3 DAYS SUPPLY
NDC_FORMAT CHAR 1 NATIONAL DRUG CODE FORMAT INDICATOR
DRUG_CLASS CHAR 1 DRUG CLASS
MULTI_SOURCE_CODE CHAR 1 MULTI-SOURCE CODE
HICL CHAR 6 INGREDIENT LIST IDENTIFIER
THERAPEUTIC_CLASS_SPECIFIC CHAR 3 HIERARCHICAL SPECIFIC THERAPEUTIC CLASS CODE
THERAPEUTIC_CLASS_GENERIC CHAR 2 THERAPEUTIC CLASS CODE, GENERIC
AMERICAN_HOSPITAL_FORMULARY_CODE CHAR 6 CLINICAL FORMULATION ID
MEDISPAN_CODE GROUP 107 FIRST DATA BANK/MEDISPAN GROUP (PROPRIETARY - ACCESS LIMITED TO LICENSE HOLDERS)
OVER_THE_COUNTER_INDICATOR CHAR 1 OVER-THE-COUNTER INDICATOR CODE

Variable List - Personal Summary (PS)

Variable Name Type Length Label
MSIS_IDENTIFICATION_NUMBER CHAR 20 (Encrypted) MSIS IDENTIFICATION NUMBER
STATE CHAR 2 STATE ABBREVIATION CODE
YEAR NUM 4 MAX YEAR DATE
DATE_OF_BIRTH NUM 8 BIRTH DATE
AGE_GROUP NUM 1 AGE GROUP CODE
SEX CHAR 1 SEX CODE
RACE_ETHNICITY_FROM_MEDICAID CHAR 1 RACE/ETHNICITY CODE
RACE_ETHNICITY_WHITE CHAR 1 RACE - WHITE
RACE_ETHNICITY_BLACK CHAR 1 RACE - BLACK/AFRICAN AMERICAN
RACE_ETHNICITY_NATIVE CHAR 1 RACE - AMERICAN INDIAN/ALASKAN NATIVE
RACE_ETHNICITY_ASIAN CHAR 1 RACE - ASIAN
RACE_ETHNICITY_HAWAI CHAR 1 RACE - NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER
RACE_ETHNICITY_LATIN CHAR 1 ETHNICITY - HISPANIC OR LATINO
RACE_ETHNICITY_FROM_EDB CHAR 1 MEDICARE RACE/ETHNICITY CODE
MEDICARE_LANGUAGE_CODE_FROM_EDB CHAR 1 MEDICARE LANGUAGE CODE
SEX_RACE NUM 1 SEX-RACE CODE
DATE_OF_DEATH_FROM_MEDICAID NUM 8 MEDICAID DEATH DATE
DATE_OF_DEATH_FROM_MEDICARE_EDB NUM 8 MEDICARE DEATH DATE
DAY_OF_DEATH_VERIFIED_FROM_EDB CHAR 1 MEDICARE DEATH DAY SWITCH
DAY_OF_DEATH_FROM_SSA NUM 8 DATE OF DEATH (FROM SSA DEATH MASTER FILE)
COUNTY_OF_RESIDENCE CHAR 3 RESIDENCE COUNTY CODE
ZIP_CODE_OF_RESIDENCE NUM 5 RESIDENCE ZIP CODE
STATE_SPECIFIC_ELIGIBLITY CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT
SMRF_ELIGIBILITY CHAR 2 MAX UNIFORM ELIGIBILITY CODE - MOST RECENT
MISSING_ELIGIBILITY_DATA CHAR 1 MISSING MEDICAID ELIGIBILITY DATA SWITCH
ELIGIBLE_MONTHS NUM 2 MONTHS OF ELIGIBILITY
PRIVATE_INSURANCE_MONTHS NUM 2 PRIVATE INSURANCE MONTHS COUNT
CROSSOVER_CODE_NEW_VALUES_ANNUAL CHAR 2 MEDICARE DUAL CODE - ANNUAL
MEDICARE_BENEFICIARY_MONTHS NUM 2 MEDICARE BENEFICIARY MONTHS COUNT
OREC NUM 1 MEDICARE ORIGINAL ENTITLEMENT REASON CODE
CROSSOVER_MO_01 CHAR 2 MEDICARE DUAL CODE - FIRST MONTH
STATE_SPECIFIC_ELIGIBILITY_MO_01 CHAR 6 STATE-SPECIFIC ELIGIBILITY CODE - FIRST MONTH
SMRF_UNIFORM_ELIGIBILITY_MO_01 CHAR 2 MAX UNIFORM ELIGIBILITY CODE - FIRST MONTH
PRIVATE_HEALTH_INSURANCE_MO_01 NUM 1 PRIVATE INSURANCE CODE - FIRST MONTH
MEDICARE_BENEFICIARY_MO_01 NUM 1 MEDICARE BENEFICIARY CODE - FIRST MONTH
EL_PPH_PLN_MO_CNT_CMCP NUM 2 PRE-PAID PLAN TYPE-1 CODE - FIRST MONTH
EL_PPH_PLN_MO_CNT_DMCP CHAR 12 PRE-PAID PLAN IDENTIFIER-1 - FIRST MONTH
EL_PPH_PLN_MO_CNT_BMCP NUM 2 PRE-PAID PLAN TYPE-2 CODE - FIRST MONTH
EL_PPH_PLN_MO_CNT_PDMC CHAR 12 PRE-PAID PLAN IDENTIFIER-2 - FIRST MONTH
EL_PPH_PLN_MO_CNT_LTCM NUM 2 PRE-PAID PLAN TYPE-3 CODE - FIRST MONTH
EL_PPH_PLN_MO_CNT_AICE CHAR 12 PRE-PAID PLAN IDENTIFIER-3 - FIRST MONTH
EL_PPH_PLN_MO_CNT_PCCM NUM 2 PRE-PAID PLAN TYPE-4 CODE - FIRST MONTH
PREPAID_PLAN_TYPE_1_MO_01 NUM 2 PRE-PAID PLAN MONTHS COUNT - FIRST PLAN TYPE
PREPAID_PLAN_IDENTIFIER_4_MO_01 CHAR 12 PRE-PAID PLAN IDENTIFIER-4 - FIRST MONTH
MANAGED_CARE_COMBINATIONS_MO_01 NUM 2 MEDICAID MANAGED CARE COMBINATIONS - FIRST MONTH
DAYS_OF_ELIGIBILITY_MO_01 NUM 2 DAYS OF ELIGIBILITY - FIRST MONTH
TANF_CASH_ELIGIBILITY_MO_01 NUM 1 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) CASH FLAG - FIRST MONTH
RESTRICTED_BENEFITS_MO_01 CHAR 1 RESTRICTED BENEFITS FLAG - FIRST MONTH
SCHIP_ELIGIBILITY_MO_01 NUM 1 CHILD HEALTH INSURANCE PROGRAM (CHIP) CODE - FIRST MONTH
MAX_WAIVER_TYPE_CODE_1_01 CHAR 1 MAX WAIVER TYPE CODE - 1 - FIRST MONTH
WAIVER_ID_1_01 CHAR 2 WAIVER ID - 1 - FIRST MONTH
MAX_WAIVER_TYPE_CODE_2_01 CHAR 1 MAX WAIVER TYPE CODE - 2 - FIRST MONTH
WAIVER_ID_2_01 CHAR 2 WAIVER ID - 2 - FIRST MONTH
MAX_WAIVER_TYPE_CODE_3_01 CHAR 1 MAX WAIVER TYPE CODE - 3 - FIRST MONTH
WAIVER_ID_3_01 CHAR 2 WAIVER ID - 3 - FIRST MONTH
MAX_1915C_WAIVER_TYPE_LTST CHAR 1 ANNUAL 1915(C) MAX WAIVER TYPE - MOST RECENT
RECIPIENT_INDICATOR CHAR 1 RECIPIENT INDICATOR
IP_DISCHARGES NUM* 3 TOTAL INPATIENT DISCHARGE COUNT
IP_STAYS NUM* 3 TOTAL INPATIENT STAY COUNT
LENGTH_OF_STAY_FOR_DISCHARGES NUM* 3 TOTAL INPATIENT LENGTH OF STAY (LOS), IN DAYS (FOR DISCHARGES)
LENGTH_OF_STAY_FOR_STAYS NUM* 3 TOTAL INPATIENT LENGTH OF STAY (LOS), IN DAYS (FOR STAYS)
COVERED_DAYS_FOR_DISCHARGES NUM* 3 TOTAL INPATIENT COVERED DAY COUNT (FOR DISCHARGES)
COVERED_DAYS_FOR_STAYS NUM* 3 TOTAL INPATIENT COVERED DAY COUNT (FOR STAYS)
MENTAL_HOSPITAL_COVERED_DAYS NUM* 3 LONG-TERM CARE MENTAL HOSPITAL FOR THE AGED COVERED DAY COUNT
INPATIENT_PSYCH_COVERED_DAYS NUM* 3 LONG-TERM CARE INPATIENT PSYCHIATRIC FACILITY (AGE < 21) COVERED DAY COUNT
ICF_MR_COVERED_DAYS NUM* 3 INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABLITIES - ICF-IID COVERED DAY COUNT
NURSING_FACILITY_COVERED_DAYS NUM* 3 NURSING FACILITY - NF - COVERED DAY COUNT
TOTAL_LT_COVERED_DAYS NUM* 3 LONG-TERM CARE COVERED DAY COUNT
TOTAL_RECORD_COUNT NUM* 5 TOTAL MEDICAID RECORD COUNT
FEE_FOR_SERVICE_CLAIM_COUNT NUM* 5 TOTAL MEDICAID FEE-FOR-SERVICE CLAIM COUNT
PREMIUM_PAYMENT_CLAIM_COUNT NUM* 5 TOTAL MEDICAID PRE-PAID PLAN PREMIUM PAYMENT RECORD COUNT
ENCOUNTER_RECORD_COUNT NUM* 5 TOTAL MEDICAID ENCOUNTER RECORD COUNT
TOTAL_MEDICAID_PAYMENT_AMOUNT NUM* 8 TOTAL MEDICAID PAYMENT AMOUNT
FEE_FOR_SERVICE_MEDICAID_PMT_AMT NUM* 8 TOTAL MEDICAID FEE-FOR-SERVICE PAYMENT AMOUNT
PREMIUM_PAYMENT_MEDICAID_PMT_AMT NUM* 8 TOTAL MEDICAID PRE-PAID PLAN PREMIUM PAYMENT AMOUNT
CHARGE_AMOUNT NUM* 8 TOTAL MEDICAID CHARGE AMOUNT
THIRD_PARTY_PAYMENT_AMOUNT NUM* 8 TOTAL THIRD PARTY PAYMENT AMOUNT
INPATIENT_HOSPITAL_RECORDS_PT_2 NUM 3 INPATIENT HOSPITAL RECORDS - FIRST TYPE OF PROGRAM
INPATIENT_HOSPITAL_PAYMENTS_PT_2 NUM* 8 INPATIENT HOSPITAL PAYMENTS - FIRST TYPE OF PROGRAM
LONG_TERM_CARE_RECORDS_PT_2 NUM 3 INSTITUTIONAL LONG-TERM CARE RECORDS - FIRST TYPE OF PROGRAM
LONG_TERM_CARE_PAYMENTS_PT_2 NUM* 8 INSTITUTIONAL LONG-TERM CARE PAYMENTS - FIRST TYPE OF PROGRAM
OTHER_SERVICE_RECORDS_PT_2 NUM 3 OTHER SERVICE RECORDS - FIRST TYPE OF PROGRAM
OTHER_SERVICE_PAYMENTS_PT_2 NUM* 8 OTHER SERVICE PAYMENTS - FIRST TYPE OF PROGRAM
PRESCRIPTION_DRUG_RECORDS_PT_2 NUM 3 PRESCRIPTION DRUG RECORDS - FIRST TYPE OF PROGRAM
PRESCRIPTION_DRUG_PAYMENTS_PT_2 NUM* 8 PRESCRIPTION DRUG PAYMENTS - FIRST TYPE OF PROGRAM
TOTAL_RECORDS_PT_2 NUM 3 TOTAL RECORDS - FIRST TYPE OF PROGRAM
TOTAL_PAYMENTS_PT_2 NUM* 8 TOTAL PAYMENTS - FIRST TYPE OF PROGRAM
DELIVERY_CODE NUM 1 DELIVERY CODE
RECIPIENT_INDICATOR_TOS_01 CHAR 1 RECIPIENT INDICATOR - FIRST MAX TOS
CLAIM_COUNT_TOS_01 NUM* 5 FEE-FOR-SERVICE CLAIM COUNT - FIRST MAX TOS
MEDICAID_PAYMENT_AMOUNT_TOS_01 NUM* 8 FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT - FIRST MAX TOS
CHARGE_AMOUNT_TOS_01 NUM* 8 FEE-FOR-SERVICE CHARGE AMOUNT - FIRST MAX TOS
THIRD_PARTY_PAYMENT_AMT_TOS_01 NUM* 8 FEE-FOR-SERVICE THIRD PARTY PAYMENT AMOUNT - FIRST MAX TOS
ENCOUNTER_RECORD_COUNT_TOS_01 NUM 5 ENCOUNTER RECORD COUNT - FIRST MAX TOS
CLTC_FFS_PYMT_AMT_11 NUM* 8 MEDICAID PAYMENT AMOUNT - FIRST TYPE OF CLTC
HCBS_FFS_PYMT_AMT_01 NUM* 8 MEDICAID PAYMENT AMOUNT - FIRST TYPE OF HCBS TAXONOMY
PREMIUM_PAYMENT_INDICATOR_TOS_20 NUM* 1 PREMIUM PAYMENT INDICATOR - FIRST TYPE OF PREMIUM
PREMIUM_PAYMENT_RECORDS_TOS_20 NUM* 5 PREMIUM PAYMENT RECORD COUNT - FIRST TYPE OF PREMIUM
MEDICAID_PREMIUM_PAYMENTS_TOS_20 NUM* 8 MEDICAID PREMIUM PAYMENT AMOUNT - FIRST TYPE OF PREMIUM
ENCTR_REC_CNT_HCBS NUM 5 ENCOUNTER RECORD COUNT - HCBS

'


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 Variable List - MAX Summary File
 ..   BID_MDCD
            Description: Beneficiary Identifier.

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 Variable List - MAX Summary File
 ..   YEAR
            Description: Indicator of year.

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 Variable List - MAX Summary File
 ..   MDCD_LTSS
            Description: Long-Term Services and Supports (LTSS) flag; i) Institutional
                         Only; ii) Institutional and Home and Community-Based Services
                         (HCBS); iii) HCBS Waiver, no Institutional; iv) HCBS State Plan
                         Only, no HCBS Waiver and no Institutional; presence of LTSS
                         defined in Appendix 8.

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 Variable List - MAX Summary File
 ..   MDCD_SPMI_STATUS
            Description: Severe and Persistent Mental Illness (SPMI) flag, 0 = SPMI not
                         present, 1 = SPMI present; presence of SPMI defined in Appendix
                         4.

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 Variable List - MAX Summary File
 ..   MDCD_FFS_AMT
            Description: Total Medicaid payments on all Fee-for-Service (FFS) payments
                         (MAX TYPE-OF-SERVICE not equal to 20, 21, 22).

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 Variable List - MAX Summary File
 ..   MDCD_HMO_AMT
            Description: Total Medicaid spending on all Capitated Payments to Health
                         Maintenance Organization (HMO/HIO) or Pace Plans (MAX TYPE-OF-SERVICE
                         = 20).

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 Variable List - MAX Summary File
 ..   MDCD_HMO_AMT_HCBS
            Description: Total Medicaid spending on all Capitated Payments to HMO, HIO
                         or Pace Plans (MAX TYPE-OF-SERVICE = 20) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7).

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 Variable List - MAX Summary File
 ..   MDCD_PHP_AMT
            Description: Total Medicaid spending on all Capitated Payments to Physicians
                         Health Plan (PHPs) (MAX TYPE-OF-SERVICE = 21).

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 Variable List - MAX Summary File
 ..   MDCD_PHP_AMT_HCBS
            Description: Total Medicaid spending on all Capitated Payments to PHPs (MAX
                         TYPE-OF-SERVICE = 21) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7).

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 Variable List - MAX Summary File
 ..   MDCD_PCCM_AMT
            Description: Total Medicaid spending on all Capitated Payments for Primary
                         Care Case Management (PCCMs) (MAX TYPE-OF-SERVICE = 22).

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 Variable List - MAX Summary File
 ..   MDCD_PCCM_AMT_HCBS
            Description: Total Medicaid spending on all Capitated Payments for PCCMs
                         (MAX TYPE-OF-SERVICE = 22) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7).

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 Variable List - MAX Summary File
 ..   MDCD_IP_AMT
            Description: Total Medicaid spending on all Inpatient services (MAX TYPE-OF-SERVICE
                         = 1) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ADMITS_FFS
            Description: Total number of Inpatient admissions (an admission is the first
                         day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 1) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_DAYS_FFS
            Description: Total Inpatient days (MAX TYPE-OF-SERVICE = 1) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ADMITS_ALL
            Description: Total number of Inpatient admissions (an admission is the first
                         day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 1) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3,
                         5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_DAYS_ALL
            Description: Total Inpatient days (MAX TYPE-OF-SERVICE = 1) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_AMT_HCBS
            Description: Total Medicaid spending on all Inpatient Services (MAX TYPE-OF-SERVICE
                         = 1) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ADMITS_HCBS_FFS
            Description: Total number of Inpatient admissions (an admission is the first
                         day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 1) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_DAYS_HCBS_FFS
            Description: Total Inpatient days (MAX TYPE-OF-SERVICE = 1) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ADMITS_HCBS_ALL
            Description: Total number of Inpatient admissions (an admission is the first
                         day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 1) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_DAYS_HCBS_ALL
            Description: Total Inpatient days (MAX TYPE-OF-SERVICE = 1) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ER_ADMITS_FFS
            Description: Total number of Inpatient Emergency Room (ER) admissions (an
                         admission is the first day in a series of contiguous claims
                         where MAX TYPE-OF-SERVICE = 1 and with at least one claim where
                         UB-REV-CODE of 0450, 0451, 0452, 0456, 0459, or 0981) for all
                         FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ER_DAYS_FFS
            Description: Total Inpatient ER days (MAX TYPE-OF-SERVICE = 1 and with at
                         least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456,
                         0459, or 0981) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ER_ADMITS_ALL
            Description: Total number of Inpatient ER admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 1 and with at least one claim where UB-REV-CODE of 0450, 0451,
                         0452, 0456, 0459, or 0981) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ER_DAYS_ALL
            Description: Total Inpatient ER days (MAX TYPE-OF-SERVICE = 1 and with at
                         least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456,
                         0459, or 0981) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ER_ADMITS_HCBS_FFS
            Description: Total number of Inpatient ER admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 1 and with at least one claim where UB-REV-CODE of 0450, 0451,
                         0452, 0456, 0459, or 0981) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ER_DAYS_HCBS_FFS
            Description: Total Inpatient ER days (MAX TYPE-OF-SERVICE = 1 and with at
                         least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456,
                         0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE
                         = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ER_ADMITS_HCBS_ALL
            Description: Total number of Inpatient ER admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 1 and with at least one claim where UB-REV-CODE of 0450, 0451,
                         0452, 0456, 0459, or 0981) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IP_ER_DAYS_HCBS_ALL
            Description: Total Inpatient ER days (MAX TYPE-OF-SERVICE = 1 and with at
                         least one claim where UB-REV-CODE of 0450, 0451, 0452, 0456,
                         0459, or 0981) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE
                         = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1,
                         3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_AMT
            Description: Total Medicaid spending on all Mental Hospital Services (MAX
                         TYPE-OF-SERVICE = 2) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_ADMITS_FFS
            Description: Total number of Mental Hospital Services admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 2) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_DAYS_FFS
            Description: Total Mental Hospital days (MAX TYPE-OF-SERVICE = 2) for all
                         FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_ADMITS_ALL
            Description: Total number of Mental Hospital Services admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 2) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_DAYS_ALL
            Description: Total Mental Hospital days (MAX TYPE-OF-SERVICE = 2) for all
                         FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_AMT_HCBS
            Description: Total Medicaid spending on all Mental Hospital Services (MAX
                         TYPE-OF-SERVICE = 2) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_ADMITS_HCBS_FFS
            Description: Total number of Mental Hospital Services admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 2) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_DAYS_HCBS_FFS
            Description: Total Mental Hospital days (MAX TYPE-OF-SERVICE = 2) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_ADMITS_HCBS_ALL
            Description: Total number of Mental Hospital Services admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 2) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_MHS_DAYS_HCBS_ALL
            Description: Total Mental Hospital days (MAX TYPE-OF-SERVICE = 2) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_AMT
            Description: Total Medicaid spending on all Inpatient Psychiatric Facility
                         (IPF) Services (MAX TYPE-OF-SERVICE = 4) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_ADMITS_FFS
            Description: Total number of IPF Services admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 4) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_DAYS_FFS
            Description: Total IPF days (MAX TYPE-OF-SERVICE = 4) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_ADMITS_ALL
            Description: Total number of IPF Services admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 4) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3,
                         5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_DAYS_ALL
            Description: Total IPF days (MAX TYPE-OF-SERVICE = 4) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_AMT_HCBS
            Description: Total Medicaid spending on all IPF Services (MAX TYPE-OF-SERVICE
                         = 4) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_ADMITS_HCBS_FFS
            Description: Total number of IPF Services admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 4) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_DAYS_HCBS_FFS
            Description: Total IPF days (MAX TYPE-OF-SERVICE = 4) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_ADMITS_HCBS_ALL
            Description: Total number of IPF Services admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 4) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_IPF_DAYS_HCBS_ALL
            Description: Total IPF days (MAX TYPE-OF-SERVICE = 4) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ICF_AMT
            Description: Total Medicaid spending on all Intermediate Care Facilities
                         (ICF) Services (MAX TYPE-OF-SERVICE = 5) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ICF_ADMITS_FFS
            Description: Total number of ICF Services admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 5) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ICF_DAYS_FFS
            Description: Total ICF days (MAX TYPE-OF-SERVICE = 5) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ICF_ADMITS_ALL
            Description: Total number of ICF Services admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 5) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3,
                         5).

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 Variable List - MAX Summary File
 ..   MDCD_ICF_DAYS_ALL
            Description: Total ICF days (MAX TYPE-OF-SERVICE = 5) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ICF_AMT_HCBS
            Description: Total Medicaid spending on all ICF Services (MAX TYPE-OF-SERVICE
                         = 5) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ICF_ADMITS_HCBS_FFS
            Description: Total number of ICF Services admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 5) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ICF_DAYS_HCBS_FFS
            Description: Total ICF days (MAX TYPE-OF-SERVICE = 5) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ICF_ADMITS_HCBS_ALL
            Description: Total number of ICF Services admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 5) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ICF_DAYS_HCBS_ALL
            Description: Total ICF days (MAX TYPE-OF-SERVICE = 5) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_AMT
            Description: Total Medicaid spending on all Nursing Facility Services (MAX
                         TYPE-OF-SERVICE = 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_ADMITS_FFS
            Description: Total number of Nursing Facility Services admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_DAYS_FFS
            Description: Total Nursing Facility days (MAX TYPE-OF-SERVICE = 7) for all
                         FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_ADMITS_ALL
            Description: Total number of Nursing Facility Services admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 7) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_DAYS_ALL
            Description: Total Nursing Facility days (MAX TYPE-OF-SERVICE = 7) for all
                         FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_AMT_HCBS
            Description: Total Medicaid spending on all Nursing Facility Services (MAX
                         TYPE-OF-SERVICE = 7) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_ADMITS_HCBS_FFS
            Description: Total number of Nursing Facility Services admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 7) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_DAYS_HCBS_FFS
            Description: Total Nursing Facility days (MAX TYPE-OF-SERVICE = 7) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_ADMITS_HCBS_ALL
            Description: Total number of Nursing Facility Services admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 7) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NF_DAYS_HCBS_ALL
            Description: Total Nursing Facility days (MAX TYPE-OF-SERVICE = 7) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PHYS_AMT
            Description: Total Medicaid spending on all Physician Services (MAX TYPE-OF-SERVICE
                         = 8) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PHYS_EVENTS_FFS
            Description: Total number of Physician visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 8) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PHYS_EVENTS_ALL
            Description: Total number of Physician visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 8) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PHYS_AMT_HCBS
            Description: Total Medicaid spending on all Physician Services (MAX TYPE-OF-SERVICE
                         = 8) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PHYS_EVENTS_HCBS_FFS
            Description: Total number of Physician visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 8) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PHYS_EVENTS_HCBS_ALL
            Description: Total number of Physician visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 8) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DN_AMT
            Description: Total Medicaid spending on all Dental Services (MAX TYPE-OF-SERVICE
                         = 9) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DN_EVENTS_FFS
            Description: Total number of Dental visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 9) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DN_EVENTS_ALL
            Description: Total number of Dental visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 9) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DN_AMT_HCBS
            Description: Total Medicaid spending on all Dental Services (MAX TYPE-OF-SERVICE
                         = 9) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DN_EVENTS_HCBS_FFS
            Description: Total number of Dental visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 9) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DN_EVENTS_HCBS_ALL
            Description: Total number of Dental visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 9) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPR_AMT
            Description: Total Medicaid spending on all Other Practitioners Services
                         (MAX TYPE-OF-SERVICE = 10) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPR_EVENTS_FFS
            Description: Total number of Other Practitioner visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 10) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPR_EVENTS_ALL
            Description: Total number of Other Practitioner visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 10) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPR_AMT_HCBS
            Description: Total Medicaid spending on all Other Practitioners Services
                         (MAX TYPE-OF-SERVICE = 10) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPR_EVENTS_HCBS_FFS
            Description: Total number of Other Practitioner visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 10) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPR_EVENTS_HCBS_ALL
            Description: Total number of Other Practitioner visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 10) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_AMT
            Description: Total Medicaid spending on all Outpatient Hospital Services
                         (MAX TYPE-OF-SERVICE = 11) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_EVENTS_FFS
            Description: Total number of visits to Outpatient Hospitals (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 11) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_EVENTS_ALL
            Description: Total number of visits to Outpatient Hospitals (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 11) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_AMT_HCBS
            Description: Total Medicaid spending on all Outpatient Hospital Services
                         (MAX TYPE-OF-SERVICE = 11) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_EVENTS_HCBS_FFS
            Description: Total number of visits to Outpatient Hospitals (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 11) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_EVENTS_HCBS_ALL
            Description: Total number of visits to Outpatient Hospitals (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 11) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_ER_ADMITS_FFS
            Description: Total number of Outpatient Hospital ER admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE
                         of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_ER_DAYS_FFS
            Description: Total Outpatient Hospital ER days (MAX TYPE-OF-SERVICE = 11
                         and with at least one claim where UB-92-REVENUE-CODE of 0450,
                         0451, 0452, 0456, 0459, or 0981) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_ER_ADMITS_ALL
            Description: Total number of Outpatient Hospital ER admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE
                         of 0450, 0451, 0452, 0456, 0459, or 0981) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_ER_DAYS_ALL
            Description: Total Outpatient Hospital ER days (MAX TYPE-OF-SERVICE = 11
                         and with at least one claim where UB-92-REVENUE-CODE of 0450,
                         0451, 0452, 0456, 0459, or 0981) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_ER_ADMITS_HCBS_FFS
            Description: Total number of Outpatient Hospital ER admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE
                         of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_ER_DAYS_HCBS_FFS
            Description: Total Outpatient Hospital ER days (MAX TYPE-OF-SERVICE = 11
                         and with at least one claim where UB-92-REVENUE-CODE of 0450,
                         0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_ER_ADMITS_HCBS_ALL
            Description: Total number of Outpatient Hospital ER admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 11 and with at least one claim where UB-92-REVENUE-CODE
                         of 0450, 0451, 0452, 0456, 0459, or 0981) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OPH_ER_DAYS_HCBS_ALL
            Description: Total Outpatient Hospital ER days (MAX TYPE-OF-SERVICE = 11
                         and with at least one claim where UB-92-REVENUE-CODE of 0450,
                         0451, 0452, 0456, 0459, or 0981) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_CLIN_AMT
            Description: Total Medicaid spending on all Clinic Services (MAX TYPE-OF-SERVICE
                         = 12) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_CLIN_EVENTS_FFS
            Description: Total number of Clinic visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 12) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_CLIN_EVENTS_ALL
            Description: Total number of Clinic visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 12) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_CLIN_AMT_HCBS
            Description: Total Medicaid spending on all Clinic Services (MAX TYPE-OF-SERVICE
                         = 12) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_CLIN_EVENTS_HCBS_FFS
            Description: Total number of Clinic visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 12) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_CLIN_EVENTS_HCBS_ALL
            Description: Total number of Clinic visits (count of provider-day encounters
                         with an MAX TYPE-OF-SERVICE = 12) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_AMT
            Description: Total Medicaid spending on all Home Health Services (MAX TYPE-OF-SERVICE
                         = 13) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_ADMITS_FFS
            Description: Total number of Home Health admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 13) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_DAYS_FFS
            Description: Total Home Health Services days (MAX TYPE-OF-SERVICE = 13) for
                         all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_ADMITS_ALL
            Description: Total number of Home Health admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 13) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_DAYS_ALL
            Description: Total Home Health Services days (MAX TYPE-OF-SERVICE = 13) for
                         all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_AMT_HCBS
            Description: Total Medicaid spending on all Home Health Services (MAX TYPE-OF-SERVICE
                         = 13) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_ADMITS_HCBS_FFS
            Description: Total number of Home Health admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 13) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_DAYS_HCBS_FFS
            Description: Total Home Health Services days (MAX TYPE-OF-SERVICE = 13) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all
                         FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_ADMITS_HCBS_ALL
            Description: Total number of Home Health admissions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 13) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1,
                         3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HH_DAYS_HCBS_ALL
            Description: Total Home Health Services days (MAX TYPE-OF-SERVICE = 13) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all
                         FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_LX_AMT
            Description: Total Medicaid spending on all Lab and X-Ray Services (MAX TYPE-OF-SERVICE
                         = 15) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_LX_EVENTS_FFS
            Description: Total number of Lab and X-Ray visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 15) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_LX_EVENTS_ALL
            Description: Total number of Lab and X-Ray visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 15) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_LX_AMT_HCBS
            Description: Total Medicaid spending on all Lab and X-Ray Services (MAX TYPE-OF-SERVICE
                         = 15) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_LX_EVENTS_HCBS_FFS
            Description: Total number of Lab and X-Ray visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 15) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_LX_EVENTS_HCBS_ALL
            Description: Total number of Lab and X-Ray visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 15) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RX_AMT
            Description: Total Medicaid spending on all prescribed drugs (MAX TYPE-OF-SERVICE
                         = 16) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RX_EVENTS_FFS
            Description: Total number of prescription drug claims (MAX TYPE-OF-SERVICE
                         = 16) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RX_EVENTS_ALL
            Description: Total number of prescription drug claims (MAX TYPE-OF-SERVICE
                         = 16) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RX_AMT_HCBS
            Description: Total Medicaid spending on all Prescribed Drugs (MAX TYPE-OF-SERVICE
                         = 16) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RX_EVENTS_HCBS_FFS
            Description: Total number of prescription drug claims (MAX TYPE-OF-SERVICE
                         = 16) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RX_EVENTS_HCBS_ALL
            Description: Total number of prescription drug claims (MAX TYPE-OF-SERVICE
                         = 16) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1,
                         3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OS_AMT
            Description: Total Medicaid spending on all Other Services (MAX TYPE-OF-SERVICE
                         = 19) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_OS_AMT_HCBS
            Description: Total Medicaid spending on all Other Services (MAX TYPE-OF-SERVICE
                         = 19) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_AMT
            Description: Total Medicaid spending on all Sterilizations (MAX TYPE-OF-SERVICE
                         = 24) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_ADMITS_FFS
            Description: Total number of admissions for Sterilizations (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 24) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_DAYS_FFS
            Description: Total Sterilization days (MAX TYPE-OF-SERVICE = 24) for all
                         FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_ADMITS_ALL
            Description: Total number of admissions for Sterilizations (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 24) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_DAYS_ALL
            Description: Total Sterilization days (MAX TYPE-OF-SERVICE = 24) for all
                         FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_AMT_HCBS
            Description: Total Medicaid spending on all Sterilizations (MAX TYPE-OF-SERVICE
                         = 24) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_ADMITS_HCBS_FFS
            Description: Total number of admissions for Sterilizations (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 24) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_DAYS_HCBS_FFS
            Description: Total Sterilization days (MAX TYPE-OF-SERVICE = 24) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_ADMITS_HCBS_ALL
            Description: Total number of admissions for Sterilizations (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 24) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ST_DAYS_HCBS_ALL
            Description: Total Sterilization days (MAX TYPE-OF-SERVICE = 24) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_AMT
            Description: Total Medicaid spending on all Abortions (MAX TYPE-OF-SERVICE
                         = 25) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_ADMITS_FFS
            Description: Total number of admissions for Abortions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 25) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_DAYS_FFS
            Description: Total Abortion days (MAX TYPE-OF-SERVICE = 25) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_ADMITS_ALL
            Description: Total number of admissions for Abortions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 25) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_DAYS_ALL
            Description: Total Abortion days (MAX TYPE-OF-SERVICE = 25) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_AMT_HCBS
            Description: Total Medicaid spending on all Abortions (MAX TYPE-OF-SERVICE
                         = 25) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_ADMITS_HCBS_FFS
            Description: Total number of admissions for Abortions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 25) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_DAYS_HCBS_FFS
            Description: Total Abortion days (MAX TYPE-OF-SERVICE = 25) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_ADMITS_HCBS_ALL
            Description: Total number of admissions for Abortions (an admission is the
                         first day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 25) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1,
                         3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_AB_DAYS_HCBS_ALL
            Description: Total Abortion days (MAX TYPE-OF-SERVICE = 25) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TS_AMT
            Description: Total Medicaid spending on all Transportation Services (MAX
                         TYPE-OF-SERVICE = 26) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TS_EVENTS_FFS
            Description: Total number of Transportation Services (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 26) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TS_EVENTS_ALL
            Description: Total number of Transportation Services (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 26) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TS_AMT_HCBS
            Description: Total Medicaid spending on all Transportation Services (MAX
                         TYPE-OF-SERVICE = 26) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TS_EVENTS_HCBS_FFS
            Description: Total number of Transportation Services (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 26) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TS_EVENTS_HCBS_ALL
            Description: Total number of Transportation Services (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 26) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_AMT
            Description: Total Medicaid spending on all Personal Care Services (MAX TYPE-OF-SERVICE
                         = 30) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_ADMITS_FFS
            Description: Total number of admissions for Personal Care Services (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 30) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_DAYS_FFS
            Description: Total Personal Care Services days (MAX TYPE-OF-SERVICE = 30)
                         for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_ADMITS_ALL
            Description: Total number of admissions for Personal Care Services (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 30) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_DAYS_ALL
            Description: Total Personal Care Services days (MAX TYPE-OF-SERVICE = 30)
                         for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_AMT_HCBS
            Description: Total Medicaid spending on all Personal Care Services (MAX TYPE-OF-SERVICE
                         = 30) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_ADMITS_HCBS_FFS
            Description: Total number of admissions for Personal Care Services (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 30) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_DAYS_HCBS_FFS
            Description: Total Personal Care Services days (MAX TYPE-OF-SERVICE = 30)
                         when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
                         for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_ADMITS_HCBS_ALL
            Description: Total number of admissions for Personal Care Services (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 30) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PCS_DAYS_HCBS_ALL
            Description: Total Personal Care Services days (MAX TYPE-OF-SERVICE = 30)
                         when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
                         for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_AMT
            Description: Total Medicaid spending on all Targeted Case Management Services
                         (MAX TYPE-OF-SERVICE = 31) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_ADMITS_FFS
            Description: Total number of admissions for Targeted Case Management Services
                         (an admission is the first day in a series of contiguous claims
                         where MAX TYPE-OF-SERVICE = 31) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_DAYS_FFS
            Description: Total Targeted Case Management days (MAX TYPE-OF-SERVICE = 31)
                         for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_ADMITS_ALL
            Description: Total number of admissions for Targeted Case Management Services
                         (an admission is the first day in a series of contiguous claims
                         where MAX TYPE-OF-SERVICE = 31) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_DAYS_ALL
            Description: Total Targeted Case Management days (MAX TYPE-OF-SERVICE = 31)
                         for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_AMT_HCBS
            Description: Total Medicaid spending on all Targeted Case Management Services
                         (MAX TYPE-OF-SERVICE = 31) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_ADMITS_HCBS_FFS
            Description: Total number of admissions for Targeted Case Management Services
                         (an admission is the first day in a series of contiguous claims
                         where MAX TYPE-OF-SERVICE = 31) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_DAYS_HCBS_FFS
            Description: Total Targeted Case Management days (MAX TYPE-OF-SERVICE = 31)
                         when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
                         for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_ADMITS_HCBS_ALL
            Description: Total number of admissions for Targeted Case Management Services
                         (an admission is the first day in a series of contiguous claims
                         where MAX TYPE-OF-SERVICE = 31) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter claims
                         (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_TC_DAYS_HCBS_ALL
            Description: Total Targeted Case Management days (MAX TYPE-OF-SERVICE = 31)
                         when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
                         for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RS_AMT
            Description: Total Medicaid spending on all Rehabilitation Services (MAX
                         TYPE-OF-SERVICE = 33) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RS_EVENTS_FFS
            Description: Total number of Rehabilitation Services visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 33) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RS_EVENTS_ALL
            Description: Total number of Rehabilitation Services visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 33) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RS_AMT_HCBS
            Description: Total Medicaid spending on all Rehabilitation Services (MAX
                         TYPE-OF-SERVICE = 33) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RS_EVENTS_HCBS_FFS
            Description: Total number of Rehabilitation Services visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 33) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RS_EVENTS_HCBS_ALL
            Description: Total number of Rehabilitation Services visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 33) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_SH_AMT
            Description: Total Medicaid spending on all Physical Therapist (PT), Other
                         (OT), Speech, Hearing Language Services (MAX TYPE-OF-SERVICE
                         = 34) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_SH_EVENTS_FFS
            Description: Total number of PT, OT, Speech, Hearing Language visits (count
                         of provider-day encounters with an MAX TYPE-OF-SERVICE = 34)
                         for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_SH_EVENTS_ALL
            Description: Total number of PT, OT, Speech, Hearing Language visits (count
                         of provider-day encounters with an MAX TYPE-OF-SERVICE = 34)
                         for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_SH_AMT_HCBS
            Description: Total Medicaid spending on all PT, OT, Speech, Hearing Language
                         Services (MAX TYPE-OF-SERVICE = 34) when enrolled in an HCBS
                         Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_SH_EVENTS_HCBS_FFS
            Description: Total number of PT, OT, Speech, Hearing Language visits (count
                         of provider-day encounters with an MAX TYPE-OF-SERVICE = 34)
                         when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
                         for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_SH_EVENTS_HCBS_ALL
            Description: Total number of PT, OT, Speech, Hearing Language visits (count
                         of provider-day encounters with an MAX TYPE-OF-SERVICE = 34)
                         when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
                         for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_AMT
            Description: Total Medicaid spending on all Hospice Services (MAX TYPE-OF-SERVICE
                         = 35) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_ADMITS_FFS
            Description: Total number of Hospice admissions (an admission is the first
                         day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 35) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_DAYS_FFS
            Description: Total number of Hospice days (MAX TYPE-OF-SERVICE = 35) for
                         all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_ADMITS_ALL
            Description: Total number of Hospice admissions (an admission is the first
                         day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 35) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_DAYS_ALL
            Description: Total number of Hospice days (MAX TYPE-OF-SERVICE = 35) for
                         all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_AMT_HCBS
            Description: Total Medicaid spending on all Hospice Services (MAX TYPE-OF-SERVICE
                         = 35) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_ADMITS_HCBS_FFS
            Description: Total number of Hospice admissions (an admission is the first
                         day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 35) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_DAYS_HCBS_FFS
            Description: Total number of Hospice days (MAX TYPE-OF-SERVICE = 35) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for
                         all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_ADMITS_HCBS_ALL
            Description: Total number of Hospice admissions (an admission is the first
                         day in a series of contiguous claims where MAX TYPE-OF-SERVICE
                         = 35) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM = 1,
                         3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_HS_DAYS_HCBS_ALL
            Description: Total number of Hospice days (MAX TYPE-OF-SERVICE = 35) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for
                         all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NMS_AMT
            Description: Total Medicaid spending on all Nurse Midwife Services (MAX TYPE-OF-SERVICE
                         = 36) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NMS_EVENTS_FFS
            Description: Total number of Nurse Midwife visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 36) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NMS_EVENTS_ALL
            Description: Total number of Nurse Midwife visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 36) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NMS_AMT_HCBS
            Description: Total Medicaid spending on all Nurse Midwife Services (MAX TYPE-OF-SERVICE
                         = 36) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NMS_EVENTS_HCBS_FFS
            Description: Total number of Nurse Midwife visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 36) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NMS_EVENTS_HCBS_ALL
            Description: Total number of Nurse Midwife visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 36) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NPS_AMT
            Description: Total Medicaid spending on all Nurse Practitioner Services (MAX
                         TYPE-OF-SERVICE = 37) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NPS_EVENTS_FFS
            Description: Total number of Nurse Practitioner visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 37) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NPS_EVENTS_ALL
            Description: Total number of Nurse Practitioner visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 37) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NPS_AMT_HCBS
            Description: Total Medicaid spending on all Nurse Practitioner Services (MAX
                         TYPE-OF-SERVICE = 37) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NPS_EVENTS_HCBS_FFS
            Description: Total number of Nurse Practitioner visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 37) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_NPS_EVENTS_HCBS_ALL
            Description: Total number of Nurse Practitioner visits (count of provider-day
                         encounters with an MAX TYPE-OF-SERVICE = 37) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_AMT
            Description: Total Medicaid spending on all Private Duty Nursing Services
                         (MAX TYPE-OF-SERVICE = 38) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_ADMITS_FFS
            Description: Total number of Private Duty Nursing admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 38) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_DAYS_FFS
            Description: Total Private Duty Nursing days (MAX TYPE-OF-SERVICE = 38) for
                         all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_ADMITS_ALL
            Description: Total number of Private Duty Nursing admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 38) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_DAYS_ALL
            Description: Total Private Duty Nursing days (MAX TYPE-OF-SERVICE = 38) for
                         all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_AMT_HCBS
            Description: Total Medicaid spending on all Private Duty Nursing Services
                         (MAX TYPE-OF-SERVICE = 38) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_ADMITS_HCBS_FFS
            Description: Total number of Private Duty Nursing admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 38) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_DAYS_HCBS_FFS
            Description: Total Private Duty Nursing days (MAX TYPE-OF-SERVICE = 38) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all
                         FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_ADMITS_HCBS_ALL
            Description: Total number of Private Duty Nursing admissions (an admission
                         is the first day in a series of contiguous claims where MAX
                         TYPE-OF-SERVICE = 38) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_PDN_DAYS_HCBS_ALL
            Description: Total Private Duty Nursing days (MAX TYPE-OF-SERVICE = 38) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all
                         FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RNHC_AMT
            Description: Total Medicaid spending on all Religious Non-Medical Health
                         Care Institutions Services (MAX TYPE-OF-SERVICE = 39) for all
                         FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RNHC_EVENTS_FFS
            Description: Total number of Religious Non-Medical Health Care Institutions
                         Services visits (count of provider-day encounters with an MAX
                         TYPE-OF-SERVICE = 39) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RNHC_EVENTS_ALL
            Description: Total number of Religious Non-Medical Health Care Institutions
                         Services visits (count of provider-day encounters with an MAX
                         TYPE-OF-SERVICE = 39) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RNHC_AMT_HCBS
            Description: Total Medicaid spending on all Religious Non-Medical Health
                         Care Institutions Services (MAX TYPE-OF-SERVICE = 39) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for
                         all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RNHC_EVENTS_HCBS_FFS
            Description: Total number of Religious Non-Medical Health Care Institutions
                         Services visits (count of provider-day encounters with an MAX
                         TYPE-OF-SERVICE = 39) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM = 1,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RNHC_EVENTS_HCBS_ALL
            Description: Total number of Religious Non-Medical Health Care Institutions
                         Services visits (count of provider-day encounters with an MAX
                         TYPE-OF-SERVICE = 39) when enrolled in an HCBS Program (MSIS
                         PROGRAM-TYPE = 6, 7) for all FFS and encounter claims (TYPE-OF-CLAIM
                         = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_US_AMT
            Description: Total Medicaid spending on all missing, invalid, or unknown
                         services (MAX TYPE-OF-SERVICE = 99+) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_US_AMT_HCBS
            Description: Total Medicaid spending on all missing, invalid, or unknown
                         services (MAX TYPE-OF-SERVICE = 99+) when enrolled in an HCBS
                         Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DMES_AMT
            Description: Total Medicaid spending on all Durable Medical Equipment and
                         Supplies (when at least one claim in the claim group has a
                         MAX TYPE-OF-SERVICE = 51) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DMES_EVENTS_FFS
            Description: Total number of Durable Medical Equipment and Supplies events
                         (count of provider-day encounters when MAX TYPE-OF-SERVICE =
                         51) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DMES_EVENTS_ALL
            Description: Total number of Durable Medical Equipment and Supplies events
                         (count of provider-day encounters when MAX TYPE-OF-SERVICE =
                         51) for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3,
                         5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DMES_AMT_HCBS
            Description: Total Medicaid spending on all Durable Medical Equipment and
                         Supplies (when at least one claim in the claim group has a
                         MAX TYPE-OF-SERVICE = 51) when enrolled in an HCBS Program
                         (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DMES_EVENTS_HCBS_FFS
            Description: Total number of Durable Medical Equipment and Supplies events
                         (count of provider-day encounters when MAX TYPE-OF-SERVICE =
                         51) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6,
                         7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_DMES_EVENTS_HCBS_ALL
            Description: Total number of Durable Medical Equipment and Supplies events
                         (count of provider-day encounters when at least one claim in
                         the claim group has a MAX TYPE-OF-SERVICE = 51) when enrolled
                         in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RC_AMT
            Description: Total Medicaid spending on all Residential Care Services (when
                         at least one claim in the claim group has a MAX TYPE-OF-SERVICE
                         = 52) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RC_ADMITS_FFS
            Description: Total number of Residential Care admissions (an admission is
                         the first day in a series of contiguous claims where at least
                         one claim in the claim group has a MAX TYPE-OF-SERVICE = 52)
                         for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RC_DAYS_FFS
            Description: Total Residential Care days (when at least one claim in the
                         claim group has a MAX TYPE-OF-SERVICE = 52) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_RC_ADMITS_ALL
            Description: Total number of Residential Care admissions (an admission is
                         the first day in a series of contiguous claims where at least
                         one claim in the claim group has a MAX TYPE-OF-SERVICE = 52)
                         for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_RC_DAYS_ALL
            Description: Total Residential Care days (when at least one claim in the
                         claim group has a MAX TYPE-OF-SERVICE = 52) for all FFS and
                         encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_RC_AMT_HCBS
            Description: Total Medicaid spending on all Residential Care Services (when
                         at least one claim in the claim group has a MAX TYPE-OF-SERVICE
                         = 52) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_RC_ADMITS_HCBS_FFS
            Description: Total number of Residential Care admissions (an admission is
                         the first day in a series of contiguous claims where at least
                         one claim in the claim group has a MAX TYPE-OF-SERVICE = 52)
                         when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
                         for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_RC_DAYS_HCBS_FFS
            Description: Total Residential Care days (when at least one claim in the
                         claim group has a MAX TYPE-OF-SERVICE = 52) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_RC_ADMITS_HCBS_ALL
            Description: Total number of Residential Care admissions (an admission is
                         the first day in a series of contiguous claims where at least
                         one claim in the claim group has a MAX TYPE-OF-SERVICE = 52)
                         when enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7)
                         for all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_RC_DAYS_HCBS_ALL
            Description: Total Residential Care days (when at least one claim in the
                         claim group has a MAX TYPE-OF-SERVICE = 52) when enrolled in
                         an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_PS_AMT
            Description: Total Medicaid spending on all Psychiatric Services (when at
                         least one claim in the claim group has a MAX TYPE-OF-SERVICE
                         = 53) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_PS_EVENTS_FFS
            Description: Total number of Psychiatric Services visits (count of provider-day
                         encounters when MAX TYPE-OF-SERVICE = 53) for all FFS claims
                         (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_PS_EVENTS_ALL
            Description: Total number of Psychiatric Services visits (count of provider-day
                         encounters when MAX TYPE-OF-SERVICE = 53) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_PS_AMT_HCBS
            Description: Total Medicaid spending on all Psychiatric Services (when at
                         least one claim in the claim group has a MAX TYPE-OF-SERVICE
                         = 53) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_PS_EVENTS_HCBS_FFS
            Description: Total number of Psychiatric Services visits (count of provider-day
                         encounters when MAX TYPE-OF-SERVICE = 53) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_PS_EVENTS_HCBS_ALL
            Description: Total number of Psychiatric Services visits (count of provider-day
                         encounters when MAX TYPE-OF-SERVICE = 53) when enrolled in an
                         HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ADC_AMT
            Description: Total Medicaid spending on all Adult Day Care Services (when
                         at least one claim in the claim group has a MAX TYPE-OF-SERVICE
                         = 54) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ADC_ADMITS_FFS
            Description: Total number of Adult Day Care admissions (an admission is the
                         first day in a series of contiguous claims where at least one
                         claim in the claim group has a MAX TYPE-OF-SERVICE = 54) for
                         all FFS claims (TYPE-OF-CLAIM = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ADC_DAYS_FFS
            Description: Total Adult Day Care days (when at least one claim in the claim
                         group has a MAX TYPE-OF-SERVICE = 54) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ADC_ADMITS_ALL
            Description: Total number of Adult Day Care admissions (an admission is the
                         first day in a series of contiguous claims where at least one
                         claim in the claim group has a MAX TYPE-OF-SERVICE = 54) for
                         all FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ADC_DAYS_ALL
            Description: Total Adult Day Care days (when at least one claim in the claim
                         group has a MAX TYPE-OF-SERVICE = 54) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ADC_AMT_HCBS
            Description: Total Medicaid spending on all Adult Day Care Services (when
                         at least one claim in the claim group has a MAX TYPE-OF-SERVICE
                         = 54) when enrolled in an HCBS Program (MSIS PROGRAM-TYPE =
                         6, 7) for all FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ADC_ADMITS_HCBS_FFS
            Description: Total number of Adult Day Care admissions (an admission is the
                         first day in a series of contiguous claims where at least one
                         claim in the claim group has a MAX TYPE-OF-SERVICE = 54) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all
                         FFS claims (TYPE-OF-CLAIM = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ADC_DAYS_HCBS_FFS
            Description: Total Adult Day Care days (when at least one claim in the claim
                         group has a MAX TYPE-OF-SERVICE = 54) when enrolled in an HCBS
                         Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS claims (TYPE-OF-CLAIM
                         = 1, 5).

 Home
 Variable List - MAX Summary File
 ..   MDCD_ADC_ADMITS_HCBS_ALL
            Description: Total number of Adult Day Care admissions (an admission is the
                         first day in a series of contiguous claims where at least one
                         claim in the claim group has a MAX TYPE-OF-SERVICE = 54) when
                         enrolled in an HCBS Program (MSIS PROGRAM-TYPE = 6, 7) for all
                         FFS and encounter claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX Summary File
 ..   MDCD_ADC_DAYS_HCBS_ALL
            Description: Total Adult Day Care days (when at least one claim in the claim
                         group has a MAX TYPE-OF-SERVICE = 54) when enrolled in an HCBS
                         Program (MSIS PROGRAM-TYPE = 6, 7) for all FFS and encounter
                         claims (TYPE-OF-CLAIM = 1, 3, 5).

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 Variable List - MAX - IP
 1.   ADJUSTMENT_CODE

            Type:   NUM
            Length: 1
            Label:  ADJUSTMENT CODE

            DESCRIPTION: CODE INDICATING IF THE CLAIMS FOR THIS SERVICE
            WERE ONLY ORIGINAL SUBMISSIONS, INCLUDED ADJUSTEMENTS OF ANY
            TYPE OR IF ONE OR MORE ORIGINAL SUBMISSIONS WAS MISSING.

            Values: 
               0 = NO ADJUSTMENT OF CLAIMS WAS REQUIRED, SINCE ALL CLAIMS FOR THIS RECORD WERE ORIGINAL CLAIMS 
(ALL CLAIMS FOR THIS RECORD HAD VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT- INDICATOR'). IN 
THIS CASE, ORIGINAL CLAIMS WERE COMBINED FOR THIS RECORD. 
1 = THIS RECORD REPRESENTS A CLAIMS SET WHERE IT WAS POSSIBLE TO CORRECTLY COMPLETE THE ADJUSTMENT 
PROCESS, BY COMBINING ORIGINAL AND ADJUSTMENT CLAIMS FOR THIS RECORD. THIS MEANS THAT THERE WAS 
AT LEAST ONE ORIGINAL CLAIM AND AT LEAST ONE ADJUSTMENT CLAIM IN THE SET OF CLAIMS FOR THIS RECORD (AT LEAST 
ONE CLAIM FOR THIS RECORD HAD VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR' AND AT LEAST 
ONE CLAIM FOR THIS RECORD HAD A VALUE OTHER THAN 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR'). 
2 = THIS RECORD REPRESENTS A CLAIMS SET WHERE IT WAS NOT POSSIBLE TO CORRECTLY COMPLETE THE ADJUSTMENT 
PROCESS (NONE OF THE CLAIMS FOR THIS RECORD HAD A VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR').

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 Variable List - MAX - IP
 3.   MSIS_IDENTIFICATION_NUMBER

            Type:   CHAR
            Length: 20
            Label:  (Encrypted) MSIS IDENTIFICATION NUMBER

            Encrypted.

            Values: 
               Encrypted

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 Variable List - MAX - IP
 4.   STATE

            Type:   CHAR
            Length: 2
            Label:  STATE ABBREVIATION CODE

            DESCRIPTION: U.S. POSTAL SERVICE 2-CHARACTER ABBREVIATION FOR
            THE STATE MEDICAID AGENCY SUBMITTING THE DATA.

            Values: 
               CODES: 
AL = ALABAMA 
AK = ALASKA 
AZ = ARIZONA 
AR = ARKANSAS 
CA = CALIFORNIA 
CO = COLORADO 
CT = CONNECTICUT 
DE = DELAWARE 
DC = DISTRICT OF COLUMBIA 
FL = FLORIDA 
GA = GEORGIA 
GU = GUAM/AMERICAN SAMOA 
HI = HAWAII 
ID = IDAHO 
IL = ILLINOIS 
IN = INDIANA 
IA = IOWA 
KS = KANSAS 
KY = KENTUCKY 
LA = LOUISIANA 
ME = MAINE 
MD = MARYLAND 
MA = MASSACHUSETTS 
MI = MICHIGAN 
MN = MINNESOTA 
MS = MISSISSIPPI 
MO = MISSOURI 
MT = MONTANA 
NE = NEBRASKA 
NV = NEVADA 
NH = NEW HAMPSHIRE 
NJ = NEW JERSEY 
NM = NEW MEXICO 
NY = NEW YORK 
NC = NORTH CAROLINA 
ND = NORTH DAKOTA 
OH = OHIO 
OK = OKLAHOMA 
OR = OREGON 
PA = PENNSYLVANIA 
PR = PUERTO RICO 
RI = RHODE ISLAND 
SC = SOUTH CAROLINA 
SD = SOUTH DAKOTA 
TN = TENNESSEE 
TX = TEXAS 
UT = UTAH 
VT = VERMONT 
VI = VIRGIN ISLANDS 
VA = VIRGINIA 
WA = WASHINGTON 
WV = WEST VIRGINIA 
WI = WISCONSIN 
WY = WYOMING

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 Variable List - MAX - IP
 7.   BIRTH_DATE

            Type:   NUM
            Length: 8
            Label:  BIRTH DATE

            DESCRIPTION: BIRTH DATE OF THE MEDICAID ELIGIBLE. EDIT-RULES:
            YYYYMMDD.

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 Variable List - MAX - IP
 8.   SEX

            Type:   CHAR
            Length: 1
            Label:  SEX CODE

            DESCRIPTION: CODE INDICATING THE GENDER OF THE MEDICAID ELIGIBLE.

            Values: 
               CODES: 
F = FEMALE 
M = MALE 
U = UNKNOWN/ERROR 
USER NOTE: THESE CODES ARE 1 (FEMALE), 2 (MALE) AND 9 (UNKNOWN) IN THE 1996-98 MSIS DATA.

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 Variable List - MAX - IP
 9.   RACE_ETHNICITY

            Type:   CHAR
            Length: 1
            Label:  RACE/ETHNICITY CODE

            DESCRIPTION: CODE INDICATING THE RACE/ETHNICITY OF THE MEDICAID
            ELIGIBLE.

            Values: 
               CODES: 
1 = WHITE, NOT OF HISPANIC ORIGIN (CHANGED TO "WHITE" BEGINNING 10/98) 
2 = BLACK, NOT OF HISPANIC ORIGIN (CHANGED TO "BLACK OR AFRICAN AMERICAN" BEGINNING 10/98) 
3 = AMERICAN INDIAN OR ALASKA NATIVE 
4 = ASIAN OR PACIFIC ISLANDER (CHANGED TO "ASIAN" BEGINNING 10/98) 
5 = HISPANIC (CHANGED TO "HISPANIC OR LATINO - NO RACE INFORMATION AVAILABLE" BEGINNING 10/98) 
6 = NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (NEW CODE BEGINNING 10/98) 
7 = HISPANIC OR LATINO AND ONE OR MORE RACES (NEW CODE BEGINNING 10/98) 
8 = MORE THAN ONE RACE (HISPANIC OR LATINO NOT INDICATED) (NEW CODE BEGINNING 10/98) 
9 = UNKNOWN 
USER  NOTE:  SINCE  SPECIFICATIONS  FOR  CODE  VALUES  =  7  AND  8  WERE  NOT  ISSUED  UNTIL  MAY 2000, THESE CODE VALUES MAY NOT 
APPEAR.  THE  METHODS  OF  COLLECTING  INFORMATION  ON  RACE  AND  ETHNICITY  DIFFER  SUBSTANTIALLY  ACROSS  STATES AND TIME 
PERIODS.

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 Variable List - MAX - IP
 10.   RACE_ETHNICITY_WHITE

            Type:   CHAR
            Length: 1
            Label:  RACE - WHITE

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF WHITE.

            Values: 
               CODES: 
0 = NON-WHITE OR RACE UNKNOWN 
1 = WHITE

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 Variable List - MAX - IP
 11.   RACE_ETHNICITY_BLACK

            Type:   CHAR
            Length: 1
            Label:  RACE - BLACK/AFRICAN AMERICAN

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF BLACK OR AFRICAN AMERICAN.

            Values: 
               CODES: 
0 = NON-BLACK/AFRICAN AMERICAN OR RACE UNKNOWN 
1 = BLACK OR AFRICAN AMERICAN

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 Variable List - MAX - IP
 12.   RACE_ETHNICITY_NATIVE

            Type:   CHAR
            Length: 1
            Label:  RACE - AMERICAN INDIAN/ALASKA NATIVE

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF AMERICAN INDIAN/ALASKA NATIVE.

            Values: 
               CODES: 
0 = NON-AMERICAN INDIAN/ALASKA NATIVE OR RACE UNKNOWN 
1 = AMERICAN INDIAN/ALASKA NATIVE

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 Variable List - MAX - IP
 13.   RACE_ETHNICITY_ASIAN

            Type:   CHAR
            Length: 1
            Label:  RACE - ASIAN

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF ASIAN.

            Values: 
               CODES: 
0 = NON-ASIAN OR RACE UNKNOWN 
1 = ASIAN

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 Variable List - MAX - IP
 14.   RACE_ETHNICITY_HAWAI

            Type:   CHAR
            Length: 1
            Label:  RACE - NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER.

            Values: 
               CODES: 
0 = NON-NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER OR RACE UNKNOWN 
1 = NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

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 Variable List - MAX - IP
 15.   RACE_ETHNICITY_LATIN

            Type:   CHAR
            Length: 1
            Label:  ETHNICITY - HISPANIC OR LATINO

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED AN
            ETHNICITY OF HISPANIC OR LATINO.

            Values: 
               CODES: 
0 = NON-HISPANIC OR LATINO 
1 = HISPANIC OR LATINO 
9 = ETHNICITY UNKNOWN

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 Variable List - MAX - IP
 16.   STATE_SPECIFIC_ELIG_MOST_RECENT

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - MOST RECENT
            OBSERVATION. USER NOTES: THESE SOURCE CODES ARE GENERALLY NOT
            APPLICABLE FOR MOST.

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 Variable List - MAX - IP
 17.   STATE_SPECIFIC_ELIG_MO_OF_SVC

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - FOR MONTH OF SERVICE

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - FOR THE MONTH
            OF SERVICE. USER NOTES: THESE SOURCE CODES ARE GENERALLY NOT
            APPLICABLE FOR MOS.

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 Variable List - MAX - IP
 18.   MAX_UNI_ELIG_CODE_MOST_RECENT

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: MEDICAID ANALYTIC EXTRACTS (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE - MOST RECENT OBSERVATION.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY 
USER  NOTE:  MSIS  'MAINTENANCE-ASSISTANCE-STATUS'  (MAS)  IS  IN  POSITION  #1  AND  'BASIS-OF-ELIGIBILITY'  (BOE)  IS  IN POSITION #2. 
CODING  IS  THE  SAME  AS  IN  1996-98  MAX  FILES,  EXCEPT  THAT  VALUES  51-55  ARE  ADDED  FOR  1999 AND VALUE 3A IS ADDED FOR 2000. 
THERE  MAY  BE  SMALL  NUMBERS  OF  RECORDS  WITH  INCONSISTENT  VALUES  BECAUSE  MSIS  HAS  NO  MAS/BOE CONSISTENCY CHECKS. 
PRIOR TO THE END OF THE AID TO FAMILIES WITH DEPENDENT CHILDREN (AFDC) PROGRAM, GROUPS 14-17 WERE AFDC CASH RECIPIENTS.

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 Variable List - MAX - IP
 19.   MAX_UNI_ELIG_CODE_MO_OF_SVC

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - FOR MONTH OF SERVICE

            DESCRIPTION: CODE INDICATING THE MEDICAID ANALYTIC EXTRACT (MAX)
            UNIFORM ELIGIBILITY STATUS FOR THE MEDICAID ELIGIBLE - FOR THE
            MONTH OF SERVICE.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY 
USER NOTE: MSIS 'MAINTENANCE-ASSISTANCE-STATUS' (MAS) IS POSITION #1 AND 'BASIS-OF-ELIGIBILITY' (BOE) IS IN POSITION #2. CODING 
IS THE SAME AS IN 1996-98 MAX FILES, EXCEPT THAT VALUES 51-55 ARE ADDED FOR 1999 AND VALUE 3A IS ADDED FOR 2000. THERE MAY 
BE SMALL NUMBERS OF RECORDS WITH INCONSISTENT VALUES BECAUSE MSIS HAS NO MAS/BOE CONSISTENCY CHECKS. PRIOR TO THE 
END OF THE AID TO FAMILIES WITH DEPENDENT CHILDREN (AFDC) PROGRAM, GROUPS 14-17 WERE AFDC CASH RECIPIENTS.

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 Variable List - MAX - IP
 20.   MISSING_ELIG_DATA

            Type:   CHAR
            Length: 1
            Label:  MISSING ELIGIBILITY DATA

            DESCRIPTION: CODE INDICATING A PERSON FOR WHOM NO MONTHS OF
            ENROLLMENT IN MEDICAID WERE FOUND.

            Values: 
               CODES: 
BLANK = MEDICAID ENROLLMENT MONTHS WERE FOUND. 
1 = NEITHER MEDICAID ENROLLMENT MONTHS NOR S-CHIP (CHIP CODE = 3) ENROLLMENT MONTHS WERE FOUND. 
2 = S-CHIP ENROLLMENT MONTHS (CHIP CODE = 3) WERE FOUND, BUT NO MEDICAID ENROLLMENT MONTHS WERE FOUND. 
USER NOTES: MONTHS OF MEDICAID ENROLLMENT ARE DEFINED AS MONTHS WITH MSIS MASBOE VALUES 11-17, 21-25, 31-35, 3A, 41-45, 48 
OR  51-55.  CHILDREN  WITH  S-CHIP  ONLY  ENROLLMENT  (CHIP  CODE  =  3)  ARE  INCLUDED  BECAUSE  THEY  DO  NOT HAVE ANY MONTHS OF 
MEDICAID ENROLLMENT.

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 Variable List - MAX - IP
 21.   CROSSOVER_CODE_FROM_CLAIMS_ONLY

            Type:   NUM
            Length: 1
            Label:  MEDICARE DUAL CODE - CLAIM-BASED

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE WAS COVERED BY
            MEDICARE WHEN THIS SERVICE WAS RENDERED.

            Values: 
               CODES: 
0 = NO MEDICARE DEDUCTIBLE OR COINSURANCE PAID BY MEDICAID ON THIS SERVICE 
1 = MEDICARE DEDUCTIBLE OR COINSURANCE PAID BY MEDICAID ON THIS SERVICE

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 Variable List - MAX - IP
 22.   CROSSOVER_CODE_ANNUAL_NEW_VALUES

            Type:   CHAR
            Length: 2
            Label:  MEDICARE DUAL CODE - ANNUAL

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE IS COVERED BY
            MEDICARE (KNOWN AS DUAL OR MEDICARE ELIGIBILITY), ACCORDING
            TO MEDICAID (MSIS), MEDICARE (EDB) OR BOTH IN THE CALENDAR
            YEAR.

            Values: 
               CODES: 
00 = IN MSIS, ELIGIBLE IS NOT A MEDICARE BENEFICIARY 
01 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB ONLY 
02 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB AND FULL MEDICAID COVERAGE 
03 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB ONLY 
04 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB AND FULL MEDICAID COVERAGE 
05 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QDWI 
06 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (1) 
07 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (2) 
08 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-OTHER DUAL ELIGIBLES 
09 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-DUAL ELIGIBILITY CATEGORY UNKNOWN 
10 = IN MSIS, S-CHIP ELIGIBLE IS ENTITLED TO MEDICARE 
50 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODES 01-09 
DO NOT APPLY 
51 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 01 APPLIES 
52 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 02 APPLIES 
53 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 03 APPLIES 
54 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 04 APPLIES 
55 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 05 APPLIES 
56 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 06 APPLIES 
57 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 07 APPLIES 
58 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 08 APPLIES 
59 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 09 APPLIES 
60 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE S-CHIP ELIGIBLE AND CODE 10 APPLIES 
99 = IN MSIS, ELIGIBLE'S MEDICARE STATUS IS UNKNOWN 
USER NOTE: THE ANNUAL DUAL CODE IS EQUAL TO THE LATEST (MOST RECENT) QUARTERLY DUAL CODE > '00' (BEGINNING WITH THE LAST 
QUARTER  AND  MOVING  BACKWARDS  IN  TIME  QUARTER  BY  QUARTER).  IF  NONE  OF THE QUARTERS HAVE DUAL CODE > '00', THE ANNUAL 
DUAL CODE IS SET TO '00'. IF THE PERSON IS ELIGIBLE FOR MEDICAID AND ENROLLED IN THE EDB IN AT LEAST ONE MONTH OF THE YEAR, A 
'5'  IS  MOVED  TO  THE  FIRST  POSITION  (I.E.  VALUES  50-59).  IF  THE  PERSON  HAS  CLAIMS  BUT NO ELIGIBILITY RECORD, THE ANNUAL DUAL 
CODE IS SET TO '99'.

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 Variable List - MAX - IP
 23.   MSIS_TYPE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  MSIS TYPE OF SERVICE CODE

            DESCRIPTION: CODE INDICATING THE MEDICAID STATISTICAL INFORMATION
            SYSTEM (MSIS) TYPE OF SERVICE. EXPECTED MSIS TYPES OF SERVICE
            FOR THIS FILE ARE: 01 = INPATIENT HOSPITAL 24 = STERILIZATIONS
            25 = ABOR.

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 24.   MSIS_TYPE_OF_PROGRAM

            Type:   NUM
            Length: 1
            Label:  MSIS TYPE OF PROGRAM CODE

            DESCRIPTION: CODE INDICATING THE SPECIAL MEDICAID PROGRAM UNDER
            WHICH THE SERVICE WAS PROVIDED.

            Values: 
               CODES: 
0 = NO SPECIAL PROGRAM 
1 = EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) 
2 = FAMILY PLANNING 
3 = RURAL HEALTH CLINIC 
4 = FEDERALLY QUALIFIED HEALTH CENTERS (FQHCs) 
5 = INDIAN HEALTH SERVICES 
6 = HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER 
7 = HOME AND COMMUNITY-BASED CARE WAIVER SERVICES 
9 = UNKNOWN 
USER  NOTE:  UNDER  EPSDT  REQUIREMENTS,  STATES  MUST  PROVIDE  HEALTH  SCREENING,  VISION,  HEARING  AND DENTAL SERVICES TO 
CHILDREN UNDER THE AGE OF 21. THESE SERVICES MUST BE PROVIDED AT INTERVALS TO MEET RECOGNIZED STANDARDS OF MEDICAL 
AND DENTAL PRACTICE AND OTHER INTERVALS TO DETERMINE IF PHYSICAL OR MENTAL ILLNESSES OR CONDITIONS EXIST. STATES MUST 
ALSO PROVIDE ANY SERVICE NEEDED TO TREAT AN ILLNESS OR CONDITION IDENTIFIED BY A SCREEN (TO THE EXTENT THAT A SERVICE IS 
PERMITTED  UNDER  MEDICAID  LAW),  REGARDLESS  OF  WHETHER  THE  SERVICE  IS  OTHERWISE  INCLUDED UNDER THE STATE MEDICAID 
PLAN. ALTHOUGH EPSDT MAY BE VIEWED AS A PROGRAM BY SOME, IT CAN BE MORE ACCURATELY DESCRIBED AS A GROUP OF SERVICES, 
WITH A STRONG EMPHASIS ON PREVENTIVE CARE. HOWEVER, THERE IS NO STANDARD DEFINITION OF EPSDT SERVICES AND THERE ARE 
NO  STANDARD  REPORTING  REQUIREMENTS  FOR  EPSDT  SERVICES  IN  MEDICAID  DATA  SYSTEMS.  THEREFORE, THERE IS SUBSTANTIAL 
VARIATION IN REPORTING FOR EPSDT ACROSS STATES. FOR THESE REASONS, USE OF TYPE OF PROGRAM = 1 (EPSDT) IS UNRELIABLE FOR 
CROSS-STATE  COMPARISONS  OR  DEVELOPMENT  OF  NATIONAL  STATISTICS.  EXTREME  CAUTION SHOULD BE EXERCISED IN ATTRIBUTING 
MEANING TO THIS CODE VALUE.

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 25.   SMRF_TYPE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  MAX TYPE OF SERVICE CODE

            DESCRIPTION: CODE INDICATING THE MEDICAID ANALYTIC EXTRACT (MAX)
            TYPE OF SERVICE FOR THIS RECORD. EXPECTED MAX TYPES OF SERVICE
            FOR THIS FILE ARE: 01 = INPATIENT HOSPITAL 24 = STERILIZATIONS
            25 = ABOR.

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 26.   BILLING_PROVIDER_IDENTIF_NUMBER

            Type:   CHAR
            Length: 12
            Label:  BILLING PROVIDER IDENTIFICATION NUMBER

            DESCRIPTION: STATE ASSIGNED UNIQUE IDENTIFICATION NUMBER FOR
            THE BILLING PROVIDER.

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 27.   NPI

            Type:   CHAR
            Length: 12
            Label:  NATIONAL PROVIDER IDENTIFIER

            DESCRIPTION: NATIONAL PROVIDER IDENTIFIER OF THE INSTITUTION
            BILLING/CARING FOR THE ENROLLEE.

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 28.   PROVIDER_TAXONOMY

            Type:   CHAR
            Length: 12
            Label:  PROVIDER TAXONOMY

            DESCRIPTION: A  NATIONAL  HEALTH  INSURANCE  PORTABILITY  AND
            ACCOUNTABILITY  ACT  (HIPAA)-COMPLIANT  CODE  THAT  DESCRIBES
            THE PROVIDER SPECIALTY OR INSTITUTION TYPE OF THE INSTITUTION
            BILLING/CARIN.

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 29.   TYPE_OF_CLAIM

            Type:   CHAR
            Length: 1
            Label:  TYPE OF CLAIM CODE

            DESCRIPTION: CODE INDICATING THE TYPE OF CLAIM.

            Values: 
               CODES: 
1 = A CURRENT FEE-FOR-SERVICE CLAIM FOR MEDICAL SERVICES. 
2 = CAPITATED PAYMENT. 
3 = ENCOUNTER (A.K.A. 'DUMMY') RECORD THAT SIMULATES A BILL FOR A SERVICE RENDERED TO A PATIENT 
COVERED UNDER SOME FORM OF CAPITATION PLAN. 
4 = A 'SERVICE TRACKING CLAIM' THAT DOCUMENTS SERVICES RECEIVED BY AN INDIVIDUAL PATIENT, WHEN 
THE STATE ACCEPTS A LUMP SUM BILL FROM A PROVIDER THAT COVERED SIMILAR SERVICES DELIVERED TO MORE 
THAN ONE PATIENT, SUCH AS GROUP SCREENING FOR EARLY PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT). 
5 = SUPPLEMENTAL PAYMENT (ABOVE CAPITATION FEE OR ABOVE NEGOTIATED RATE) (E.G. FEDERALLY QUALIFIED 
HEALTH CENTER (FQHC) ADDITIONAL REIMBURSEMENT). 
9 = UNKNOWN. 
A = S-CHIP CLAIM: A CURRENT FEE-FOR-SERVICE CLAIM FOR MEDICAL SERVICES. 
B = S-CHIP CLAIM: CAPITATED PAYMENT. 
C = S-CHIP CLAIM: ENCOUNTER (A.K.A. 'DUMMY') RECORD THAT SIMULATES A BILL FOR A SERVICE RENDERED 
TO A PATIENT COVERED UNDER SOME FORM OF CAPITATION PLAN. 
D = S-CHIP CLAIM: A 'SERVICE TRACKING CLAIM' THAT DOCUMENTS SERVICES RECEIVED BY AN INDIVIDUAL 
PATIENT, WHEN THE STATE ACCEPTS A LUMP SUM BILL FROM A PROVIDER THAT COVERED SIMILAR SERVICES DELIVERED 
TO MORE THAN ONE PATIENT, SUCH AS GROUP SCREENING FOR EPSDT. 
E = S-CHIP CLAIM: SUPPLEMENTAL PAYMENT (ABOVE CAPITATION FEE OR ABOVE NEGOTIATED RATE) (E.G. FQHC ADDITIONAL 
REIMBURSEMENT). 
USER NOTE: VOIDED CLAIMS ARE NOT RETAINED IN MAX AS $0 PAID CLAIMS.

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 31.   MANAGED_CARE_TYPE_OF_PLAN_CODE

            Type:   NUM
            Length: 2
            Label:  MANAGED CARE TYPE OF PLAN CODE

            DESCRIPTION: CODE INDICATING THE TYPE OF MANAGED CARE PLAN,
            IF ANY, UNDER WHICH THE NON-FEE-FOR-SERVICE ENCOUNTER WAS PROVIDED.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH. 
01 = ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO). 
02 = ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH. 
03 = ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH. 
04 = ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH. 
05 = ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH. 
06 = ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) THIS MONTH. 
07 = ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT MANAGED CARE PLAN THIS MONTH. 
08 = ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH. 
77 = THIS RECORD IS AN ENCOUNTER RECORD, BUT THERE WAS NO MATCH BETWEEN THE 'MANAGED CARE PLAN 
IDENTIFICATION NUMBER' AND THE PLAN IDENTIFIERS IN THE ELIGIBILTY RECORD FOR THIS PERSON. 
88 = NOT APPLICABLE, THIS RECORD IS NOT AN ENCOUNTER RECORD OR THIS RECORD’S PLAN ID IS 8-FILLED. 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN. 
USER NOTE: THIS DATA ELEMENT IS 8-FILLED FOR NON-ENCOUNTER RECORDS. 
IN MAX 1999-2008, THIS DATA ELEMENT WAS 6, 7, 8 OR 9-FILLED FOR ALL RECORDS. 
IN MAX 2010, VALUE 66 WAS DELETED. 
IN  MAX  2010,  WE  REVISED  THE  ALGORITHM  TO  LOOK  FOR  THE  CLAIM’S  PLAN  ID  IN  ALL  FOUR  PLANS  IN  ALL 12 MONTHS OF ELIGIBILITY 
RATHER THAN LOOK ONLY IN THE SERVICE END MONTH.

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 32.   MANAGED_CARE_PLAN_IDENTIF_CODE

            Type:   CHAR
            Length: 12
            Label:  MANAGED CARE PLAN IDENTIFICATION NUMBER

            DESCRIPTION: A UNIQUE IDENTIFIER WHICH REPRESENTS THE HEALTH
            PLAN UNDER WHICH THE NON-FEE-FOR-SERVICE ENCOUNTER WAS PROVIDED.
            USER NOTE: THIS DATA ELEMENT IS 8-FILLED FOR NON-ENCOUNTER RECORDS.
            IN MAX.

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 33.   MEDICAID_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  MEDICAID PAYMENT AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF MONEY PAID BY MEDICAID FOR THIS
            SERVICE. (SAS USERS: ZONED DECIMAL - ZD8) USER NOTES: THIS
            PAYMENT AMOUNT IS = $0 FOR ENCOUNTER RECORDS. IN MSIS, STATES
            ARE INSTRUCTED TO.

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 34.   THIRD_PARTY_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  THIRD PARTY PAYMENT AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF MONEY PAID BY A THIRD PARTY (I.E.
            ALL SOURCES OTHER THAN MEDICAID, MEDICARE AND THE ELIGIBLE'S
            PERSONAL FUNDS) FOR THIS SERVICE. (SAS USERS: ZONED DECIMAL
            - ZD8) USER NOTE.

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 35.   PAYMENT_ADJUDICATION_DATE

            Type:   NUM
            Length: 8
            Label:  PAYMENT DATE

            DESCRIPTION: DATE ON WHICH THE CLAIM OR ENCOUNTER RECORD WAS
            ADJUDICATED BY THE STATE. EDIT-RULES: YYYYMMDD USER NOTE: FOR
            FEE-FOR-SERVICE CLAIMS THIS IS THE DATE THE CLAIM WAS ADJUDICATED
            FOR PAYMENT.

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 36.   CHARGE_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  CHARGE AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF CHARGES SUBMITTED BY THE PROVIDER
            FOR THIS SERVICE. (SAS USERS: ZONED DECIMAL - ZD8) USER NOTE:
            THIS PAYMENT AMOUNT IS = $0 FOR ENCOUNTER RECORDS. IN MSIS,
            FOR TYPE OF CLA.

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 37.   PREPAID_PLAN_VALUE

            Type:   NUM*
            Length: 8
            Label:  PREPAID PLAN SERVICE VALUE

            DESCRIPTION: DOLLAR VALUE PLACED ON THE SERVICE BY THE PROVIDER.
            (SAS USERS: ZONED DECIMAL - ZD8) USER NOTES: THIS PAYMENT AMOUNT
            IS > $0 ONLY FOR ENCOUNTER RECORDS. WHILE THIS PAYMENT AMOUNT
            COULD HA.

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 38.   MEDICARE_COINSURANCE_PAYMENT_AMT

            Type:   NUM*
            Length: 8
            Label:  MEDICARE COINSURANCE PAYMENT AMOUNT

            DESCRIPTION: THE AMOUNT PAID BY MEDICAID FOR THIS SERVICE, TOWARD
            THE RECIPIENT'S MEDICARE COINSURANCE LIABILITY. (SAS USERS:
            ZONED DECIMAL - ZD8).

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 39.   MEDICARE_DEDUCTIBLE_PAYMENT_AMT

            Type:   NUM*
            Length: 8
            Label:  MEDICARE DEDUCTIBLE PAYMENT AMOUNT

            DESCRIPTION: THE AMOUNT PAID BY MEDICAID, FOR THIS SERVICE,
            TOWARD THE RECIPIENT'S MEDICARE DEDUCTIBLE LIABILITY. (SAS
            USERS: ZONED DECIMAL - ZD8) USER  NOTE:  THIS  DATA  ELEMENT
            IS  NOT  APPLICABLE.

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 40.   ADMISSION_DATE

            Type:   NUM
            Length: 8
            Label:  ADMISSION DATE

            DESCRIPTION: DATE WHICH THE RECIPIENT WAS ADMITTED FOR THIS
            INPATIENT STAY. EDIT-RULES: YYYYMMDD.

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 41.   BEGINNING_DATE_OF_SERVICE

            Type:   NUM
            Length: 8
            Label:  SERVICE BEGINNING DATE

            DESCRIPTION: BEGINNING DATE OF SERVICE FOR THIS CLAIM. EDIT-RULES:
            YYYYMMDD USER NOTE: THIS DATE MAY OR MAY NOT BE THE ADMISSION
            DATE.

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 42.   ENDING_DATE_OF_SERVICE

            Type:   NUM
            Length: 8
            Label:  ENDING DATE OF SERVICE

            DESCRIPTION: THE DATE RECORDED HERE IS THE LATEST DATE OF SERVICE
            FOR ANY CLAIM RELATED TO THIS HOSPITAL STAY. THIS DATE MAY OR
            MAY NOT BE THE DISCHARGE DATE. EDIT-RULES: YYYYMMDD USER NOTES:
            THIS DAT.

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 43.   DIAGNOSIS_CODE_1

            Type:   CHAR
            Length: 7
            Label:  PRINCIPAL DIAGNOSIS CODE

            DESCRIPTION: PRINCIPAL DIAGNOSIS CODE FOR THIS RECORD. EDIT-RULES:
            LEFT JUSTIFIED, NO DECIMAL POINT USER  NOTE:  USERS  SHOULD
            EXERCISE  CAUTION  SINCE  THIS  DATA  ELEMENT  REMAINS  AS
            IT  WAS  REP.

            Values: 
               CODES: 
0 = ICD-10 
9 = ICD-9 
BLANK = MISSING

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 44.   DIAGNOSIS_CODE_2

            Type:   CHAR
            Length: 7
            Label:  DIAGNOSIS CODE - 2

            DESCRIPTION: SECOND DIAGNOSIS CODE FOR THIS RECORD. EDIT-RULES:
            LEFT JUSTIFIED, NO DECIMAL POINT. USER  NOTE:  USERS  SHOULD
            EXERCISE  CAUTION  SINCE  THIS  DATA  ELEMENT  REMAINS  AS
            IT  WAS  REPOR.

            Values: 
               CODES: 
0 = ICD-10 
9 = ICD-9 
BLANK = MISSING

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 52.   PRINCIPLE_PROCEDURE_DATE

            Type:   NUM
            Length: 8
            Label:  PRINCIPAL PROCEDURE DATE

            DESCRIPTION: DATE ON WHICH THE PRINCIPAL PROCEDURE, IF ANY,
            WAS PERFORMED. EDIT-RULES: YYYYMMDD.

            Values: 
               CODES: 
0 = ICD-10 
9 = ICD-9 
BLANK = MISSING

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 53.   PROCEDURE_CODING_SYSTEM_1

            Type:   CHAR
            Length: 2
            Label:  PROCEDURE CODING SYSTEM CODE - PRINCIPAL

            DESCRIPTION: CODE SPECIFYING THE PROCEDURE CODING SYSTEM USED
            FOR THE PRINCIPAL PROCEDURE.

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 54.   PROCEDURE_CODE_1

            Type:   CHAR
            Length: 8
            Label:  PROCEDURE CODE - PRINCIPAL

            DESCRIPTION: PRINCIPAL  PROCEDURE  PERFORMED  FOR  DEFINITIVE
            TREATMENT  (RATHER  THAN  DIAGNOSTIC  OR  EXPLORATORY  PURPOSES).
            IT IS RELATED TO EITHER THE DIAGNOSIS OR TO COMPLICATIONS. SEE
            'PROCEDU.

            Values: 
               CODES: 
01 = CPT-4 (HCPCS LEVEL 1) 
02 = ICD-9-CM 
06 = HCPCS (HCPCS LEVELS 2 AND 3) 
07 = ICD-10 (FUTURE USE) 
10-87 = OTHER SYSTEMS 
88 = NOT APPLICABLE 
99 = UNKNOWN 
USER NOTES: THIS DATA ELEMENT SHOULD BE USED WITH 'PRINCIPAL PROCEDURE CODE'. USERS SHOULD MAKE SURE THE CODE VALUE 
IN THIS DATA ELEMENT ACCURATELY REFLECTS THE CODING SCHEME IN USE. THE FOLLOWING CODE VALUES ARE OBSOLETE: 
03 = CRVS 74, 
04 = CRVS 69, AND 
05 = CRVS 64.

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 55.   PROCEDURE_CODING_SYSTEM_2

            Type:   CHAR
            Length: 2
            Label:  PROCEDURE CODING SYSTEM CODE - 2

            DESCRIPTION: CODE SPECIFYING THE PROCEDURE CODING SYSTEM USED
            FOR THE PROCEDURE.

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 56.   PROCEDURE_CODE_2

            Type:   CHAR
            Length: 8
            Label:  PROCEDURE CODE - 2

            DESCRIPTION: PROCEDURE  PERFORMED  FOR  DEFINITIVE  TREATMENT
            (RATHER  THAN  DIAGNOSTIC  OR  EXPLORATORY  PURPOSES).  IT
            IS RELATED TO EITHER THE DIAGNOSIS OR TO COMPLICATIONS. SEE
            'PROCEDURE CODING.

            Values: 
               CODES: 
01 = CPT-4 (HCPCS LEVEL 1) 
02 = ICD-9-CM 
06 = HCPCS (HCPCS LEVELS 2 AND 3) 
07 = ICD-10 (FUTURE USE) 
10-87 = OTHER SYSTEMS 
88 = NOT APPLICABLE 
99 = UNKNOWN 
USER NOTES: THIS DATA ELEMENT SHOULD BE USED WITH 'PROCEDURE CODE - ADDITIONAL PROCEDURES'. USERS SHOULD MAKE SURE 
THE  CODE  VALUE  IN  THIS  DATA  ELEMENT  ACCURATELY  REFLECTS  THE  CODING  SCHEME  IN  USE. THE FOLLOWING CODE VALUES ARE 
OBSOLETE: 
03 = CRVS 74, 
04 = CRVS 69, AND 
05 = CRVS 64.

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 65.   DELIVERY_CODE

            Type:   NUM
            Length: 1
            Label:  DELIVERY CODE

            DESCRIPTION: CODE INDICATING WHETHER THIS IS A DELIVERY CLAIM.

            Values: 
               CODES: 
0 = NOT A DELIVERY CLAIM 
1 = MATERNAL DELIVERY CLAIM 
2 = NEWBORN DELIVERY CLAIM 
ON THE IP CLAIM, THE DELIVERY INDICATOR IDENTIFIES WHETHER THE CLAIM IS FOR A MATERNAL DELIVERY OR A NEWBORN DELIVERY. 
THERE ARE 2 STEPS TO THIS PROCESS: 
STEP 1. THE DELIVERY INDICATOR IS ADDED TO EACH IP CLAIM. THE VALUES ARE: 
0 = NOT A DELIVERY CLAIM 
1 = MATERNAL DELIVERY CLAIM (LIVE AND STILL BIRTH) 
IF THE CLAIM HAS ONE OF THESE DIAGNOSIS CODES (AFTER REMOVING THE DECIMAL POINT): 650, 6400-6769 (WITH A 5TH DIGIT OF 1 OR 
2), AND V271-V279, AND THE PERSON'S AGE IS GREATER THAN 9 YEARS OLD (THE PERSON'S AGE IS CONFIRMED IN STEP 2). 
2 = NEWBORN DELIVERY CLAIM 
IF THE CLAIM HAS ONE OF THESE DIAGNOSIS CODES (AFTER REMOVING THE DECIMAL POINT): V30, V31-V39 (PLUS A 4TH DIGIT OF 0 OR 1 
AND ANY VALUE IN THE 5TH POSITION) 
STEP 2. THE DELIVERY INDICATOR IS UPDATED, BASED ON THE PERSON'S AGE ON THE PS RECORD 
EACH CLAIM IS MERGED TO THE PS RECORD TO GET THE PERSON'S AGE. IF THE DELIVERY INDICATOR 
ON THE CLAIM = 1 (MATERNAL DELIVERY) BUT THE PERSON IS UNDER AGE 10, THE DELIVERY INDICATOR 
ON THE CLAIM IS RECODED TO ZERO (NOT A DELIVERY CLAIM). 
USER NOTES: 
SOME  INPATIENT  HOSPITAL  DELIVERY  CLAIMS  ARE  ONLY  FOR  THE  MOTHER,  SOME  ARE  ONLY  FOR THE NEWBORN, AND SOME ARE 
COMBINED MOTHER/NEWBORN CLAIMS. 
INPATIENT  HOSPITAL  PROCEDURE  CODES  WERE  NOT  USED  TO  IDENTIFY  DELIVERIES  BECAUSE  THEY  ARE  NOT AS RELIABLE AS 
DIAGNOSIS CODES. 
A SMALL PERCENTAGE OF MEDICAID DELIVERIES OCCUR IN PLACES OF SERVICE OTHER THAN THE INPATIENT HOSPITAL. 
COUNTS OF DELIVERIES MAY OVERCOUNT THE ACTUAL NUMBER OF DELIVERIES BECAUSE THERE MAY BE MORE THAN ONE CLAIM FOR 
THE SAME MATERNAL DELIVERY (E.G. CLAIMS FOR FALSE LABOR AND/OR CLAIMS FOR DELIVERY-RELATED COMPLICATIONS, WHICH DID 
NOT RESULT IN A DELIVERY, ARE CODED INCORRECTLY AS A DELIVERY). 
COUNTS OF NEWBORN DELIVERIES MAY UNDERCOUNT THE ACTUAL NUMBER OF MEDICAID NEWBORNS, BECAUSE THE STATES MAY BE 
REPORTING NEWBORN DELIVERIES ONLY FOR PROCESSING PURPOSES. 
IN  MAX  1999-2005  THE  DELIVERY  INDICATOR  ON  THE  PS  FILE  INCORRECTLY  INCLUDED  BOTH  MOTHERS AND NEWBORNS INSTEAD OF 
JUST MOTHERS. STARTING WITH MAX 2006 IT INCLUDES ONLY MATERNAL DELIVERIES. THE DELIVERY INDICATOR ON THE IP FILE CAN BE 
USED TO PROPERLY IDENTIFY EITHER MATERNAL AND/OR NEWBORN DELIVERIES DURING 1999-2005. 
IN MAX 2006 A FEW MORE DIAGNOSIS CODES WERE ADDED TO THE LIST OF NEWBORN DIAGNOSIS CODES.

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 66.   MEDICAID_COVERED_INPATIENT_DAYS

            Type:   NUM*
            Length: 3
            Label:  MEDICAID-COVERED INPATIENT DAYS

            DESCRIPTION: NUMBER OF INPATIENT DAYS COVERED BY MEDICAID ON
            THIS INPATIENT STAY, INCLUDING NEWBORN DAYS. (SAS USERS: ZONED
            DECIMAL - ZD3) USER  NOTE:  IF  THE  CLAIM  IS  A  MEDICARE
            CROSSOVER  CLAI.

            Values: 
               CODES: 
0 = NOT A DELIVERY CLAIM 
1 = MATERNAL DELIVERY CLAIM 
2 = NEWBORN DELIVERY CLAIM 
ON THE IP CLAIM, THE DELIVERY INDICATOR IDENTIFIES WHETHER THE CLAIM IS FOR A MATERNAL DELIVERY OR A NEWBORN DELIVERY. 
THERE ARE 2 STEPS TO THIS PROCESS: 
STEP 1. THE DELIVERY INDICATOR IS ADDED TO EACH IP CLAIM. THE VALUES ARE: 
0 = NOT A DELIVERY CLAIM 
1 = MATERNAL DELIVERY CLAIM (LIVE AND STILL BIRTH) 
IF THE CLAIM HAS ONE OF THESE DIAGNOSIS CODES (AFTER REMOVING THE DECIMAL POINT): 650, 6400-6769 (WITH A 5TH DIGIT OF 1 OR 
2), AND V271-V279, AND THE PERSON'S AGE IS GREATER THAN 9 YEARS OLD (THE PERSON'S AGE IS CONFIRMED IN STEP 2). 
2 = NEWBORN DELIVERY CLAIM 
IF THE CLAIM HAS ONE OF THESE DIAGNOSIS CODES (AFTER REMOVING THE DECIMAL POINT): V30, V31-V39 (PLUS A 4TH DIGIT OF 0 OR 1 
AND ANY VALUE IN THE 5TH POSITION) 
STEP 2. THE DELIVERY INDICATOR IS UPDATED, BASED ON THE PERSON'S AGE ON THE PS RECORD 
EACH CLAIM IS MERGED TO THE PS RECORD TO GET THE PERSON'S AGE. IF THE DELIVERY INDICATOR 
ON THE CLAIM = 1 (MATERNAL DELIVERY) BUT THE PERSON IS UNDER AGE 10, THE DELIVERY INDICATOR 
ON THE CLAIM IS RECODED TO ZERO (NOT A DELIVERY CLAIM). 
USER NOTES: 
SOME  INPATIENT  HOSPITAL  DELIVERY  CLAIMS  ARE  ONLY  FOR  THE  MOTHER,  SOME  ARE  ONLY  FOR THE NEWBORN, AND SOME ARE 
COMBINED MOTHER/NEWBORN CLAIMS. 
INPATIENT  HOSPITAL  PROCEDURE  CODES  WERE  NOT  USED  TO  IDENTIFY  DELIVERIES  BECAUSE  THEY  ARE  NOT AS RELIABLE AS 
DIAGNOSIS CODES. 
A SMALL PERCENTAGE OF MEDICAID DELIVERIES OCCUR IN PLACES OF SERVICE OTHER THAN THE INPATIENT HOSPITAL. 
COUNTS OF DELIVERIES MAY OVERCOUNT THE ACTUAL NUMBER OF DELIVERIES BECAUSE THERE MAY BE MORE THAN ONE CLAIM FOR 
THE SAME MATERNAL DELIVERY (E.G. CLAIMS FOR FALSE LABOR AND/OR CLAIMS FOR DELIVERY-RELATED COMPLICATIONS, WHICH DID 
NOT RESULT IN A DELIVERY, ARE CODED INCORRECTLY AS A DELIVERY). 
COUNTS OF NEWBORN DELIVERIES MAY UNDERCOUNT THE ACTUAL NUMBER OF MEDICAID NEWBORNS, BECAUSE THE STATES MAY BE 
REPORTING NEWBORN DELIVERIES ONLY FOR PROCESSING PURPOSES. 
IN  MAX  1999-2005  THE  DELIVERY  INDICATOR  ON  THE  PS  FILE  INCORRECTLY  INCLUDED  BOTH  MOTHERS AND NEWBORNS INSTEAD OF 
JUST MOTHERS. STARTING WITH MAX 2006 IT INCLUDES ONLY MATERNAL DELIVERIES. THE DELIVERY INDICATOR ON THE IP FILE CAN BE 
USED TO PROPERLY IDENTIFY EITHER MATERNAL AND/OR NEWBORN DELIVERIES DURING 1999-2005. 
IN MAX 2006 A FEW MORE DIAGNOSIS CODES WERE ADDED TO THE LIST OF NEWBORN DIAGNOSIS CODES.

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 67.   PATIENT_STATUS_

            Type:   NUM
            Length: 2
            Label:  PATIENT STATUS CODE

            DESCRIPTION: CODE INDICATING THE PATIENT'S DISCHARGE STATUS.

            Values: 
               CODES: 
01 = DISCHARGED TO HOME OR SELF CARE (ROUTINE DISCHARGE) 
02 = DISCHARGED/TRANSFERRED TO ANOTHER SHORT-TERM HOSPITAL 
03 = DISCHARGED/TRANSFERRED TO A NURSING FACILITY 
04 = DISCHARGED/TRANSFERRED TO AN INTERMEDIATE CARE FACILITY 
05 = DISCHARGED/TRANSFERRED TO ANOTHER TYPE OF INSTITUTION (INCLUDING DISTINCT PARTS) OR REFERRED 
FOR OUTPATIENT SERVICES TO ANOTHER INSTITUTION 
06 = DISCHARGED/TRANSFERRED TO HOME UNDER CARE OF ORGANIZED HOME HEALTH SERVICE ORGANIZATION 
07 = LEFT AGAINST MEDICAL ADVICE OR DISCONTINUED CARE 
08 = DISCHARGED/TRANSFERRED TO HOME UNDER CARE OF A HOME IV DRUG THERAPY PROVIDER 
09 = ADMITTED AS AN INPATIENT TO THIS HOSPITAL 
20 = EXPIRED 
30 = STILL A PATIENT 
40 = EXPIRED AT HOME (HOSPICE CLAIMS ONLY) 
41 = EXPIRED IN A MEDICAL FACILITY SUCH AS A HOSPITAL, NF OR FREE-STANDING HOSPICE (HOSPICE CLAIMS ONLY) 
42 = EXPIRED - PLACE UNKNOWN (HOSPICE CLAIMS ONLY) 
43 = DISCHARGED/TRANSFERRED TO A FEDERAL HOSPITAL 
50 = HOSPICE - HOME 
51 = HOSPICE - MEDICAL FACILITY 
61 = DISCHARGED TO A HOSPITAL-BASED MEDICARE APPROVED SWING BED 
62 = DISCHARGED/TRANSFERRED TO ANOTHER REHAB FACILITY/REHAB UNIT OF A HOSPITAL 
63 = DISCHARGED/TRANSFERRED TO A LONG-TERM CARE HOSPITAL 
65 = DISCHARGED/TRANSFERRED TO A PSYCH HOSPITAL/PSYCH UNIT OF A HOSPITAL 
66 = DISCHARGED TO CRITICAL ACCESS HOSPITAL 
71 = DISCHARGED/TRANSFERRED TO ANOTHER INSTITUTION FOR OUTPATIENT SERVICES 
72 = DISCHARGED/TRANSFERRED TO THIS INSTITUTION FOR OUTPATIENT SERVICES 
99 = UNKNOWN 
USER NOTE: THE DATA ELEMENT WAS PREVIOUSLY KNOWN AS DISCHARGE STATUS. 
NOTE: IN MAX 2009, VALUES 43, 61, 62, 63, 65, 66, 71 AND 72 WERE ADDED TO THE FILE.
02 = DISCHARGED/TRANSFERRED TO ANOTHER SHORT-TERM HOSPITAL 
03 = DISCHARGED/TRANSFERRED TO A NURSING FACILITY 
04 = DISCHARGED/TRANSFERRED TO AN INTERMEDIATE CARE FACILITY 
05 = DISCHARGED/TRANSFERRED TO ANOTHER TYPE OF INSTITUTION (INCLUDING DISTINCT PARTS) OR REFERRED 
FOR OUTPATIENT SERVICES TO ANOTHER INSTITUTION 
06 = DISCHARGED/TRANSFERRED TO HOME UNDER CARE OF ORGANIZED HOME HEALTH SERVICE ORGANIZATION 
07 = LEFT AGAINST MEDICAL ADVICE OR DISCONTINUED CARE 
08 = DISCHARGED/TRANSFERRED TO HOME UNDER CARE OF A HOME IV DRUG THERAPY PROVIDER 
09 = ADMITTED AS AN INPATIENT TO THIS HOSPITAL 
20 = EXPIRED 
30 = STILL A PATIENT 
40 = EXPIRED AT HOME (HOSPICE CLAIMS ONLY) 
41 = EXPIRED IN A MEDICAL FACILITY SUCH AS A HOSPITAL, NF OR FREE-STANDING HOSPICE (HOSPICE CLAIMS ONLY) 
42 = EXPIRED - PLACE UNKNOWN (HOSPICE CLAIMS ONLY) 
43 = DISCHARGED/TRANSFERRED TO A FEDERAL HOSPITAL 
50 = HOSPICE - HOME 
51 = HOSPICE - MEDICAL FACILITY 
61 = DISCHARGED TO A HOSPITAL-BASED MEDICARE APPROVED SWING BED 
62 = DISCHARGED/TRANSFERRED TO ANOTHER REHAB FACILITY/REHAB UNIT OF A HOSPITAL 
63 = DISCHARGED/TRANSFERRED TO A LONG-TERM CARE HOSPITAL 
65 = DISCHARGED/TRANSFERRED TO A PSYCH HOSPITAL/PSYCH UNIT OF A HOSPITAL 
66 = DISCHARGED TO CRITICAL ACCESS HOSPITAL 
71 = DISCHARGED/TRANSFERRED TO ANOTHER INSTITUTION FOR OUTPATIENT SERVICES 
72 = DISCHARGED/TRANSFERRED TO THIS INSTITUTION FOR OUTPATIENT SERVICES 
99 = UNKNOWN 
USER NOTE: THE DATA ELEMENT WAS PREVIOUSLY KNOWN AS DISCHARGE STATUS. 
NOTE: IN MAX 2009, VALUES 43, 61, 62, 63, 65, 66, 71 AND 72 WERE ADDED TO THE FILE.

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 68.   DIAGNOSIS_RELATED_GROUP_INDICATR

            Type:   CHAR
            Length: 4
            Label:  DIAGNOSIS RELATED GROUP INDICATOR

            DESCRIPTION: IDENTIFIES THE GROUPING ALGORITHM USED TO ASSIGN
            DIAGNOSIS RELATED GROUP (DRG) VALUES.

            Values: 
               CODES: 
8888 = NO DRG SYSTEM WAS USED 
9999 = UNKNOWN 
OTHERWISE, THE FOLLWING CODES ARE USED TO FILL THE FIELD: 
IN THE LEFT-MOST 2 POSITIONS: 
PP = WHERE "PP" IS US POSTAL CODE FOR THE STATE, IF THE DRG VALUES ARE FROM A SYSTEM DEVELOPED BY THE STATE. 
HG = IF THE DRG VALUES ARE FROM THE CMS SYSTEM. 
XX = IF THE DRG VALUES ARE FROM ANOTHER SYSTEM. 
IN THE RIGHT-MOST 2 POSITIONS: 
NN = WHERE "NN" IS THE DRG VERSION THAT WAS USED (VALUE 01-98). 
99 = VERSION IS UNKNOWN. 
USER NOTE: FOR EXAMPLE "HG15" WOULD REPRESENT CMS DRG, VERSION 15.

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 69.   DIAGNOSIS_RELATED_GROUP

            Type:   NUM
            Length: 4
            Label:  DIAGNOSIS RELATED GROUP

            DESCRIPTION: DIAGNOSIS RELATED GROUP (DRG) CODE FOR THIS INPATIENT
            RECORD. USER NOTE: IF DRGs ARE NOT USED, THIS DATA ELEMENT IS
            8-FILLED. IF DRGs ARE USED BUT THE DRG VALUE IS UNKNOWN, THIS
            DATA ELEM.

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 70.   UB_92_REVENUE_CODE_01

            Type:   NUM
            Length: 4
            Label:  UB-92 REVENUE CODE - FIRST REVENUE CODE

            DESCRIPTION: CODE  WHICH  IDENTIFIES  A  SPECIFIC  ACCOMMODATION,
            ANCILLARY  SERVICE  OR  BILLING  CALCULATION.  FOR AN INPATIENT
            HOSPITAL STAY,  REVENUE  CODES  0100  -  0249  DESCRIBE  ROOM
            AND  B.

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 71.   UB_92_REVENUE_CODE_CHARGE_01

            Type:   NUM*
            Length: 8
            Label:  UB-92 REVENUE CODE CHARGE - FIRST REVENUE CODE

            DESCRIPTION: THE TOTAL CHARGE FOR THE RELATED UB-92 REVENUE
            CODE. TOTAL CHARGES INCLUDE BOTH COVERED AND NON-COVERED CHARGES
            (AS DEFINED BY THE UB-92 BILLING MANUAL, FORM LOCATOR 47). (SAS
            USERS: ZONE.

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 72.   UB_92_REVENUE_CODE_UNITS_01

            Type:   NUM
            Length: 7
            Label:  UB-92 REVENUE CODE UNITS - FIRST REVENUE CODE

            DESCRIPTION: UNITS  ASSOCIATED  WITH  THE  RELATED  UB-92  REVENUE
            CODE.  THIS  DATA  ELEMENT  IS  A  QUANTITATIVE  MEASURE  OF
            SERVICES RENDERED  FOR  THE  RELATED  UB-92  REVENUE  CODE.
            EXAMPLES.

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 1.   ADJUSTMENT_CODE

            Type:   NUM
            Length: 1
            Label:  ADJUSTMENT CODE

            DESCRIPTION: CODE  INDICATING  IF  THE  CLAIMS  FOR  THIS  SERVICE
            WERE  ONLY  ORIGINAL SUBMISSIONS, INCLUDED ADJUSTMENTS OF ANY
            TYPE OR IF ONE OR MORE ORIGINAL SUBMISSIONS WAS MISSING.

            Values: 
               0 = NO ADJUSTMENT OF CLAIMS WAS REQUIRED, SINCE ALL CLAIMS FOR THIS RECORD WERE ORIGINAL CLAIMS 
(ALL CLAIMS FOR THIS RECORD HAD VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT- INDICATOR'). IN 
THIS CASE, ORIGINAL CLAIMS WERE COMBINED FOR THIS RECORD. 
1 = THIS RECORD REPRESENTS A CLAIMS SET WHERE IT WAS POSSIBLE TO CORRECTLY COMPLETE THE ADJUSTMENT 
PROCESS, BY COMBINING ORIGINAL AND ADJUSTMENT CLAIMS FOR THIS RECORD. THIS MEANS THAT THERE WAS 
AT LEAST ONE ORIGINAL CLAIM AND AT LEAST ONE ADJUSTMENT CLAIM IN THE SET OF CLAIMS FOR THIS RECORD (AT LEAST 
ONE CLAIM FOR THIS RECORD HAD VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR' AND AT LEAST 
ONE CLAIM FOR THIS RECORD HAD A VALUE OTHER THAN 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR'). 
2 = THIS RECORD REPRESENTS A CLAIMS SET WHERE IT WAS NOT POSSIBLE TO CORRECTLY COMPLETE THE ADJUSTMENT 
PROCESS (NONE OF THE CLAIMS FOR THIS RECORD HAD A VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR').

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 3.   MSIS_IDENTIFICATION_NUMBER

            Type:   CHAR
            Length: 20
            Label:  (Encrypted) MSIS IDENTIFICATION NUMBER

            Encrypted.

            Values: 
               Encrypted

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 4.   STATE

            Type:   CHAR
            Length: 2
            Label:  STATE ABBREVIATION CODE

            DESCRIPTION: U. S. POSTAL SERVICE 2-CHARACTER ABBREVIATION FOR
            THE STATE MEDICAID AGENCY SUBMITTING THE DATA.

            Values: 
               CODES: 
AL = ALABAMA 
AK = ALASKA 
AZ = ARIZONA 
AR = ARKANSAS 
CA = CALIFORNIA 
CO = COLORADO 
CT = CONNECTICUT 
DE = DELAWARE 
DC = DISTRICT OF COLUMBIA 
FL = FLORIDA 
GA = GEORGIA 
GU = GUAM/AMERICAN SAMOA 
HI = HAWAII 
ID = IDAHO 
IL = ILLINOIS 
IN = INDIANA 
IA = IOWA 
KS = KANSAS 
KY = KENTUCKY 
LA = LOUISIANA 
ME = MAINE 
MD = MARYLAND 
MA = MASSACHUSETTS 
MI = MICHIGAN 
MN = MINNESOTA 
MS = MISSISSIPPI 
MO = MISSOURI 
MT = MONTANA 
NE = NEBRASKA 
NV = NEVADA 
NH = NEW HAMPSHIRE 
NJ = NEW JERSEY 
NM = NEW MEXICO 
NY = NEW YORK 
NC = NORTH CAROLINA 
ND = NORTH DAKOTA 
OH = OHIO 
OK = OKLAHOMA 
OR = OREGON 
PA = PENNSYLVANIA 
PR = PUERTO RICO 
RI = RHODE ISLAND 
SC = SOUTH CAROLINA 
SD = SOUTH DAKOTA 
TN = TENNESSEE 
TX = TEXAS 
UT = UTAH 
VT = VERMONT 
VI = VIRGIN ISLANDS 
VA = VIRGINIA 
WA = WASHINGTON 
WV = WEST VIRGINIA 
WI = WISCONSIN 
WY = WYOMING

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 7.   BIRTH_DATE

            Type:   NUM
            Length: 8
            Label:  BIRTH DATE

            DESCRIPTION: BIRTH DATE OF THE MEDICAID ELIGIBLE. EDIT-RULES:
            YYYYMMDD.

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 8.   SEX

            Type:   CHAR
            Length: 1
            Label:  SEX CODE

            DESCRIPTION: CODE INDICATING THE GENDER OF THE MEDICAID ELIGIBLE.

            Values: 
               CODES: 
F = FEMALE 
M = MALE 
U = UNKNOWN/ERROR 
USER NOTE: THESE CODES ARE 1 (FEMALE), 2 (MALE) AND 9 (UNKNOWN) IN THE 1996-98 MSIS DATA.

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 9.   RACE_ETHNICITY

            Type:   CHAR
            Length: 1
            Label:  RACE/ETHNICITY CODE

            DESCRIPTION: CODE INDICATING THE RACE/ETHNICITY OF THE MEDICAID
            ELIGIBLE.

            Values: 
               CODES: 
1 = WHITE, NOT OF HISPANIC ORIGIN (CHANGED TO "WHITE" BEGINNING 10/98) 
2 = BLACK, NOT OF HISPANIC ORIGIN (CHANGED TO "BLACK OR AFRICAN AMERICAN" BEGINNING 10/98) 
3 = AMERICAN INDIAN OR ALASKA NATIVE 
4 = ASIAN OR PACIFIC ISLANDER (CHANGED TO "ASIAN" BEGINNING 10/98) 
5 = HISPANIC (CHANGED TO "HISPANIC OR LATINO - NO RACE INFORMATION AVAILABLE" BEGINNING 10/98) 
6 = NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (NEW CODE BEGINNING 10/98) 
7 = HISPANIC OR LATINO AND ONE OR MORE RACES (NEW CODE BEGINNING 10/98) 
8 = MORE THAN ONE RACE (HISPANIC OR LATINO NOT INDICATED) (NEW CODE BEGINNING 10/98) 
9 = UNKNOWN 
USER  NOTE:  SINCE  SPECIFICATIONS  FOR  CODE  VALUES  =  7  AND  8  WERE  NOT  ISSUED  UNTIL  MAY 2000, THESE CODE VALUES MAY NOT 
APPEAR.  THE  METHODS  OF  COLLECTING  INFORMATION  ON  RACE  AND  ETHNICITY  DIFFER  SUBSTANTIALLY  ACROSS  STATES AND TIME 
PERIODS.

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 10.   RACE_ETHNICITY_WHITE

            Type:   CHAR
            Length: 1
            Label:  RACE - WHITE

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF WHITE.

            Values: 
               CODES: 
0 = NON-WHITE OR RACE UNKNOWN 
1 = WHITE

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 11.   RACE_ETHNICITY_BLACK

            Type:   CHAR
            Length: 1
            Label:  RACE - BLACK/AFRICAN AMERICAN

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF BLACK OR AFRICAN AMERICAN.

            Values: 
               CODES: 
0 = NON-BLACK/AFRICAN AMERICAN OR RACE UNKNOWN 
1 = BLACK OR AFRICAN AMERICAN

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 12.   RACE_ETHNICITY_NATIVE

            Type:   CHAR
            Length: 1
            Label:  RACE - AMERICAN INDIAN/ALASKA NATIVE

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF AMERICAN INDIAN/ALASKA NATIVE.

            Values: 
               CODES: 
0 = NON-AMERICAN INDIAN/ALASKA NATIVE OR RACE UNKNOWN 
1 = AMERICAN INDIAN/ALASKA NATIVE

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 13.   RACE_ETHNICITY_ASIAN

            Type:   CHAR
            Length: 1
            Label:  RACE - ASIAN

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF ASIAN.

            Values: 
               CODES: 
0 = NON-ASIAN OR RACE UNKNOWN 
1 = ASIAN

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 14.   RACE_ETHNICITY_HAWAI

            Type:   CHAR
            Length: 1
            Label:  RACE - NATIVE HAWAIIAN/ OTHER PACIFIC ISLANDER

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER.

            Values: 
               CODES: 
0 = NON-NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER OR RACE UNKNOWN 
1 = NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

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 15.   RACE_ETHNICITY_LATIN

            Type:   CHAR
            Length: 1
            Label:  ETHNICITY - HISPANIC OR LATINO

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED AN
            ETHNICITY OF HISPANIC OR LATINO.

            Values: 
               CODES: 
0 = NON-HISPANIC OR LATINO 
1 = HISPANIC OR LATINO 
9 = ETHNICITY UNKNOWN

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 16.   STATE_SPECIFIC_ELIG_MOST_RECENT

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - MOST RECENT
            OBSERVATION. USER NOTES: THESE SOURCE CODES ARE GENERALLY NOT
            APPLICABLE FOR MOST.

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 17.   STATE_SPECIFIC_ELIG_MO_OF_SVC

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - FOR MONTH OF SERVICE

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - FOR THE MONTH
            OF SERVICE. USER NOTES: THESE SOURCE CODES ARE GENERALLY NOT
            APPLICABLE FOR MOS.

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 18.   MAX_UNI_ELIG_CODE_MOST_RECENT

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: MEDICAID ANALYTIC EXTRACT (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE - MOST RECENT OBSERVATION.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY

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 19.   MAX_UNI_ELIG_CODE_MO_OF_SVC

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - FOR MONTH OF SERVICE

            DESCRIPTION: MEDICAID ANALYTIC EXTRACT (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE - FOR THE MONTH OF SERVICE.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY

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 20.   MISSING_ELIG_DATA

            Type:   CHAR
            Length: 1
            Label:  MISSING ELIGIBILITY DATA

            DESCRIPTION: CODE INDICATING A PERSON FOR WHOM NO MONTHS OF
            ENROLLMENT IN MEDICAID WERE FOUND.

            Values: 
               CODES: 
BLANK = MEDICAID ENROLLMENT MONTHS WERE FOUND. 
1 = NEITHER MEDICAID ENROLLMENT MONTHS NOR S-CHIP (CHIP CODE = 3) ENROLLMENT MONTHS WERE FOUND. 
2 = S-CHIP ENROLLMENT MONTHS (CHIP CODE = 3) WERE FOUND, BUT NO MEDICAID ENROLLMENT MONTHS WERE FOUND.

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 21.   CROSSOVER_CODE_FROM_CLAIMS_ONLY

            Type:   NUM
            Length: 1
            Label:  MEDICARE DUAL CODE - CLAIM-BASED

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE WAS COVERED BY
            MEDICARE WHEN THIS SERVICE WAS RENDERED.

            Values: 
               CODES: 
0 = NO MEDICARE DEDUCTIBLE OR COINSURANCE PAID BY MEDICAID ON THIS SERVICE 
1 = MEDICARE DEDUCTIBLE OR COINSURANCE PAID BY MEDICAID ON THIS SERVICE

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 22.   CROSSOVER_CODE_ANNUAL_NEW_VALUES

            Type:   CHAR
            Length: 2
            Label:  MEDICARE DUAL CODE - ANNUAL

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE IS COVERED BY
            MEDICARE (KNOWN AS DUAL OR MEDICARE ELIGIBILITY), ACCORDING
            TO MEDICAID (MSIS), MEDICARE (EDB) OR BOTH IN THE CALENDAR
            YEAR.

            Values: 
               CODES: 
00 = IN MSIS, ELIGIBLE IS NOT A MEDICARE BENEFICIARY 
01 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB ONLY 
02 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB AND FULL MEDICAID COVERAGE 
03 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB ONLY 
04 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB AND FULL MEDICAID COVERAGE 
05 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QDWI 
06 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (1) 
07 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (2) 
08 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-OTHER DUAL ELIGIBLES 
09 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-DUAL ELIGIBILITY CATEGORY UNKNOWN 
10 = IN MSIS, S-CHIP ELIGIBLE IS ENTITLED TO MEDICARE 
50 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODES 01-09 
DO NOT APPLY 
51 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 01 APPLIES 
52 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 02 APPLIES 
53 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 03 APPLIES 
54 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 04 APPLIES 
55 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 05 APPLIES 
56 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 06 APPLIES 
57 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 07 APPLIES 
58 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 08 APPLIES 
59 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 09 APPLIES 
60 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE S-CHIP ELIGIBLE AND CODE 10 APPLIES 
99 = IN MSIS, ELIGIBLE'S MEDICARE STATUS IS UNKNOWN

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 23.   MSIS_TYPE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  MSIS TYPE OF SERVICE CODE

            DESCRIPTION: CODE INDICATING THE MEDICAID STATISTICAL INFORMATION
            SYSTEM (MSIS) TYPE OF SERVICE. EXPECTED MSIS TYPES OF SERVICE
            FOR THIS FILE ARE: 02 = MENTAL HOSPITAL SERVICES FOR THE AGED
            04 = INPAT.

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 24.   MSIS_TYPE_OF_PROGRAM

            Type:   NUM
            Length: 1
            Label:  MSIS TYPE OF PROGRAM CODE

            DESCRIPTION: CODE INDICATING THE SPECIAL MEDICAID PROGRAM UNDER
            WHICH THE SERVICE WAS PROVIDED.

            Values: 
               CODES: 
0 = NO SPECIAL PROGRAM 
1 = EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) 
2 = FAMILY PLANNING 
3 = RURAL HEALTH CLINIC 
4 = FEDERALLY QUALIFIED HEALTH CENTERS (FQHCs) 
5 = INDIAN HEALTH SERVICES 
6 = HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER 
7 = HOME AND COMMUNITY-BASED CARE WAIVER SERVICES 
9 = UNKNOWN

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 25.   SMRF_TYPE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  MAX TYPE OF SERVICE CODE

            DESCRIPTION: CODE INDICATING THE MEDICAID ANALYTIC EXTRACT (MAX)
            TYPE OF SERVICE FOR THIS RECORD. EXPECTED MAX TYPES OF SERVICE
            FOR THIS FILE ARE: 02 = MENTAL HOSPITAL SERVICES FOR THE AGED
            04 = INPAT.

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 26.   BILLING_PROVIDER_IDENTIF_NUMBER

            Type:   CHAR
            Length: 12
            Label:  BILLING PROVIDER IDENTIFICATION NUMBER

            DESCRIPTION: STATE ASSIGNED UNIQUE IDENTIFICATION NUMBER FOR
            THE BILLING PROVIDER.

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 27.   NPI

            Type:   CHAR
            Length: 12
            Label:  NATIONAL PROVIDER IDENTIFIER

            DESCRIPTION: NATIONAL PROVIDER IDENTIFIER OF THE INSTITUTION
            BILLING/CARING FOR THE BENEFICIARY.

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 28.   PROVIDER_TAXONOMY

            Type:   CHAR
            Length: 12
            Label:  PROVIDER TAXONOMY

            DESCRIPTION: A  NATIONAL  HEALTH  INSURANCE  PORTABILITY  AND
            ACCOUNTABILITY  ACT  (HIPAA)-COMPLIANT  CODE  THAT  DESCRIBES
            THE PROVIDER SPECIALTY OR INSTITUTION TYPE OF THE INSTITUTION
            BILLING/CARIN.

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 29.   TYPE_OF_CLAIM

            Type:   CHAR
            Length: 1
            Label:  TYPE OF CLAIM CODE

            DESCRIPTION: CODE INDICATING THE TYPE OF CLAIM.

            Values: 
               CODES: 
1 = A CURRENT FEE-FOR-SERVICE CLAIM FOR MEDICAL SERVICES. 
2 = CAPITATED PAYMENT. 
3 = ENCOUNTER (A.K.A. 'DUMMY') RECORD THAT SIMULATES A BILL FOR A SERVICE RENDERED TO A PATIENT 
COVERED UNDER SOME FORM OF CAPITATION PLAN. 
4 = A 'SERVICE TRACKING CLAIM' THAT DOCUMENTS SERVICES RECEIVED BY AN INDIVIDUAL PATIENT, WHEN 
THE STATE ACCEPTS A LUMP SUM BILL FROM A PROVIDER THAT COVERED SIMILAR SERVICES DELIVERED TO MORE 
THAN ONE PATIENT, SUCH AS GROUP SCREENING FOR EARLY PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT). 
5 = SUPPLEMENTAL PAYMENT (ABOVE CAPITATION FEE OR ABOVE NEGOTIATED RATE) (E.G. FEDERALLY QUALIFIED 
HEALTH CENTER (FQHC) ADDITIONAL REIMBURSEMENT). 
9 = UNKNOWN. 
A = S-CHIP CLAIM: A CURRENT FEE-FOR-SERVICE CLAIM FOR MEDICAL SERVICES. 
B = S-CHIP CLAIM: CAPITATED PAYMENT. 
C = S-CHIP CLAIM: ENCOUNTER (A.K.A. 'DUMMY' RECORD THAT SIMULATES A BILL FOR A SERVICE RENDERED 
TO A PATIENT COVERED UNDER SOME FORM OF CAPITATION PLAN. 
D = S-CHIP CLAIM: A 'SERVICE TRACKING CLAIM' THAT DOCUMENTS SERVICES RECEIVED BY AN INDIVIDUAL 
PATIENT, WHEN THE STATE ACCEPTS A LUMP SUM BILL FROM A PROVIDER THAT COVERED SIMILAR SERVICES DELIVERED 
TO MORE THAN ONE PATIENT, SUCH AS GROUP SCREENING FOR EPSDT. 
E = S-CHIP CLAIM: SUPPLEMENTAL PAYMENT (ABOVE CAPITATION FEE OR ABOVE NEGOTIATED RATE) (E.G. FQHC ADDITIONAL 
REIMBURSEMENT).

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 Variable List - MAX - LT
 31.   MANAGED_CARE_TYPE_OF_PLAN_CODE

            Type:   NUM
            Length: 2
            Label:  MANAGED CARE TYPE OF PLAN CODE

            DESCRIPTION: CODE INDICATING THE TYPE OF MANAGED CARE PLAN,
            IF ANY, UNDER WHICH THE NON-FEE-FOR-SERVICE ENCOUNTER WAS PROVIDED.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH. 
01 = ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO). 
02 = ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH. 
03 = ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH. 
04 = ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH. 
05 = ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH. 
06 = ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) THIS MONTH. 
07 = ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT MANAGED CARE PLAN THIS MONTH. 
08 = ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH. 
77 = THIS RECORD IS AN ENCOUNTER RECORD, BUT THERE WAS NO MATCH BETWEEN THE 'MANAGED CARE PLAN 
IDENTIFICATION NUMBER' AND THE PLAN IDENTIFIERS IN THE ELIGIBILITY RECORD FOR THIS PERSON. 
88 = NOT APPLICABLE, THIS RECORD IS NOT AN ENCOUNTER RECORD OR THIS RECORD’S PLAN ID IS 8-FILLED. 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN.

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 32.   MANAGED_CARE_PLAN_IDENTIF_CODE

            Type:   CHAR
            Length: 12
            Label:  MANAGED CARE PLAN IDENTIFICATION NUMBER

            DESCRIPTION: A UNIQUE IDENTIFIER WHICH REPRESENTS THE HEALTH
            PLAN UNDER WHICH THE NON-FEE-FOR-SERVICE ENCOUNTER WAS PROVIDED.
            USER NOTE: THIS DATA ELEMENT IS 8-FILLED FOR NON-ENCOUNTER RECORDS.

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 33.   MEDICAID_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  MEDICAID PAYMENT AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF MONEY PAID BY MEDICAID FOR THIS
            SERVICE. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL
            - ZD8) USER NOTES: THIS PAYMENT AMOUNT IS = $0 FOR ENCOUNTER
            RECORDS. IN MSIS,.

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 34.   THIRD_PARTY_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  THIRD PARTY PAYMENT AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF MONEY PAID BY A THIRD PARTY (I.E.
            ALL SOURCES OTHER THAN MEDICAID, MEDICARE AND THE ELIGIBLE'S
            PERSONAL FUNDS) FOR THIS SERVICE. (DISPLAY SIGNED NUMERIC)
            (SAS USERS: ZONED.

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 35.   PAYMENT_ADJUDICATION_DATE

            Type:   NUM
            Length: 8
            Label:  PAYMENT DATE

            DESCRIPTION: DATE ON WHICH THE CLAIM OR ENCOUNTER RECORD WAS
            ADJUDICATED BY THE STATE. EDIT-RULES: YYYYMMDD USER NOTE: FOR
            FEE-FOR-SERVICE CLAIMS THIS IS THE DATE THE CLAIM WAS ADJUDICATED
            FOR PAYMENT.

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 36.   CHARGE_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  CHARGE AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF CHARGES SUBMITTED BY THE PROVIDER
            FOR THIS SERVICE. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED
            DECIMAL - ZD8) USER NOTE: THIS PAYMENT AMOUNT IS = $0 FOR ENCOUNTER
            RECORDS.

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 37.   PREPAID_PLAN_VALUE

            Type:   NUM*
            Length: 8
            Label:  PREPAID PLAN SERVICE VALUE

            DESCRIPTION: DOLLAR VALUE PLACED ON THE SERVICE BY THE PROVIDER.
            (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8) USER
            NOTES: THIS PAYMENT AMOUNT IS > $0 ONLY FOR ENCOUNTER RECORDS.
            WHILE THI.

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 38.   MEDICARE_COINSURANCE_PAYMENT_AMT

            Type:   NUM*
            Length: 8
            Label:  MEDICARE COINSURANCE PAYMENT AMOUNT

            DESCRIPTION: THE AMOUNT PAID BY MEDICAID FOR THIS SERVICE, TOWARD
            THE RECIPIENT'S MEDICARE COINSURANCE LIABILITY. (DISPLAY SIGNED
            NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8).

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 39.   MEDICARE_DEDUCTIBLE_PAYMENT_AMT

            Type:   NUM*
            Length: 8
            Label:  MEDICARE DEDUCTIBLE PAYMENT AMOUNT

            DESCRIPTION: THE AMOUNT PAID BY MEDICAID FOR THIS SERVICE, TOWARD
            THE RECIPIENT'S MEDICARE DEDUCTIBLE LIABILITY. (DISPLAY SIGNED
            NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8) USER  NOTE:  THIS
            DATA  ELEM.

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 40.   ADMISSION_DATE

            Type:   NUM
            Length: 8
            Label:  INSTITUTIONAL LONG-TERM CARE ADMISSION DATE

            DESCRIPTION: DATE WHICH THE RECIPIENT WAS ADMITTED TO THE LONG-TERM
            CARE FACILITY OR UNIT. EDIT-RULES: YYYYMMDD USER  NOTE:  USERS
            SHOULD  NOTE  THAT  REPORTING  IS  NOT  CONSISTENT  AMONG
            ALL  LONG.

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 41.   BEGINNING_DATE_OF_SERVICE

            Type:   NUM
            Length: 8
            Label:  SERVICE BEGINNING DATE

            DESCRIPTION: THE BEGINNING DATE OF SERVICE FOR THIS CLAIM. EDIT-RULES:
            YYYYMMDD.

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 42.   ENDING_DATE_OF_SERVICE

            Type:   NUM
            Length: 8
            Label:  ENDING DATE OF SERVICE

            DESCRIPTION: THE LAST DATE OF SERVICE COVERED BY THIS CLAIM.
            EDIT-RULES: YYYYMMDD.

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 43.   DIAGNOSIS_CODE_1

            Type:   CHAR
            Length: 7
            Label:  DIAGNOSIS CODE - FIRST DIAGNOSIS

            DESCRIPTION: FIRST DIAGNOSIS CODE FOR THIS RECORD. EDIT-RULES:
            LEFT JUSTIFIED, NO DECIMAL POINT USER  NOTE:  USERS  SHOULD
            EXERCISE  CAUTION  SINCE  THIS  DATA  ELEMENT  IS  AS IT WAS
            REPORTED BY EAC.

            Values: 
               CODES: 
0 = ICD-10 
9 = ICD-9 
BLANK = MISSING

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 48.   MENTAL_HOSPITAL_FOR_AGED_DAYS

            Type:   NUM*
            Length: 3
            Label:  MENTAL HOSPITAL FOR THE AGED DAY COUNT

            DESCRIPTION: TOTAL NUMBER OF DAYS OF MENTAL HOSPITAL SERVICES
            FOR THE AGED THAT WAS PAID FOR IN WHOLE OR IN PART BY MEDICAID.
            (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD3) EDIT-RULES:
            MAX.

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 49.   INPATIENT_PSYCHIATRIC_DAYS

            Type:   NUM*
            Length: 3
            Label:  INPATIENT PSYCHIATRIC FACILITY (AGE < 21) DAY COUNT

            DESCRIPTION: TOTAL NUMBER OF DAYS OF INPATIENT PSYCHIATRIC FACILITY
            FOR INDIVIDUALS UNDER THE AGE OF 21 PAID FOR IN WHOLE OR IN
            PART BY MEDICAID. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED
            DECIMAL - Z.

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 50.   ICF_MR_DAYS

            Type:   NUM*
            Length: 3
            Label:  INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABLITIES DAY COUNT

            DESCRIPTION: TOTAL NUMBER OF DAYS OF INTERMEDIATE CARE FOR INDIVIDUALS
            WITH INTELLECTUAL DISABLITIES THAT WAS PAID FOR IN WHOLE OR
            IN PART BY MEDICAID. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED
            DECIM.

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 51.   NURSING_FACILITY_DAYS

            Type:   NUM*
            Length: 3
            Label:  NURSING FACILITY DAY COUNT

            DESCRIPTION: TOTAL NUMBER OF DAYS OF NURSING FACILITY CARE INCLUDED
            IN THIS RECORD THAT WAS PAID FOR IN WHOLE OR IN PART BY MEDICAID.
            (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD3) EDIT-RUL.

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 52.   LEAVE_DAYS

            Type:   NUM*
            Length: 3
            Label:  LONG-TERM CARE LEAVE DAY COUNT

            DESCRIPTION: TOTAL NUMBER OF DAYS, DURING THE PERIOD COVERED
            BY MEDICAID, ON WHICH THE ELIGIBLE DID NOT RESIDE IN THE LONG-TERM
            CARE FACILITY. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL
            - ZD3).

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 53.   PATIENT_STATUS

            Type:   NUM
            Length: 2
            Label:  PATIENT STATUS CODE

            DESCRIPTION: CODE INDICATING THE RECIPIENT'S DISCHARGE STATUS.

            Values: 
               CODES: 
01 = DISCHARGED TO HOME OR SELF CARE (ROUTINE DISCHARGE) 
02 = DISCHARGED/TRANSFERRED TO ANOTHER SHORT-TERM HOSPITAL 
03 = DISCHARGED/TRANSFERRED TO NF 
04 = DISCHARGED/TRANSFERRED TO ICF 
05 = DISCHARGED/TRANSFERRED TO ANOTHER TYPE OF INSTITUTION (INCLUDING DISTINCT PARTS) OR REFERRED 
FOR OUTPATIENT SERVICES TO ANOTHER INSTITUTION 
06 = DISCHARGED/TRANSFERRED TO HOME UNDER CARE OF ORGANIZED HOME HEALTH SERVICE ORGANIZATION 
07 = LEFT AGAINST MEDICAL ADVICE OR DISCONTINUED CARE 
08 = DISCHARGED/TRANSFERRED TO HOME UNDER CARE OF A HOME IV DRUG THERAPY PROVIDER 
09 = ADMITTED AS AN INPATIENT TO THIS HOSPITAL 
20 = EXPIRED 
30 = STILL A PATIENT OR DISCHARGED AND EXPECTED TO RETURN FOR OUTPATIENT SERVICE 
40 = EXPIRED AT HOME (HOSPICE CLAIMS ONLY) 
41 = EXPIRED IN A MEDICAL FACILITY SUCH AS A HOSPITAL, NF OR FREE-STANDING HOSPICE (HOSPICE CLAIMS ONLY) 
42 = EXPIRED - PLACE UNKNOWN (HOSPICE CLAIMS ONLY) 
43 = DISCHARGED/TRANSFERRED TO A FEDERAL HOSPITAL 
50 = HOSPICE - HOME 
51 = HOSPICE - MEDICAL FACILITY 
61 = DISCHARGED TO A HOSPITAL-BASED MEDICARE APPROVED SWING BED 
62 = DISCHARGED/TRANSFERRED TO ANOTHER REHAB FACILITY/REHAB UNIT OF A HOSPITAL 
63 = DISCHARGED/TRANSFERRED TO A LONG-TERM CARE HOSPITAL 
65 = DISCHARGED/TRANSFERRED TO A PSYCH HOSPITAL/PSYCH UNIT OF A HOSPITAL 
66 = DISCHARGED TO CRITICAL ACCESS HOSPITAL 
71 = DISCHARGED/TRANSFERRED TO ANOTHER INSTITUTION FOR OUTPATIENT SERVICES 
72 = DISCHARGED/TRANSFERRED TO THIS INSTITUTION FOR OUTPATIENT SERVICES 
99 = UNKNOWN

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 54.   PATIENT_LIABILITY_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  PATIENT LIABILITY AMOUNT

            DESCRIPTION: THE TOTAL AMOUNT THAT AN ELIGIBLE IS REQUIRED TO
            SPEND OUT OF THEIR OWN FUNDS, TOWARD THE COST OF THEIR CARE,
            BEFORE MEDICAID PAYMENTS ARE MADE. 8 DIGITS (DISPLAY SIGNED
            NUMERIC) (SAS USE.

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 1.   ADJUSTMENT_CODE

            Type:   NUM
            Length: 1
            Label:  ADJUSTMENT CODE

            DESCRIPTION: CODE  INDICATING  IF  THE  CLAIMS  FOR  THIS  SERVICE
            WERE  ONLY  ORIGINAL SUBMISSIONS, INCLUDED ADJUSTMENTS OF ANY
            TYPE OR IF ONE OR MORE ORIGINAL SUBMISSIONS WAS MISSING.

            Values: 
               0 = NO ADJUSTMENT OF CLAIMS WAS REQUIRED, SINCE ALL CLAIMS FOR THIS RECORD WERE ORIGINAL CLAIMS 
(ALL CLAIMS FOR THIS RECORD HAD VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT- INDICATOR'). IN 
THIS CASE, ORIGINAL CLAIMS WERE COMBINED FOR THIS RECORD. 
1 = THIS RECORD REPRESENTS A CLAIMS SET WHERE IT WAS POSSIBLE TO CORRECTLY COMPLETE THE ADJUSTMENT 
PROCESS, BY COMBINING ORIGINAL AND ADJUSTMENT CLAIMS FOR THIS RECORD. THIS MEANS THAT THERE WAS 
AT LEAST ONE ORIGINAL CLAIM AND AT LEAST ONE ADJUSTMENT CLAIM IN THE SET OF CLAIMS FOR THIS RECORD (AT LEAST 
ONE CLAIM FOR THIS RECORD HAD VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR' AND AT LEAST 
ONE CLAIM FOR THIS RECORD HAD A VALUE OTHER THAN 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR'). 
2 = THIS RECORD REPRESENTS A CLAIMS SET WHERE IT WAS NOT POSSIBLE TO CORRECTLY COMPLETE THE ADJUSTMENT 
PROCESS (NONE OF THE CLAIMS FOR THIS RECORD HAD A VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR').

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 3.   MSIS_IDENTIFICATION_NUMBER

            Type:   CHAR
            Length: 20
            Label:  (Encrypted) MSIS IDENTIFICATION NUMBER

            Encrypted.

            Values: 
               Encrypted

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 4.   STATE

            Type:   CHAR
            Length: 2
            Label:  STATE ABBREVIATION CODE

            DESCRIPTION: U. S. POSTAL SERVICE 2-CHARACTER ABBREVIATION FOR
            THE STATE MEDICAID AGENCY SUBMITTING THE DATA.

            Values: 
               CODES: 
AL = ALABAMA 
AK = ALASKA 
AZ = ARIZONA 
AR = ARKANSAS 
CA = CALIFORNIA 
CO = COLORADO 
CT = CONNECTICUT 
DE = DELAWARE 
DC = DISTRICT OF COLUMBIA 
FL = FLORIDA 
GA = GEORGIA 
GU = GUAM/AMERICAN SAMOA 
HI = HAWAII 
ID = IDAHO 
IL = ILLINOIS 
IN = INDIANA 
IA = IOWA 
KS = KANSAS 
KY = KENTUCKY 
LA = LOUISIANA 
ME = MAINE 
MD = MARYLAND 
MA = MASSACHUSETTS 
MI = MICHIGAN 
MN = MINNESOTA 
MS = MISSISSIPPI 
MO = MISSOURI 
MT = MONTANA 
NE = NEBRASKA 
NV = NEVADA 
NH = NEW HAMPSHIRE 
NJ = NEW JERSEY 
NM = NEW MEXICO 
NY = NEW YORK 
NC = NORTH CAROLINA 
ND = NORTH DAKOTA 
OH = OHIO 
OK = OKLAHOMA 
OR = OREGON 
PA = PENNSYLVANIA 
PR = PUERTO RICO 
RI = RHODE ISLAND 
SC = SOUTH CAROLINA 
SD = SOUTH DAKOTA 
TN = TENNESSEE 
TX = TEXAS 
UT = UTAH 
VT = VERMONT 
VI = VIRGIN ISLANDS 
VA = VIRGINIA 
WA = WASHINGTON 
WV = WEST VIRGINIA 
WI = WISCONSIN 
WY = WYOMING

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 7.   BIRTH_DATE

            Type:   NUM
            Length: 8
            Label:  BIRTH DATE

            DESCRIPTION: BIRTH DATE OF THE MEDICAID ELIGIBLE. EDIT-RULES:
            YYYYMMDD.

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 8.   SEX

            Type:   CHAR
            Length: 1
            Label:  SEX CODE

            DESCRIPTION: CODE INDICATING THE GENDER OF THE MEDICAID ELIGIBLE.

            Values: 
               CODES: 
F = FEMALE 
M = MALE 
U = UNKNOWN/ERROR 
USER NOTE: THESE CODES ARE 1 (FEMALE), 2 (MALE) AND 9 (UNKNOWN) IN THE 1996-98 MSIS DATA.

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 9.   RACE_ETHNICITY

            Type:   CHAR
            Length: 1
            Label:  RACE/ETHNICITY CODE

            DESCRIPTION: RACE/ETHNICITY OF THE MEDICAID ELIGIBLE.

            Values: 
               CODES: 
1 = WHITE, NOT OF HISPANIC ORIGIN (CHANGED TO "WHITE" BEGINNING 10/98) 
2 = BLACK, NOT OF HISPANIC ORIGIN (CHANGED TO "BLACK OR AFRICAN AMERICAN" BEGINNING 10/98) 
3 = AMERICAN INDIAN OR ALASKA NATIVE 
4 = ASIAN OR PACIFIC ISLANDER (CHANGED TO "ASIAN" BEGINNING 10/98) 
5 = HISPANIC (CHANGED TO "HISPANIC OR LATINO - NO RACE INFORMATION AVAILABLE" BEGINNING 10/98) 
6 = NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (NEW CODE BEGINNING 10/98) 
7 = HISPANIC OR LATINO AND ONE OR MORE RACES (NEW CODE BEGINNING 10/98) 
8 = MORE THAN ONE RACE (HISPANIC OR LATINO NOT INDICATED) (NEW CODE BEGINNING 10/98) 
9 = UNKNOWN 
USER  NOTE:  SINCE  SPECIFICATIONS  FOR  CODE  VALUES  =  7  AND  8  WERE  NOT  ISSUED  UNTIL  MAY 2000, THESE CODE VALUES MAY NOT 
APPEAR.  THE  METHODS  OF  COLLECTING  INFORMATION  ON  RACE  AND  ETHNICITY  DIFFER  SUBSTANTIALLY  ACROSS  STATES AND TIME 
PERIODS.

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 10.   RACE_ETHNICITY_WHITE

            Type:   CHAR
            Length: 1
            Label:  RACE - WHITE

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF WHITE.

            Values: 
               CODES: 
0 = NON-WHITE OR RACE UNKNOWN 
1 = WHITE

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 11.   RACE_ETHNICITY_BLACK

            Type:   CHAR
            Length: 1
            Label:  RACE - BLACK/AFRICAN AMERICAN

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF BLACK OR AFRICAN AMERICAN.

            Values: 
               CODES: 
0 = NON-BLACK/AFRICAN AMERICAN OR RACE UNKNOWN 
1 = BLACK OR AFRICAN AMERICAN

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 12.   RACE_ETHNICITY_NATIVE

            Type:   CHAR
            Length: 1
            Label:  RACE - AMERICAN INDIAN/ALASKAN NATIVE

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF AMERICAN INDIAN/ALASKA NATIVE.

            Values: 
               CODES: 
0 = NON-AMERICAN INDIAN/ALASKA NATIVE OR RACE UNKNOWN 
1 = AMERICAN INDIAN/ALASKA NATIVE

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 13.   RACE_ETHNICITY_ASIAN

            Type:   CHAR
            Length: 1
            Label:  RACE - ASIAN

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF ASIAN.

            Values: 
               CODES: 
0 = NON-ASIAN OR RACE UNKNOWN 
1 = ASIAN

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 14.   RACE_ETHNICITY_HAWAI

            Type:   CHAR
            Length: 1
            Label:  RACE - NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER.

            Values: 
               CODES: 
0 = NON-NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER OR RACE UNKNOWN 
1 = NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

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 15.   RACE_ETHNICITY_LATIN

            Type:   CHAR
            Length: 1
            Label:  ETHNICITY - HISPANIC OR LATINO

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED AN
            ETHNICITY OF HISPANIC OR LATINO.

            Values: 
               CODES: 
0 = NON-HISPANIC OR LATINO 
1 = HISPANIC OR LATINO 
9 = ETHNICITY UNKNOWN

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 16.   STATE_SPECIFIC_ELIG_MOST_RECENT

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - MOST RECENT
            OBSERVATION. USER NOTES: THESE SOURCE CODES ARE GENERALLY NOT
            APPLICABLE FOR MOST.

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 17.   STATE_SPECIFIC_ELIG_MO_OF_SVC

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - FOR MONTH OF SERVICE

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - FOR THE MONTH
            OF SERVICE. USER NOTES: THESE SOURCE CODES ARE GENERALLY NOT
            APPLICABLE FOR MOS.

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 18.   MAX_UNI_ELIG_CODE_MOST_RECENT

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: MEDICAID ANALYTIC EXTRACT (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE - MOST RECENT OBSERVATION.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY

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 19.   MAX_UNI_ELIG_CODE_MO_OF_SVC

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - FOR MONTH OF SERVICE

            DESCRIPTION: MEDICAID ANALYTIC EXTRACT (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE - FOR THE MONTH OF SERVICE.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY

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 20.   MISSING_ELIG_DATA

            Type:   CHAR
            Length: 1
            Label:  MISSING ELIGIBILITY DATA

            DESCRIPTION: CODE INDICATING PERSON FOR WHOM NO MONTHS OF ENROLLMENT
            IN MEDICAID WERE FOUND.

            Values: 
               CODES: 
BLANK = MEDICAID ENROLLMENT MONTHS WERE FOUND. 
1 = NEITHER MEDICAID ENROLLMENT MONTHS NOR S-CHIP (CHIP CODE = 3) ENROLLMENT MONTHS WERE FOUND. 
2 = S-CHIP ENROLLMENT MONTHS (CHIP CODE = 3) WERE FOUND, BUT NO MEDICAID ENROLLMENT MONTHS WERE FOUND.

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 21.   CROSSOVER_CODE_FROM_CLAIMS_ONLY

            Type:   NUM
            Length: 1
            Label:  MEDICARE DUAL CODE - CLAIM-BASED

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE WAS COVERED BY
            MEDICARE WHEN THIS SERVICE WAS RENDERED.

            Values: 
               CODES: 
0 = NO MEDICARE DEDUCTIBLE OR COINSURANCE PAID BY MEDICAID ON THIS SERVICE 
1 = MEDICARE DEDUCTIBLE OR COINSURANCE PAID BY MEDICAID ON THIS SERVICE

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 22.   CROSSOVER_CODE_ANNUAL_NEW_VALUES

            Type:   CHAR
            Length: 2
            Label:  MEDICARE DUAL CODE - ANNUAL

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE IS COVERED BY
            MEDICARE (KNOWN AS DUAL OR MEDICARE ELIGIBILITY), ACCORDING
            TO MEDICAID (MSIS), MEDICARE (EDB) OR BOTH IN THE CALENDAR
            YEAR.

            Values: 
               CODES: 
00 = IN MSIS, ELIGIBLE IS NOT A MEDICARE BENEFICIARY 
01 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB ONLY 
02 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB AND FULL MEDICAID COVERAGE 
03 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB ONLY 
04 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB AND FULL MEDICAID COVERAGE 
05 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QDWI 
06 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (1) 
07 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (2) 
08 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-OTHER DUAL ELIGIBLES 
09 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-DUAL ELIGIBILITY CATEGORY UNKNOWN 
10 = IN MSIS, S-CHIP ELIGIBLE IS ENTITLED TO MEDICARE 
50 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODES 01-09 
DO NOT APPLY 
51 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 01 APPLIES 
52 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 02 APPLIES 
53 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 03 APPLIES 
54 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 04 APPLIES 
55 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 05 APPLIES 
56 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 06 APPLIES 
57 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 07 APPLIES 
58 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 08 APPLIES 
59 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 09 APPLIES 
60 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE S-CHIP ELIGIBLE AND CODE 10 APPLIES 
99 = IN MSIS, ELIGIBLE'S MEDICARE STATUS IS UNKNOWN

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 Variable List - MAX - OT
 23.   MSIS_TYPE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  MSIS TYPE OF SERVICE CODE

            DESCRIPTION: CODE INDICATING THE MEDICAID STATISTICAL INFORMATION
            SYSTEM (MSIS) TYPE OF SERVICE. EXPECTED MSIS TYPES OF SERVICE
            FOR THIS FILE ARE: TOS = 08-13, 15, 19-22, 24-26, 30, 31, 33-39,
            99. COM.

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 24.   MSIS_TYPE_OF_PROGRAM

            Type:   NUM
            Length: 1
            Label:  MSIS TYPE OF PROGRAM CODE

            DESCRIPTION: CODE INDICATING THE SPECIAL MEDICAID PROGRAM UNDER
            WHICH THE SERVICE WAS PROVIDED.

            Values: 
               CODES: 
0 = NO SPECIAL PROGRAM 
1 = EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) 
2 = FAMILY PLANNING 
3 = RURAL HEALTH CLINIC 
4 = FEDERALLY QUALIFIED HEALTH CENTERS (FQHCs) 
5 = INDIAN HEALTH SERVICES 
6 = HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER 
7 = HOME AND COMMUNITY-BASED CARE WAIVER SERVICES 
9 = UNKNOWN

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 25.   SMRF_TYPE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  MAX TYPE OF SERVICE CODE

            DESCRIPTION: CODE INDICATING THE MEDICAID ANALYTIC EXTRACT (MAX)
            TYPE OF SERVICE FOR THIS RECORD. EXPECTED MAX TYPES OF SERVICE
            FOR THIS FILE ARE: TOS = 08-13, 15, 16, 19-22, 24-26, 30, 31,
            33-39, 51-.

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 26.   COM_BASED_LTC_FLAG

            Type:   CHAR
            Length: 2
            Label:  COMMUNITY-BASED LONG-TERM CARE (CLTC) FLAG

            DESCRIPTION: 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.

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 27.   HCBS_TAXONOMY_WAIVERS

            Type:   CHAR
            Length: 5
            Label:  HOME AND COMMUNITY-BASED SERVICES (HCBS) TAXONOMY CODE FOR WAIVERS

            DESCRIPTION: CODE  INDICATING  THE  TAXONOMY  CODE  FOR  HOME
            AND  COMMUNITY-BASED  SERVICES. TAXONOMY CODE IS ONLY ADDED
            FOR WAIVER SERVICES IDENTIFIED IN 'MSIS TYPE OF PROGRAM CODE'
            = 6 OR 7. THE F.

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 28.   BILLING_PROVIDER_IDENTIF_NUMBER

            Type:   CHAR
            Length: 12
            Label:  BILLING PROVIDER IDENTIFICATION NUMBER

            DESCRIPTION: STATE ASSIGNED UNIQUE IDENTIFICATION NUMBER FOR
            THE BILLING PROVIDER.

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 29.   NPI

            Type:   CHAR
            Length: 12
            Label:  NATIONAL PROVIDER IDENTIFIER

            DESCRIPTION: NATIONAL  PROVIDER  IDENTIFIER  OF  THE  PROVIDER
            WHO  TREATED  THE  RECIPIENT  (AS  OPPOSED  TO  THE  PROVIDER
            BILLING FOR THE SERVICE). USER NOTE: THIS IS NOT NECESSARILY
            THE SAME PRO.

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 30.   PROVIDER_TAXONOMY

            Type:   CHAR
            Length: 12
            Label:  PROVIDER TAXONOMY

            DESCRIPTION: A NATIONAL HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY
            ACT (HIPAA)-COMPLIANT CODE THAT DESCRIBES THE SPECIALTY OF THE
            PROVIDER WHO TREATED THE RECIPIENT (AS OPPOSED TO THE PROVIDER
            BI.

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 31.   TYPE_OF_CLAIM

            Type:   CHAR
            Length: 1
            Label:  TYPE OF CLAIM CODE

            DESCRIPTION: CODE INDICATING THE TYPE OF CLAIM.

            Values: 
               CODES: 
1 = A CURRENT FEE-FOR-SERVICE CLAIM FOR MEDICAL SERVICES. 
2 = CAPITATED PAYMENT. 
3 = ENCOUNTER (A.K.A. 'DUMMY') RECORD THAT SIMULATES A BILL FOR A SERVICE RENDERED TO A PATIENT 
COVERED UNDER SOME FORM OF CAPITATION PLAN. 
4 = A 'SERVICE TRACKING CLAIM' THAT DOCUMENTS SERVICES RECEIVED BY AN INDIVIDUAL PATIENT, WHEN 
THE STATE ACCEPTS A LUMP SUM BILL FROM A PROVIDER THAT COVERED SIMILAR SERVICES DELIVERED TO MORE 
THAN ONE PATIENT, SUCH AS GROUP SCREENING FOR EARLY PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT). 
5 = SUPPLEMENTAL PAYMENT (ABOVE CAPITATION FEE OR ABOVE NEGOTIATED RATE) (E.G. FEDERALLY QUALIFIED 
HEALTH CENTER (FQHC) ADDITIONAL REIMBURSEMENT). 
9 = UNKNOWN. 
A = S-CHIP CLAIM: A CURRENT FEE-FOR-SERVICE CLAIM FOR MEDICAL SERVICES. 
B = S-CHIP CLAIM: CAPITATED PAYMENT. 
C = S-CHIP CLAIM: ENCOUNTER (A.K.A. 'DUMMY') RECORD THAT SIMULATES A BILL FOR A SERVICE RENDERED 
TO A PATIENT COVERED UNDER SOME FORM OF CAPITATION PLAN. 
D = S-CHIP CLAIM: A 'SERVICE TRACKING CLAIM' THAT DOCUMENTS SERVICES RECEIVED BY AN INDIVIDUAL 
PATIENT, WHEN THE STATE ACCEPTS A LUMP SUM BILL FROM A PROVIDER THAT COVERED SIMILAR SERVICES DELIVERED 
TO MORE THAN ONE PATIENT, SUCH AS GROUP SCREENING FOR EPSDT. 
E = S-CHIP CLAIM: SUPPLEMENTAL PAYMENT (ABOVE CAPITATION FEE OR ABOVE NEGOTIATED RATE) (E.G. FQHC ADDITIONAL 
REIMBURSEMENT). 
USER NOTE: VOIDED CLAIMS ARE NOT RETAINED IN MAX AS $0 PAID CLAIMS.

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 33.   MANAGED_CARE_TYPE_OF_PLAN_CODE

            Type:   NUM
            Length: 2
            Label:  MANAGED CARE TYPE OF PLAN CODE

            DESCRIPTION: CODE INDICATING THE TYPE OF MANAGED CARE PLAN,
            IF ANY, UNDER WHICH THE CAPITATION OR ENCOUNTER WAS PROVIDED.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH. 
01 = ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO). 
02 = ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH. 
03 = ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH. 
04 = ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH. 
05 = ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH. 
06 = ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) THIS MONTH. 
07 = ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT MANAGED CARE PLAN THIS MONTH. 
08 = ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH. 
77 = THIS RECORD IS AN ENCOUNTER RECORD, BUT THERE WAS NO MATCH BETWEEN THE 'MANAGED CARE PLAN 
IDENTIFICATION NUMBER' AND THE PLAN IDENTIFIERS IN THE ELIGIBILTY RECORD FOR THIS PERSON. 
88 = NOT APPLICABLE, THIS RECORD IS NOT AN ENCOUNTER RECORD OR THIS RECORD’S PLAN ID IS 8-FILLED. 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN. 
USER NOTE: THIS DATA ELEMENT IS 8-FILLED FOR NON-ENCOUNTER RECORDS. 
IN MAX 1999-2008, THIS DATA ELEMENT WAS 6, 7, 8 OR 9-FILLED FOR ALL RECORDS. 
IN MAX 2010, VALUE 66 WAS DELETED. 
IN  MAX  2010,  WE  REVISED  THE  ALGORITHM  TO  LOOK  FOR  THE  CLAIM’S  PLAN  ID  IN  ALL  FOUR  PLANS  IN  ALL 12 MONTHS OF ELIGIBILITY 
RATHER THAN LOOK ONLY IN THE SERVICE END MONTH.

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 34.   MANAGED_CARE_PLAN_IDENTIF_CODE

            Type:   CHAR
            Length: 12
            Label:  MANAGED CARE PLAN IDENTIFICATION NUMBER

            DESCRIPTION: A UNIQUE IDENTIFIER WHICH REPRESENTS THE HEALTH
            PLAN UNDER WHICH THE CAPITATION OR ENCOUNTER WAS PROVIDED.
            USER NOTE: THIS DATA ELEMENT IS 8-FILLED FOR NON-CAPITATION
            AND NON-ENCOUNTER RE.

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 35.   MEDICAID_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  MEDICAID PAYMENT AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF MONEY PAID BY MEDICAID FOR THIS
            SERVICE. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL
            - ZD8) USER NOTES: THIS PAYMENT AMOUNT IS = $0 FOR ENCOUNTER
            RECORDS. IN MSIS,.

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 36.   THIRD_PARTY_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  THIRD PARTY PAYMENT AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF MONEY PAID BY A THIRD PARTY (I.E.
            ALL SOURCES OTHER THAN MEDICAID, MEDICARE AND THE ELIGIBLE'S
            PERSONAL FUNDS) FOR THIS SERVICE. (DISPLAY SIGNED NUMERIC)
            (SAS USERS: ZONED.

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 37.   PAYMENT_ADJUDICATION_DATE

            Type:   NUM
            Length: 8
            Label:  PAYMENT DATE

            DESCRIPTION: DATE ON WHICH THE CLAIM OR ENCOUNTER RECORD WAS
            ADJUDICATED BY THE STATE. EDIT-RULES: YYYYMMDD USER NOTE: FOR
            FEE-FOR-SERVICE CLAIMS THIS IS THE DATE THE CLAIM WAS ADJUDICATED
            FOR PAYMENT.

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 38.   CHARGE_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  CHARGE AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF CHARGES SUBMITTED BY THE PROVIDER
            FOR THIS SERVICE. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED
            DECIMAL - ZD8) USER NOTE: THIS PAYMENT AMOUNT IS = $0 FOR ENCOUNTER
            RECORDS.

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 39.   PREPAID_PLAN_VALUE

            Type:   NUM*
            Length: 8
            Label:  PREPAID PLAN SERVICE VALUE

            DESCRIPTION: DOLLAR VALUE PLACED ON THE SERVICE BY THE PROVIDER.
            (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8) USER
            NOTES: THIS PAYMENT AMOUNT IS > $0 ONLY FOR ENCOUNTER RECORDS.
            WHILE THI.

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 40.   MEDICARE_COINSURANCE_PAYMENT_AMT

            Type:   NUM*
            Length: 8
            Label:  MEDICARE COINSURANCE PAYMENT AMOUNT

            DESCRIPTION: THE AMOUNT PAID BY MEDICAID FOR THIS SERVICE, TOWARD
            THE RECIPIENT'S MEDICARE COINSURANCE LIABILITY. (DISPLAY SIGNED
            NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8).

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 41.   MEDICARE_DEDUCTIBLE_PAYMENT_AMT

            Type:   NUM*
            Length: 8
            Label:  MEDICARE DEDUCTIBLE PAYMENT AMOUNT

            DESCRIPTION: THE AMOUNT PAID BY MEDICAID FOR THIS SERVICE, TOWARD
            THE RECIPIENT'S MEDICARE DEDUCTIBLE LIABILITY. (DISPLAY SIGNED
            NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8) USER  NOTE:  THIS
            DATA  ELEM.

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 42.   BEGINNING_DATE_OF_SERVICE

            Type:   NUM
            Length: 8
            Label:  SERVICE BEGINNING DATE

            DESCRIPTION: THE BEGINNING DATE OF SERVICE FOR THIS CLAIM. EDIT-RULES:
            YYYYMMDD USER NOTE: THIS DATA ELEMENT WAS CHANGED FROM 6 TO
            8 DIGITS BEGINNING IN 1996.

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 43.   ENDING_DATE_OF_SERVICE

            Type:   NUM
            Length: 8
            Label:  ENDING DATE OF SERVICE

            DESCRIPTION: THE LAST DATE OF SERVICE COVERED BY THIS CLAIM.
            EDIT-RULES: YYYYMMDD.

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 44.   PROCEDURE_CODING_SYSTEM

            Type:   CHAR
            Length: 2
            Label:  PROCEDURE CODING SYSTEM CODE

            DESCRIPTION: CODE SPECIFYING THE PROCEDURE CODING SYSTEM USED
            FOR THE PRINCIPAL AND SECONDARY PROCEDURES.

            Values: 
               CODES: 
01 = CPT-4 
02 = ICD-9-CM 
03 = CRVS 74 
04 = CRVS 69 
05 = CRVS 64 
06 = HCPCS 
07 = ICD-10 
10-87 = OTHER SYSTEMS 
88 = NOT APPLICABLE 
99 = UNKNOWN 
USER  NOTES:  THIS  DATA  ELEMENT  SHOULD  BE  USED  WITH 'PROCEDURE (SERVICE) CODE' AND 'PROCEDURE (SERVICE) MODIFIER CODE'. 
USERS SHOULD MAKE SURE THE CODE VALUE IN THIS DATA ELEMENT ACCURATELY REFLECTS THE CODING SCHEME IN USE.

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 45.   PROCEDURE_CODE

            Type:   CHAR
            Length: 8
            Label:  PROCEDURE (SERVICE) CODE

            DESCRIPTION: PROCEDURE (SERVICE) PROVIDED. SEE 'PROCEDURE CODING
            SYSTEM CODE'.

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 46.   PROCEDURE_CODE_MODIFIER

            Type:   CHAR
            Length: 2
            Label:  PROCEDURE (SERVICE) MODIFIER CODE

            DESCRIPTION: MODIFIER CODE TO PROVIDE MORE INFORMATION ABOUT
            THE SERVICE PROVIDE IN RELATION TO THIS PROCEDURE (E.G. ASSISTANCE
            IN SURGERY).

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 47.   DIAGNOSIS_CODE_1

            Type:   CHAR
            Length: 7
            Label:  DIAGNOSIS CODE-1

            DESCRIPTION: THE FIRST DIAGNOSIS CODE FOR THIS RECORD. EDIT-RULES:
            LEFT JUSTIFIED, NO DECIMAL POINT. USER  NOTE:  USERS  SHOULD
            EXERCISE  CAUTION  SINCE  THIS  DATA  ELEMENT  IS  AS IT WAS
            REPORTED B.

            Values: 
               CODES: 
0 = ICD-10 
9 = ICD-9 
BLANK = MISSING

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 48.   DIAGNOSIS_CODE_2

            Type:   CHAR
            Length: 7
            Label:  DIAGNOSIS CODE-2

            DESCRIPTION: THE SECOND DIAGNOSIS CODE FOR THIS RECORD. EDIT-RULES:
            LEFT JUSTIFIED, NO DECIMAL POINT. USER  NOTE:  USERS  SHOULD
            EXERCISE  CAUTION  SINCE  THIS  DATA  ELEMENT  IS  AS IT WAS
            REPORTED.

            Values: 
               CODES: 
0 = ICD-10 
9 = ICD-9 
BLANK = MISSING

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 49.   QUANTITY_OF_SERVICE

            Type:   NUM
            Length: 5
            Label:  QUANTITY OF SERVICE

            DESCRIPTION: THE NUMBER OF UNITS OF SERVICE RECEIVED BY THE
            ELIGIBLE. FOR MAX 1999 AND BEYOND, THIS FIELD IS ONLY APPLICABLE
            WHEN THE SERVICE BEING BILLED CAN BE QUANTIFIED IN DISCRETE
            UNITS, E.G., A.

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 50.   SERVICING_PROVIDER_IDENT_NUMBER

            Type:   CHAR
            Length: 12
            Label:  SERVICING PROVIDER IDENTIFICATION NUMBER

            DESCRIPTION: A UNIQUE NUMBER TO IDENTIFY THE PROVIDER WHO TREATED
            THE RECIPIENT. USER NOTE: THIS IS NOT NECESSARILY THE SAME PROVIDER
            THAT BILLED FOR THE SERVICE. THIS DATA ELEMENT SHOULD BE 8-FILLED.

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 51.   SERVICING_PROVIDER_SPECIALTY_CD

            Type:   CHAR
            Length: 4
            Label:  SERVICING PROVIDER SPECIALTY CODE

            DESCRIPTION: CODE  INDICATING  THE  AREA  OF  SPECIALTY  FOR
            THE  SERVICING  PROVIDER.  THIS  CODE APPLIES ONLY TO PHYSICIANS,
            OSTEOPATHS, DENTISTS AND OTHER LICENSED PRACTITIONERS. USER
            NOTE:  SINC.

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 52.   PLACE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  PLACE OF SERVICE CODE

            1.

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 53.   UB_92_REVENUE_CODE

            Type:   NUM
            Length: 4
            Label:  UB-92 REVENUE CODE

            DESCRIPTION: REVENUE CODE REPORTED ON THE LINE ITEM FOR THIS
            CLAIM OR ENCOUNTER RECORD IN THE UB-92 BILL FOR THE SERVICE.
            USER NOTE: ONLY VALID CODES AS DEFINED BY THE "NATIONAL UNIFORM
            BILLING COMMIT.

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 1.   ADJUSTMENT_CODE

            Type:   NUM
            Length: 1
            Label:  ADJUSTMENT CODE

            DESCRIPTION: CODE  INDICATING  IF  THE  CLAIMS  FOR  THIS  SERVICE
            WERE  ONLY  ORIGINAL SUBMISSIONS, INCLUDED ADJUSTMENTS OF ANY
            TYPE OR IF ONE OR MORE ORIGINAL SUBMISSIONS WAS MISSING.

            Values: 
               0 = NO ADJUSTMENT OF CLAIMS WAS REQUIRED, SINCE ALL CLAIMS FOR THIS RECORD WERE ORIGINAL CLAIMS 
(ALL CLAIMS FOR THIS RECORD HAD VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT- INDICATOR'). IN 
THIS CASE, ORIGINAL CLAIMS WERE COMBINED FOR THIS RECORD. 
1 = THIS RECORD REPRESENTS A CLAIMS SET WHERE IT WAS POSSIBLE TO CORRECTLY COMPLETE THE ADJUSTMENT 
PROCESS, BY COMBINING ORIGINAL AND ADJUSTMENT CLAIMS FOR THIS RECORD. THIS MEANS THAT THERE WAS 
AT LEAST ONE ORIGINAL CLAIM AND AT LEAST ONE ADJUSTMENT CLAIM IN THE SET OF CLAIMS FOR THIS RECORD (AT LEAST 
ONE CLAIM FOR THIS RECORD HAD VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR' AND AT LEAST 
ONE CLAIM FOR THIS RECORD HAD A VALUE OTHER THAN 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR'). 
2 = THIS RECORD REPRESENTS A CLAIMS SET WHERE IT WAS NOT POSSIBLE TO CORRECTLY COMPLETE THE ADJUSTMENT 
PROCESS (NONE OF THE CLAIMS FOR THIS RECORD HAD A VALUE = 0 IN THE MSIS DATA ELEMENT 'ADJUSTMENT-INDICATOR').

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 3.   MSIS_IDENTIFICATION_NUMBER

            Type:   CHAR
            Length: 20
            Label:  (Encrypted) MSIS IDENTIFICATION NUMBER

            Encrypted.

            Values: 
               Encrypted

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 4.   STATE

            Type:   CHAR
            Length: 2
            Label:  STATE ABBREVIATION CODE

            DESCRIPTION: U. S. POSTAL SERVICE 2-CHARACTER ABBREVIATION FOR
            THE STATE MEDICAID AGENCY SUBMITTING THE DATA.

            Values: 
               CODES: 
AL = ALABAMA 
AK = ALASKA 
AZ = ARIZONA 
AR = ARKANSAS 
CA = CALIFORNIA 
CO = COLORADO 
CT = CONNECTICUT 
DE = DELAWARE 
DC = DISTRICT OF COLUMBIA 
FL = FLORIDA 
GA = GEORGIA 
GU = GUAM/AMERICAN SAMOA 
HI = HAWAII 
ID = IDAHO 
IL = ILLINOIS 
IN = INDIANA 
IA = IOWA 
KS = KANSAS 
KY = KENTUCKY 
LA = LOUISIANA 
ME = MAINE 
MD = MARYLAND 
MA = MASSACHUSETTS 
MI = MICHIGAN 
MN = MINNESOTA 
MS = MISSISSIPPI 
MO = MISSOURI 
MT = MONTANA 
NE = NEBRASKA 
NV = NEVADA 
NH = NEW HAMPSHIRE 
NJ = NEW JERSEY 
NM = NEW MEXICO 
NY = NEW YORK 
NC = NORTH CAROLINA 
ND = NORTH DAKOTA 
OH = OHIO 
OK = OKLAHOMA 
OR = OREGON 
PA = PENNSYLVANIA 
PR = PUERTO RICO 
RI = RHODE ISLAND 
SC = SOUTH CAROLINA 
SD = SOUTH DAKOTA 
TN = TENNESSEE 
TX = TEXAS 
UT = UTAH 
VT = VERMONT 
VI = VIRGIN ISLANDS 
VA = VIRGINIA 
WA = WASHINGTON 
WV = WEST VIRGINIA 
WI = WISCONSIN 
WY = WYOMING

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 6.   MEDICARE_HIC_NUMBER

            Type:   CHAR
            Length: 12
            Label:  MEDICARE HEALTH INSURANCE CLAIM (HIC) NUMBER - FROM MSIS

            DESCRIPTION: THE  ELIGIBLE'S  HEALTH  INSURANCE  CLAIM  (HIC)
            NUMBER.  THIS  NUMBER  IS  APPLICABLE  ONLY  TO  MEDICAID
            ELIGIBLES  WHO ARE ALSO ELIGIBLE FOR MEDICARE AND IS ASSIGNED
            TO AN ELIGIBLE B.

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 7.   BIRTH_DATE

            Type:   NUM
            Length: 8
            Label:  BIRTH DATE

            DESCRIPTION: BIRTH DATE OF THE MEDICAID ELIGIBLE. EDIT-RULES:
            YYYYMMDD.

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 8.   SEX

            Type:   CHAR
            Length: 1
            Label:  SEX CODE

            DESCRIPTION: CODE INDICATING THE GENDER OF THE MEDICAID ELIGIBLE.

            Values: 
               CODES: 
F = FEMALE 
M = MALE 
U = UNKNOWN/ERROR 
USER NOTE: THESE CODES ARE 1 (FEMALE), 2 (MALE) AND 9 (UNKNOWN) IN THE 1996-98 MSIS DATA.

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 9.   RACE_ETHNICITY

            Type:   CHAR
            Length: 1
            Label:  RACE/ETHNICITY CODE

            DESCRIPTION: RACE/ETHNICITY OF THE MEDICAID ELIGIBLE.

            Values: 
               CODES: 
1 = WHITE, NOT OF HISPANIC ORIGIN (CHANGED TO "WHITE" BEGINNING 10/98) 
2 = BLACK, NOT OF HISPANIC ORIGIN (CHANGED TO "BLACK OR AFRICAN AMERICAN" BEGINNING 10/98) 
3 = AMERICAN INDIAN OR ALASKA NATIVE 
4 = ASIAN OR PACIFIC ISLANDER (CHANGED TO "ASIAN" BEGINNING 10/98) 
5 = HISPANIC (CHANGED TO "HISPANIC OR LATINO - NO RACE INFORMATION AVAILABLE" BEGINNING 10/98) 
6 = NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (NEW CODE BEGINNING 10/98) 
7 = HISPANIC OR LATINO AND ONE OR MORE RACES (NEW CODE BEGINNING 10/98) 
8 = MORE THAN ONE RACE (HISPANIC OR LATINO NOT INDICATED) (NEW CODE BEGINNING 10/98) 
9 = UNKNOWN 
USER  NOTE:  SINCE  SPECIFICATIONS  FOR  CODE  VALUES  =  7  AND  8  WERE  NOT  ISSUED  UNTIL  MAY 2000, THESE CODE VALUES MAY NOT 
APPEAR.  THE  METHODS  OF  COLLECTING  INFORMATION  ON  RACE  AND  ETHNICITY  DIFFER  SUBSTANTIALLY  ACROSS  STATES AND TIME 
PERIODS.

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 10.   RACE_ETHNICITY_WHITE

            Type:   CHAR
            Length: 1
            Label:  RACE - WHITE

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF WHITE.

            Values: 
               CODES: 
0 = NON-WHITE OR RACE UNKNOWN 
1 = WHITE

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 11.   RACE_ETHNICITY_BLACK

            Type:   CHAR
            Length: 1
            Label:  RACE - BLACK/AFRICAN AMERICAN

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF BLACK OR AFRICAN AMERICAN.

            Values: 
               CODES: 
0 = NON-BLACK/AFRICAN AMERICAN OR RACE UNKNOWN 
1 = BLACK OR AFRICAN AMERICAN

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 12.   RACE_ETHNICITY_NATIVE

            Type:   CHAR
            Length: 1
            Label:  RACE - AMERICAN INDIAN/ALASKA NATIVE

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF AMERICAN INDIAN/ALASKA NATIVE.

            Values: 
               CODES: 
0 = NON-AMERICAN INDIAN/ALASKA NATIVE OR RACE UNKNOWN 
1 = AMERICAN INDIAN/ALASKA NATIVE

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 13.   RACE_ETHNICITY_ASIAN

            Type:   CHAR
            Length: 1
            Label:  RACE - ASIAN

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF ASIAN.

            Values: 
               CODES: 
0 = NON-ASIAN OR RACE UNKNOWN 
1 = ASIAN

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 14.   RACE_ETHNICITY_HAWAI

            Type:   CHAR
            Length: 1
            Label:  RACE - NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED A
            RACE OF NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER.

            Values: 
               CODES: 
0 = NON-NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER OR RACE UNKNOWN 
1 = NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

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 15.   RACE_ETHNICITY_LATIN

            Type:   CHAR
            Length: 1
            Label:  ETHNICITY - HISPANIC OR LATINO

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAS INDICATED AN
            ETHNICITY OF HISPANIC OR LATINO.

            Values: 
               CODES: 
0 = NON-HISPANIC OR LATINO 
1 = HISPANIC OR LATINO 
9 = ETHNICITY UNKNOWN

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 16.   STATE_SPECIFIC_ELIG_MOST_RECENT

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - MOST RECENT
            OBSERVATION. USER NOTES: THESE SOURCE CODES ARE GENERALLY NOT
            APPLICABLE FOR MOST.

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 17.   STATE_SPECIFIC_ELIG_MO_OF_SVC

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - FOR MONTH OF SERVICE

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - FOR THE MONTH
            OF SERVICE. USER NOTES: THESE SOURCE CODES ARE GENERALLY NOT
            APPLICABLE FOR MOS.

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 18.   MAX_UNI_ELIG_CODE_MOST_RECENT

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: MEDICAID ANALYTIC EXTRACT (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE - MOST RECENT OBSERVATION.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY

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 19.   MAX_UNI_ELIG_CODE_MO_OF_SVC

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - FOR MONTH OF SERVICE

            DESCRIPTION: MEDICAID ANALYTIC EXTRACT (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE - FOR THE MONTH OF SERVICE.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY

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 20.   MISSING_ELIG_DATA

            Type:   CHAR
            Length: 1
            Label:  MISSING ELIGIBILITY DATA

            DESCRIPTION: CODE INDICATING PERSON FOR WHOM NO MONTHS OF ENROLLMENT
            IN MEDICAID WERE FOUND.

            Values: 
               CODES: 
BLANK = MEDICAID ENROLLMENT MONTHS WERE FOUND. 
1 = NEITHER MEDICAID ENROLLMENT MONTHS NOR S-CHIP (CHIP CODE = 3) ENROLLMENT MONTHS WERE FOUND. 
2 = S-CHIP ENROLLMENT MONTHS (CHIP CODE = 3) WERE FOUND, BUT NO MEDICAID ENROLLMENT MONTHS WERE FOUND.

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 21.   CROSSOVER_CODE_ANNUAL_NEW_VALUES

            Type:   CHAR
            Length: 2
            Label:  MEDICARE DUAL CODE - ANNUAL

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE IS COVERED BY
            MEDICARE (KNOWN AS DUAL OR MEDICARE ELIGIBILITY), ACCORDING
            TO MEDICAID (MSIS), MEDICARE (EDB) OR BOTH IN THE CALENDAR
            YEAR.

            Values: 
               CODES: 
00 = IN MSIS, ELIGIBLE IS NOT A MEDICARE BENEFICIARY 
01 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB ONLY 
02 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB AND FULL MEDICAID COVERAGE 
03 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB ONLY 
04 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB AND FULL MEDICAID COVERAGE 
05 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QDWI 
06 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (1) 
07 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (2) 
08 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-OTHER DUAL ELIGIBLES 
09 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-DUAL ELIGIBILITY CATEGORY UNKNOWN 
10 = IN MSIS, S-CHIP ELIGIBLE IS ENTITLED TO MEDICARE 
50 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODES 01-09 
DO NOT APPLY 
51 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 01 APPLIES 
52 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 02 APPLIES 
53 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 03 APPLIES 
54 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 04 APPLIES 
55 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 05 APPLIES 
56 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 06 APPLIES 
57 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 07 APPLIES 
58 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 08 APPLIES 
59 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 09 APPLIES 
60 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE S-CHIP ELIGIBLE AND CODE 10 APPLIES 
99 = IN MSIS, ELIGIBLE'S MEDICARE STATUS IS UNKNOWN

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 22.   MSIS_TYPE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  MSIS TYPE OF SERVICE CODE

            DESCRIPTION: CODE INDICATING THE MEDICAID STATISTICAL INFORMATION
            SYSTEM (MSIS) TYPE OF SERVICE. EXPECTED MSIS TYPES OF SERVICE
            FOR THIS FILE ARE: 16 = PRESCRIBED DRUGS 19 = OTHER SERVICES
            COMPLETE MS.

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 23.   MSIS_TYPE_OF_PROGRAM

            Type:   NUM
            Length: 1
            Label:  MSIS TYPE OF PROGRAM CODE

            DESCRIPTION: CODE INDICATING THE SPECIAL MEDICAID PROGRAM UNDER
            WHICH THE SERVICE WAS PROVIDED.

            Values: 
               CODES: 
0 = NO SPECIAL PROGRAM 
1 = EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) 
2 = FAMILY PLANNING 
3 = RURAL HEALTH CLINIC 
4 = FEDERALLY QUALIFIED HEALTH CENTERS (FQHCs) 
5 = INDIAN HEALTH SERVICES 
6 = HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER 
7 = HOME AND COMMUNITY-BASED CARE WAIVER SERVICES 
9 = UNKNOWN

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 24.   SMRF_TYPE_OF_SERVICE

            Type:   NUM
            Length: 2
            Label:  MAX TYPE OF SERVICE CODE

            DESCRIPTION: CODE INDICATING THE MEDICAID ANALYTIC EXTRACT (MAX)
            TYPE OF SERVICE FOR THIS RECORD. EXPECTED MAX TYPES OF SERVICE
            FOR THIS FILE ARE: 16 = DRUGS 51 = DURABLE MEDICAL EQUIPMENT
            AND SUPPLIE.

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 25.   BILLING_PROVIDER_IDENTIF_NUMBER

            Type:   CHAR
            Length: 12
            Label:  BILLING PROVIDER IDENTIFICATION NUMBER

            DESCRIPTION: STATE ASSIGNED UNIQUE IDENTIFICATION NUMBER FOR
            THE BILLING PROVIDER.

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 26.   NPI

            Type:   CHAR
            Length: 12
            Label:  NATIONAL PROVIDER IDENTIFIER

            DESCRIPTION: NATIONAL PROVIDER IDENTIFIER OF THE BILLING PROVIDER.

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 27.   PROVIDER_TAXONOMY

            Type:   CHAR
            Length: 12
            Label:  PROVIDER TAXONOMY

            DESCRIPTION: A NATIONAL HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY
            ACT (HIPAA)-COMPLIANT CODE THAT DESCRIBES THE SPECIALTY OF THE
            BILLING PROVIDER.

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 28.   TYPE_OF_CLAIM

            Type:   CHAR
            Length: 1
            Label:  TYPE OF CLAIM CODE

            DESCRIPTION: CODE INDICATING THE TYPE OF CLAIM.

            Values: 
               CODES: 
1 = A CURRENT FEE-FOR-SERVICE CLAIM FOR MEDICAL SERVICES. 
2 = CAPITATED PAYMENT. 
3 = ENCOUNTER (A.K.A. 'DUMMY') RECORD THAT SIMULATES A BILL FOR A SERVICE RENDERED TO A PATIENT 
COVERED UNDER SOME FORM OF CAPITATION PLAN. 
4 = A 'SERVICE TRACKING CLAIM' THAT DOCUMENTS SERVICES RECEIVED BY AN INDIVIDUAL PATIENT, WHEN 
THE STATE ACCEPTS A LUMP SUM BILL FROM A PROVIDER THAT COVERED SIMILAR SERVICES DELIVERED TO MORE 
THAN ONE PATIENT, SUCH AS GROUP SCREENING FOR EARLY PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT). 
5 = SUPPLEMENTAL PAYMENT (ABOVE CAPITATION FEE OR ABOVE NEGOTIATED RATE) (E.G. FEDERALLY QUALIFIED 
HEALTH CENTER (FQHC) ADDITIONAL REIMBURSEMENT). 
9 = UNKNOWN. 
A = S-CHIP CLAIM: A CURRENT FEE-FOR-SERVICE CLAIM FOR MEDICAL SERVICES. 
B = S-CHIP CLAIM: CAPITATED PAYMENT. 
C = S-CHIP CLAIM: ENCOUNTER (A.K.A. 'DUMMY') RECORD THAT SIMULATES A BILL FOR A SERVICE RENDERED 
TO A PATIENT COVERED UNDER SOME FORM OF CAPITATION PLAN. 
D = S-CHIP CLAIM: A 'SERVICE TRACKING CLAIM' THAT DOCUMENTS SERVICES RECEIVED BY AN INDIVIDUAL 
PATIENT, WHEN THE STATE ACCEPTS A LUMP SUM BILL FROM A PROVIDER THAT COVERED SIMILAR SERVICES DELIVERED 
TO MORE THAN ONE PATIENT, SUCH AS GROUP SCREENING FOR EPSDT. 
E = S-CHIP CLAIM: SUPPLEMENTAL PAYMENT (ABOVE CAPITATION FEE OR ABOVE NEGOTIATED RATE) (E.G. FQHC ADDITIONAL 
REIMBURSEMENT). 
USER NOTE: VOIDED CLAIMS ARE NOT RETAINED IN MAX AS $0 PAID CLAIMS.

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 30.   MANAGED_CARE_TYPE_OF_PLAN_CODE

            Type:   NUM
            Length: 2
            Label:  MANAGED CARE TYPE OF PLAN CODE

            DESCRIPTION: CODE INDICATING THE TYPE OF MANAGED CARE PLAN,
            IF ANY, UNDER WHICH THE NON-FEE-FOR-SERVICE ENCOUNTER WAS PROVIDED.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH. 
01 = ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO). 
02 = ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH. 
03 = ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH. 
04 = ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH. 
05 = ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH. 
06 = ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) THIS MONTH. 
07 = ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT MANAGED CARE PLAN THIS MONTH. 
08 = ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH. 
77 = THIS RECORD IS AN ENCOUNTER RECORD, BUT THERE WAS NO MATCH BETWEEN THE 'MANAGED CARE PLAN 
IDENTIFICATION NUMBER' AND THE PLAN IDENTIFIERS IN THE ELIGIBILTY RECORD FOR THIS PERSON. 
88 = NOT APPLICABLE, THIS RECORD IS NOT AN ENCOUNTER RECORD OR THIS RECORD’S PLAN ID IS 8-FILLED. 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN. 
USER NOTE: THIS DATA ELEMENT IS 8-FILLED FOR NON-ENCOUNTER RECORDS. 
IN MAX 1999-2008, THIS DATA ELEMENT WAS 6, 7, 8 OR 9-FILLED FOR ALL RECORDS. 
IN MAX 2010, VALUE 66 WAS DELETED. 
IN  MAX  2010,  WE  REVISED  THE  ALGORITHM  TO  LOOK  FOR  THE  CLAIM’S  PLAN  ID  IN  ALL  FOUR  PLANS  IN  ALL 12 MONTHS OF ELIGIBILITY 
RATHER THAN LOOK ONLY IN THE SERVICE END MONTH.

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 31.   MANAGED_CARE_PLAN_IDENTIF_CODE

            Type:   CHAR
            Length: 12
            Label:  MANAGED CARE PLAN IDENTIFICATION NUMBER

            DESCRIPTION: A UNIQUE IDENTIFIER WHICH REPRESENTS THE HEALTH
            PLAN UNDER WHICH THE NON-FEE-FOR-SERVICE ENCOUNTER WAS PROVIDED.
            USER NOTE: THIS DATA ELEMENT IS 8-FILLED FOR NON-ENCOUNTER RECORDS.

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 32.   MEDICAID_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  MEDICAID PAYMENT AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF MONEY PAID BY MEDICAID FOR THIS
            SERVICE. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL
            - ZD8) USER NOTES: THIS PAYMENT AMOUNT IS = $0 FOR ENCOUNTER
            RECORDS. IN MSIS,.

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 33.   THIRD_PARTY_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  THIRD PARTY PAYMENT AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF MONEY PAID BY A THIRD PARTY (I.E.
            ALL SOURCES OTHER THAN MEDICAID, MEDICARE AND THE ELIGIBLE'S
            PERSONAL FUNDS) FOR THIS SERVICE. (DISPLAY SIGNED NUMERIC)
            (SAS USERS: ZONED.

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 34.   PAYMENT_ADJUDICATION_DATE

            Type:   NUM
            Length: 8
            Label:  PAYMENT DATE

            DESCRIPTION: DATE ON WHICH THE CLAIM OR ENCOUNTER RECORD WAS
            ADJUDICATED BY THE STATE. EDIT-RULES: YYYYMMDD USER NOTE: FOR
            FEE-FOR-SERVICE CLAIMS THIS IS THE DATE THE CLAIM WAS ADJUDICATED
            FOR PAYMENT.

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 35.   CHARGE_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  CHARGE AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF CHARGES SUBMITTED BY THE PROVIDER
            FOR THIS SERVICE. (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED
            DECIMAL - ZD8) USER NOTE: THIS PAYMENT AMOUNT IS = $0 FOR ENCOUNTER
            RECORDS.

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 36.   PREPAID_PLAN_VALUE

            Type:   NUM*
            Length: 8
            Label:  PREPAID PLAN SERVICE VALUE

            DESCRIPTION: DOLLAR VALUE PLACED ON THE SERVICE BY THE PROVIDER.
            (DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD8) USER
            NOTES: THIS PAYMENT AMOUNT IS > $0 ONLY FOR ENCOUNTER RECORDS.
            WHILE THI.

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 39.   PRESCRIBING_PHYSICIAN_ID_NUMBER

            Type:   CHAR
            Length: 12
            Label:  PRESCRIBING PHYSICIAN IDENTIFICATION NUMBER

            DESCRIPTION: THE UNIQUE IDENTIFICATION NUMBER ASSIGNED TO A
            PROVIDER, BY THE STATE, WHICH IDENTIFIES THE PHYSICIAN OR OTHER
            PROVIDER PRESCRIBING THE DRUG, DEVICE OR SUPPLY. USER NOTE:
            FOR PHYSICIANS,.

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 40.   PRESCRIBED_DATE

            Type:   NUM
            Length: 8
            Label:  PRESCRIBED DATE

            DESCRIPTION: DATE THE DRUG, DEVICE OR SUPPLY WAS PRESCRIBED
            BY THE PHSYCIAN OR OTHER PRACTITIONER. EDIT RULES: YYYYMMDD
            USER  NOTE:  THIS  DATA  ELEMENT  SHOULD  NOT  BE  CONFUSED
            WITH  THE  PRESCRIP.

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 41.   PRESCRIPTION_FILL_DATE

            Type:   NUM
            Length: 8
            Label:  PRESCRIPTION FILLED DATE

            DESCRIPTION: DATE THE PRESCRIPTION WAS FILLED BY THE PHARMACY
            OR OTHER PROVIDER. EDIT-RULES: YYYYMMDD USER NOTES: THIS DATA
            ELEMENT SHOULD NOT BE CONFUSED WITH THE PRESCRIBED DATE.

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 42.   NEW_OR_REFILL_INDICATOR

            Type:   NUM
            Length: 2
            Label:  NEW OR REFILL INDICATOR

            DESCRIPTION: INDICATOR  SHOWING  WHETHER  THE  PRESCRIPTION
            BEING  FILLED  WAS  A  NEW  PRESCRIPTION  OR  A  REFILL.
            IF IT WAS A REFILL, THE INDICATOR WILL IDENTIFY HOW MANY TIMES
            IT WAS REFILLED.

            Values: 
               CODES: 
00 = NEW PRESCRIPTION 
01-98 = NUMBER OF THE REFILL 
99 = UNKNOWN

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 43.   NATIONAL_DRUG_CODE

            Type:   CHAR
            Length: 12
            Label:  NATIONAL DRUG CODE (NDC)

            DESCRIPTION: NATIONAL DRUG CODE (NDC) FOR THIS SERVICE. USER
            NOTE:  THE  11-CHARACTER  NDC  CODE  SHOULD  BE  LEFT  JUSTIFIED
            AND  BLANK-FILLED  TO  THE RIGHT. HOWEVER, USERS SHOULD CHECK
            THE  12-C.

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 44.   QUANTITY_OF_SERVICE

            Type:   NUM
            Length: 5
            Label:  QUANTITY OF SERVICE

            DESCRIPTION: THE NUMBER OF UNITS OF SERVICE RECEIVED BY THE
            ELIGIBLE. FOR MAX 1999 AND BEYOND, THIS FIELD IS ONLY APPLICABLE
            WHEN THE SERVICE BEING BILLED CAN BE QUANTIFIED IN DISCRETE
            UNITS, E.G., A.

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 45.   DAYS_SUPPLY

            Type:   NUM
            Length: 3
            Label:  DAYS SUPPLY

            DESCRIPTION: THE NUMBER OF DAYS SUPPLY DISPENSED.

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 46.   NDC_FORMAT

            Type:   CHAR
            Length: 1
            Label:  NATIONAL DRUG CODE FORMAT INDICATOR

            DESCRIPTION: THIS DATA ELEMENT IS USED TO IDENTIFY THE ORIGINAL
            10- OR 11- CHARACTER FORMAT OF THE NATIONAL DRUG CODE (NDC)
            AND THE TYPE  OF  CODE,  SUCH  AS  NDC,  UNIVERSAL  PRODUCT
            CODE  (UPC)  OR.

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 47.   DRUG_CLASS

            Type:   CHAR
            Length: 1
            Label:  DRUG CLASS

            DESCRIPTION: CLASSIFIES THE DRUG ACCORDING TO AVAILABILITY TO
            THE PATIENT.

            Values: 
               CODES: 
BLANK = UNSPECIFIED 
O = OVER THE COUNTER (THIS VALUE IS AN ALHPA LETTER 'O') 
F = PRESCRIPTION REQUIRED (THIS VALUE IS AN ALPHA LETTER 'F')

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 48.   MULTI_SOURCE_CODE

            Type:   CHAR
            Length: 1
            Label:  MULTI-SOURCE CODE

            DESCRIPTION: IDENTIFIES WHETHER THIS DRUG IS PROPRIETARY OR
            AVAILABLE AS A GENERIC BRAND.

            Values: 
               CODES: 
N = SINGLE SOURCE, NO GENERICS AVAILABLE 
M = CONSIDERED SINGLE SOURCE, CO-LICENSED 
O = ORIGINAL PRODUCT, GENERICS AVAILABLE (INNOVATIVE MULTIPLE SOURCE) 
Y = CONSIDERED GENERICS, MULTIPLE SOURCES (NON-INNOVATIVE MULTIPLE SOURCE)

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 49.   HICL

            Type:   CHAR
            Length: 6
            Label:  INGREDIENT LIST IDENTIFIER

            DESCRIPTION: INGREDIENT  LIST  IDENTIFIER  (FORMERLY  HIERARCHICAL
            INGREDIENT  CODE  LIST  SEQUENCE  NUMBER)  IDENTIFIES  A COMBINATION
            OF ACTIVE INGREDIENTS IRRESPECTIVE OF MANUFACTURER. CONCEPT
            DEV.

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 50.   THERAPEUTIC_CLASS_SPECIFIC

            Type:   CHAR
            Length: 3
            Label:  HIERARCHICAL SPECIFIC THERAPEUTIC CLASS CODE

            DESCRIPTION: A THREE-CHARACTER ELEMENT, THAT, DEPENDING ON ITS
            CONTEXT, IDENTIFIES THE SPECIFIC THERAPEUTIC CLASS OF AN INGREDIENT
            (HIC_SEQN),  A  CLINICAL  FORMULATION  ID  (GCN_SEQNO),  OR
            EACH  IN.

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 51.   THERAPEUTIC_CLASS_GENERIC

            Type:   CHAR
            Length: 2
            Label:  THERAPEUTIC CLASS CODE, GENERIC

            DESCRIPTION: GENERIC THERAPEUTIC CLASS CODE. USER NOTE: THIS
            IS FIRST DATA BANK NATIONAL DRUG DATA FILE (FDB NDDF) DATA
            ELEMENT 'GTC'.

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 52.   AMERICAN_HOSPITAL_FORMULARY_CODE

            Type:   CHAR
            Length: 6
            Label:  CLINICAL FORMULATION ID

            DESCRIPTION: CLINICAL  FORMULATION  ID  REPRESENTS  THE  CLINICAL
            FORMULATION,  WHICH  IS  THE  COMBINATION  OF  ACTIVE  INGREDIENTS,
            DOSAGE FORM AND STRENGTH. [P. 1597]. A GCN_SEQNO CAN BE LINKED
            TO.

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 54.   MEDISPAN_CODE

            Type:   GROUP
            Length: 107
            Label:  FIRST DATA BANK/MEDISPAN GROUP (PROPRIETARY - ACCESS LIMITED TO LICENSE HOLDERS)

            DESCRIPTION: PROPRIETARY - ACCESS LIMITED TO LICENSE HOLDERS.
            DRUG (RX) RECORD.

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 55.   OVER_THE_COUNTER_INDICATOR

            Type:   CHAR
            Length: 1
            Label:  OVER-THE-COUNTER INDICATOR CODE

            DESCRIPTION: INDICATES WHETHER THE DRUG IS AN OVER-THE-COUNTER
            OR A PRESCRIBED DRUG.

            Values: 
               CODES: 
O = OVER-THE-COUNTER (SINGLE SOURCE) 
P = OVER-THE-COUNTER (MULTIPLE SOURCE) 
R = PRESCRIPTION DRUG (SINGLE SOURCE) 
S = PRESCRIPTION DRUG (MULTIPLE SOURCE)

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 4.   MSIS_IDENTIFICATION_NUMBER

            Type:   CHAR
            Length: 20
            Label:  (Encrypted) MSIS IDENTIFICATION NUMBER

            Encrypted.

            Values: 
               Encrypted

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 5.   STATE

            Type:   CHAR
            Length: 2
            Label:  STATE ABBREVIATION CODE

            DESCRIPTION: U. S. POSTAL SERVICE 2-CHARACTER ABBREVIATION FOR
            THE STATE MEDICAID AGENCY SUBMITTING THE DATA. PS DED Page 6
            CODES: AL = ALABAMA AK = ALASKA AZ = ARIZONA AR = ARKANSAS
            CA = CALIFORNIA C.

            Values: 
               CODES: 
AL = ALABAMA 
AK = ALASKA 
AZ = ARIZONA 
AR = ARKANSAS 
CA = CALIFORNIA 
CO = COLORADO 
CT = CONNECTICUT 
DE = DELAWARE 
DC = DISTRICT OF COLUMBIA 
FL = FLORIDA 
GA = GEORGIA 
GU = GUAM/AMERICAN SAMOA 
HI = HAWAII 
ID = IDAHO 
IL = ILLINOIS 
IN = INDIANA 
IA = IOWA 
KS = KANSAS 
KY = KENTUCKY 
LA = LOUISIANA 
ME = MAINE 
MD = MARYLAND 
MA = MASSACHUSETTS 
MI = MICHIGAN 
MN = MINNESOTA 
MS = MISSISSIPPI 
MO = MISSOURI 
MT = MONTANA 
NE = NEBRASKA 
NV = NEVADA 
NH = NEW HAMPSHIRE 
NJ = NEW JERSEY 
NM = NEW MEXICO 
NY = NEW YORK 
NC = NORTH CAROLINA 
ND = NORTH DAKOTA 
OH = OHIO 
OK = OKLAHOMA 
OR = OREGON 
PA = PENNSYLVANIA 
PR = PUERTO RICO 
RI = RHODE ISLAND 
SC = SOUTH CAROLINA 
SD = SOUTH DAKOTA 
TN = TENNESSEE 
TX = TEXAS 
UT = UTAH 
VT = VERMONT 
VI = VIRGIN ISLANDS 
VA = VIRGINIA 
WA = WASHINGTON 
WV = WEST VIRGINIA 
WI = WISCONSIN 
WY = WYOMING

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 6.   YEAR

            Type:   NUM
            Length: 4
            Label:  MAX YEAR DATE

            DESCRIPTION: CALENDAR YEAR COVERED BY THE MAX PERSON SUMMARY
            FILE. EDIT-RULES: YYYY USER NOTE: THIS DATA ELEMENT WAS CHANGED
            TO 4 CHARACTERS IN 1996. SOURCE: MSIS ELIGIBILITY FILES.

            Values: 
               PS DED Page 9 PER

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 13.   DATE_OF_BIRTH

            Type:   NUM
            Length: 8
            Label:  BIRTH DATE

            DESCRIPTION: BIRTH DATE OF THE MEDICAID ELIGIBLE. EDIT-RULES:
            YYYYMMDD USER NOTE: WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY
            INFORMATION, THIS DATA ELEMENT IS 0-FILLED. SOURCE: MSIS ELIGIBILITY
            FILES:.

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 14.   AGE_GROUP

            Type:   NUM
            Length: 1
            Label:  AGE GROUP CODE

            DESCRIPTION: CODE INDICATING AGE GROUP OF THE MEDICAID ELIGIBLE.
            PS DED Page 18 CODES: 0 = UNDER 1 YEAR 1 = AGES 1 TO 5 YEARS
            2 = AGES 6 TO 14 YEARS 3 = AGES 15 TO 20 YEARS 4 = AGES 21
            TO 44 YEARS 5 =.

            Values: 
               CODES: 
0 = UNDER 1 YEAR 
1 = AGES 1 TO 5 YEARS 
2 = AGES 6 TO 14 YEARS 
3 = AGES 15 TO 20 YEARS 
4 = AGES 21 TO 44 YEARS 
5 = AGES 45 TO 64 YEARS 
6 = AGES 65 TO 74 YEARS 
7 = AGES 75 TO 84 YEARS 
8 = AGES 85 AND OVER 
9 = UNKNOWN/ERROR

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 15.   SEX

            Type:   CHAR
            Length: 1
            Label:  SEX CODE

            DESCRIPTION: CODE INDICATING GENDER OF THE MEDICAID ELIGIBLE.
            CODES: F = FEMALE M = MALE U = UNKNOWN/ERROR USER NOTE: THESE
            CODES ARE 1 (FEMALE), 2 (MALE) AND 9 (UNKNOWN) IN THE 1996-98
            MSIS DATA. USE.

            Values: 
               CODES: 
F = FEMALE 
M = MALE 
U = UNKNOWN/ERROR 
USER NOTE: THESE CODES ARE 1 (FEMALE), 2 (MALE) AND 9 (UNKNOWN) IN THE 1996-98 MSIS DATA.

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 16.   RACE_ETHNICITY_FROM_MEDICAID

            Type:   CHAR
            Length: 1
            Label:  RACE/ETHNICITY CODE

            DESCRIPTION: CODE INDICATING RACE/ETHNICITY OF THE MEDICAID
            ELIGIBLE. CODES: 1 = WHITE (WAS "WHITE, NOT OF HISPANIC ORIGIN"
            THROUGH 9/98) 2 = BLACK OR AFRICAN AMERICAN (WAS "BLACK, NOT
            OF HISPANIC ORI.

            Values: 
               CODES: 
1 = WHITE, NOT OF HISPANIC ORIGIN (CHANGED TO "WHITE" BEGINNING 10/98) 
2 = BLACK, NOT OF HISPANIC ORIGIN (CHANGED TO "BLACK OR AFRICAN AMERICAN" BEGINNING 10/98) 
3 = AMERICAN INDIAN OR ALASKA NATIVE 
4 = ASIAN OR PACIFIC ISLANDER (CHANGED TO "ASIAN" BEGINNING 10/98) 
5 = HISPANIC (CHANGED TO "HISPANIC OR LATINO - NO RACE INFORMATION AVAILABLE" BEGINNING 10/98) 
6 = NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (NEW CODE BEGINNING 10/98) 
7 = HISPANIC OR LATINO AND ONE OR MORE RACES (NEW CODE BEGINNING 10/98) 
8 = MORE THAN ONE RACE (HISPANIC OR LATINO NOT INDICATED) (NEW CODE BEGINNING 10/98) 
9 = UNKNOWN 
USER  NOTE:  SINCE  SPECIFICATIONS  FOR  CODE  VALUES  =  7  AND  8  WERE  NOT  ISSUED  UNTIL  MAY 2000, THESE CODE VALUES MAY NOT 
APPEAR.  THE  METHODS  OF  COLLECTING  INFORMATION  ON  RACE  AND  ETHNICITY  DIFFER  SUBSTANTIALLY  ACROSS  STATES AND TIME 
PERIODS.

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 17.   RACE_ETHNICITY_WHITE

            Type:   CHAR
            Length: 1
            Label:  RACE - WHITE

            DESCRIPTION: A CODE INDICATING IF THE ELIGIBLE HAS INDICATED
            A RACE OF WHITE. CODES: 0 = NON-WHITE OR RACE UNKNOWN 1 = WHITE
            9 = NO ELIGIBILITY INFORMATION (PERSON WITH MEDICAID CLAIMS
            ONLY) SOURCE: M.

            Values: 
               CODES: 
0 = NON-WHITE OR RACE UNKNOWN 
1 = WHITE

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 18.   RACE_ETHNICITY_BLACK

            Type:   CHAR
            Length: 1
            Label:  RACE - BLACK/AFRICAN AMERICAN

            DESCRIPTION: A CODE INDICATING IF THE ELIGIBLE HAS INDICATED
            A RACE OF BLACK OR AFRICAN AMERICAN. CODES: 0 = NON-BLACK/AFRICAN
            AMERICAN OR RACE UNKNOWN 1 = BLACK OR AFRICAN AMERICAN 9 = NO
            ELIGIBILITY.

            Values: 
               CODES: 
0 = NON-BLACK/AFRICAN AMERICAN OR RACE UNKNOWN 
1 = BLACK OR AFRICAN AMERICAN

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 19.   RACE_ETHNICITY_NATIVE

            Type:   CHAR
            Length: 1
            Label:  RACE - AMERICAN INDIAN/ALASKAN NATIVE

            DESCRIPTION: A CODE INDICATING IF THE ELIGIBLE HAS INDICATED
            A RACE OF AMERICAN INDIAN/ALASKA NATIVE. CODES: 0 = NON-AMERICAN
            INDIAN/ALASKA NATIVE OR RACE UNKNOWN 1 = AMERICAN INDIAN/ALASKA
            NATIVE 9 =.

            Values: 
               CODES: 
0 = NON-AMERICAN INDIAN/ALASKA NATIVE OR RACE UNKNOWN 
1 = AMERICAN INDIAN/ALASKA NATIVE

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 20.   RACE_ETHNICITY_ASIAN

            Type:   CHAR
            Length: 1
            Label:  RACE - ASIAN

            DESCRIPTION: A CODE INDICATING IF THE ELIGIBLE HAS INDICATED
            A RACE OF ASIAN. CODES: 0 = NON-ASIAN OR RACE UNKNOWN 1 = ASIAN
            9 = NO ELIGIBILITY INFORMATION (PERSON WITH MEDICAID CLAIMS
            ONLY) SOURCE: M.

            Values: 
               CODES: 
0 = NON-ASIAN OR RACE UNKNOWN 
1 = ASIAN

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 21.   RACE_ETHNICITY_HAWAI

            Type:   CHAR
            Length: 1
            Label:  RACE - NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

            DESCRIPTION: A CODE INDICATING IF THE ELIGIBLE HAS INDICATED
            A RACE OF NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER. CODES: 0
            = NON-NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER OR RACE UNKNOWN
            1 = NATIVE HAWAIIAN.

            Values: 
               CODES: 
0 = NON-NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER OR RACE UNKNOWN 
1 = NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER

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 22.   RACE_ETHNICITY_LATIN

            Type:   CHAR
            Length: 1
            Label:  ETHNICITY - HISPANIC OR LATINO

            DESCRIPTION: A CODE INDICATING IF THE ELIGIBLE HAS INDICATED
            AN ETHNICITY OF HISPANIC OR LATINO. CODES: 0 = NON-HISPANIC
            OR LATINO 1 = HISPANIC OR LATINO 9 = ETHNICITY UNKNOWN USER
            NOTE: WHEN SOMEONE.

            Values: 
               CODES: 
0 = NON-HISPANIC OR LATINO 
1 = HISPANIC OR LATINO 
9 = ETHNICITY UNKNOWN

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 23.   RACE_ETHNICITY_FROM_EDB

            Type:   CHAR
            Length: 1
            Label:  MEDICARE RACE/ETHNICITY CODE

            DESCRIPTION: RACE/ETHNICITY OF THE MEDICARE ELIGIBLE. PS DED
            Page 27 CODES: 0 = UNKNOWN 1 = WHITE 2 = BLACK 3 = OTHER 4
            = ASIAN 5 = HISPANIC 6 = NORTH AMERICAN NATIVE USER NOTE: WHEN
            SOMEONE HAS CLAIM.

            Values: 
               CODES: 
0 = UNKNOWN 
1 = WHITE 
2 = BLACK 
3 = OTHER 
4 = ASIAN 
5 = HISPANIC 
6 = NORTH AMERICAN NATIVE

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 24.   MEDICARE_LANGUAGE_CODE_FROM_EDB

            Type:   CHAR
            Length: 1
            Label:  MEDICARE LANGUAGE CODE

            DESCRIPTION: CODE INDICATING THE LANGUAGE SSA USES FOR BENEFICIARY
            NOTICES. PS DED Page 28 CODES: C = CHINESE D = GERMAN E = ENGLISH
            F = FRENCH G = GREEK I = ITALIAN J = JAPANESE N = NORWEGIAN
            P = POL.

            Values: 
               CODES: 
C = CHINESE 
D = GERMAN 
E = ENGLISH 
F = FRENCH 
G = GREEK 
I = ITALIAN 
J = JAPANESE 
N = NORWEGIAN 
P = POLISH 
R = RUSSIAN 
S = SPANISH 
V = SWEDISH 
W = SERBO-CROATIAN 
BLANK = UNKNOWN, PRESUME ENGLISH

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 25.   SEX_RACE

            Type:   NUM
            Length: 1
            Label:  SEX-RACE CODE

            DESCRIPTION: CODE INDICATING THE GENDER AND RACE OF THE MEDICAID
            ELIGIBLE. PS DED Page 29 CODES: 1 = WHITE, MALE 2 = WHITE, FEMALE
            3 = NON-WHITE, MALE 4 = NON-WHITE, FEMALE 5 = RACE UNKNOWN,
            MALE 6 =.

            Values: 
               CODES: 
1 = WHITE, MALE 
2 = WHITE, FEMALE 
3 = NON-WHITE, MALE 
4 = NON-WHITE, FEMALE 
5 = RACE UNKNOWN, MALE 
6 = RACE UNKNOWN, FEMALE 
7 = SEX UNKNOWN, WHITE 
8 = SEX UNKNOWN, NON-WHITE 
9 = SEX AND RACE UNKNOWN

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 26.   DATE_OF_DEATH_FROM_MEDICAID

            Type:   NUM
            Length: 8
            Label:  MEDICAID DEATH DATE

            DESCRIPTION: DEATH DATE OF THE MEDICAID ELIGIBLE. EDIT-RULES:
            YYYYMMDD USER  NOTE:  THIS  DATA  ELEMENT  SHOULD  BE  USED
            WITH  CAUTION  SINCE  THERE  MAY  BE  UNDERREPORTING  OF
            DEATHS  IN THE MSIS.

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 27.   DATE_OF_DEATH_FROM_MEDICARE_EDB

            Type:   NUM
            Length: 8
            Label:  MEDICARE DEATH DATE

            DESCRIPTION: DEATH DATE OF THE MEDICARE BENEFICIARY. EDIT-RULES:
            YYYYMMDD USER NOTE: THIS DATE OF DEATH HAS BEEN ADDED TO THE
            MAX FILE BECAUSE THE MEDICAID DEATH DATE MAY BE UNDERREPORTED
            OR UNRELIABL.

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 28.   DAY_OF_DEATH_VERIFIED_FROM_EDB

            Type:   CHAR
            Length: 1
            Label:  MEDICARE DEATH DAY SWITCH

            DESCRIPTION: INDICATES WHETHER THE MEDICARE BENEFICIARY'S EXACT
            DAY OF DEATH HAS BEEN VERIFIED. CODES: N = DAY OF DEATH WAS
            NOT VERIFIED Y = DAY OF DEATH WAS VERIFIED BLANK = UNKNOWN
            USER NOTE: THIS D.

            Values: 
               CODES: 
N = DAY OF DEATH WAS NOT VERIFIED 
Y = DAY OF DEATH WAS VERIFIED 
BLANK = UNKNOWN

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 29.   DAY_OF_DEATH_FROM_SSA

            Type:   NUM
            Length: 8
            Label:  DATE OF DEATH (FROM SSA DEATH MASTER FILE)

            DESCRIPTION: DATE OF DEATH IN SSA DEATH MASTER FILE. EDIT-RULES:
            YYYYMMDD USER NOTE: THIS DATE OF DEATH HAS BEEN ADDED TO THE
            MAX FILE BECAUSE THE MEDICAID DEATH DATE MAY BE UNDERREPORTED
            OR UNRELIABL.

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 30.   COUNTY_OF_RESIDENCE

            Type:   CHAR
            Length: 3
            Label:  RESIDENCE COUNTY CODE

            DESCRIPTION: FEDERAL INFORMATION PROCESSING STANDARD (FIPS)
            CODE INDICATING THE ELIGIBLE'S COUNTY OF RESIDENCE. CODES:
            FIPS NUMERIC COUNTY CODES, OR 000 = ELIGIBLE RESIDES OUT OF
            STATE 999 = UNKNOWN/E.

            Values: 
               CODES: 
FIPS NUMERIC COUNTY CODES, OR 
000 = ELIGIBLE RESIDES OUT OF STATE 
999 = UNKNOWN/ERROR 
BLANK = UNKNOWN

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 31.   ZIP_CODE_OF_RESIDENCE

            Type:   NUM
            Length: 5
            Label:  RESIDENCE ZIP CODE

            DESCRIPTION: UNITED STATES POSTAL ZIP CODE OF THE MEDICAID ELIGIBLE'S
            RESIDENCE. USER  NOTE:  MSIS  VALIDATION  ACTIVITIES  WILL
            ACCEPT  0-FILLED  RECORDS,  SO  FOR  MAX,  IF  THE MSIS RECORD
            IS EITH.

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 32.   STATE_SPECIFIC_ELIGIBLITY

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            UNDER WHICH THE MEDICAID ELIGIBLE IS COVERED - MOST RECENT
            OBSERVATION. USER  NOTES:  THESE  SOURCE  CODES  ARE  GENERALLY
            NOT  APPLICABLE.

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 33.   SMRF_ELIGIBILITY

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - MOST RECENT

            DESCRIPTION: STATE MEDICAID RESEARCH FILES (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE - MOST RECENT OBSERVATION PS
            DED Page 38 CODES: 00 = NOT ELIGIBLE 11 = AGED, CASH 12 = BLIND/DISABLE.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY

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 34.   MISSING_ELIGIBILITY_DATA

            Type:   CHAR
            Length: 1
            Label:  MISSING MEDICAID ELIGIBILITY DATA SWITCH

            DESCRIPTION: INDICATES PERSON FOR WHOM NO MONTHS OF ENROLLMENT
            IN MEDICAID WERE FOUND. CODES: BLANK = MEDICAID ENROLLMENT MONTHS
            WERE FOUND. 1 = NEITHER MEDICAID ENROLLMENT MONTHS NOR S-CHIP
            (CHIP COD.

            Values: 
               CODES: 
BLANK = MEDICAID ENROLLMENT MONTHS WERE FOUND. 
1 = NEITHER MEDICAID ENROLLMENT MONTHS NOR S-CHIP (CHIP CODE = 3) ENROLLMENT MONTHS WERE FOUND. 
2 = S-CHIP ENROLLMENT MONTHS (CHIP CODE = 3) WERE FOUND, BUT NO MEDICAID ENROLLMENT MONTHS WERE FOUND.

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 35.   ELIGIBLE_MONTHS

            Type:   NUM
            Length: 2
            Label:  MONTHS OF ELIGIBILITY

            DESCRIPTION: TOTAL NUMBER OF MONTHS THE INDIVIDUAL WAS ELIGIBLE
            FOR MEDICAID DURING THE CALENDAR YEAR. USER NOTE: THIS IS A
            NUMBER FROM 0 TO 12. IT IS GIVEN VALUE > 0 BASED ON THE NUMBER
            OF MONTHS WIT.

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 36.   PRIVATE_INSURANCE_MONTHS

            Type:   NUM
            Length: 2
            Label:  PRIVATE INSURANCE MONTHS COUNT

            DESCRIPTION: TOTAL NUMBER OF MONTHS THE MEDICAID ELIGIBLE HAD
            PRIVATE INSURANCE COVERAGE DURING THE CALENDAR YEAR. USER NOTE:
            THIS IS A NUMBER FROM 0 TO 12. IT IS GIVEN VALUE > 0 BASED ON
            THE NUMBER O.

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 37.   CROSSOVER_CODE_NEW_VALUES_ANNUAL

            Type:   CHAR
            Length: 2
            Label:  MEDICARE DUAL CODE - ANNUAL

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE IS COVERED BY
            MEDICARE (KNOWN AS DUAL OR MEDICARE ELIGIBILITY), ACCORDING
            TO MEDICAID (MSIS), MEDICARE (EDB) OR BOTH IN THE CALENDAR
            YEAR. PS DED Page 42.

            Values: 
               CODES: 
00 = IN MSIS, ELIGIBLE IS NOT A MEDICARE BENEFICIARY 
01 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB ONLY 
02 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB AND FULL MEDICAID COVERAGE 
03 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB ONLY 
04 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB AND FULL MEDICAID COVERAGE 
05 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QDWI 
06 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (1) 
07 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (2) 
08 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-OTHER DUAL ELIGIBLES 
09 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-DUAL ELIGIBILITY CATEGORY UNKNOWN 
10 = IN MSIS, S-CHIP ELIGIBLE IS ENTITLED TO MEDICARE 
50 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODES 01-09 
DO NOT APPLY 
51 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 01 APPLIES 
52 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 02 APPLIES 
53 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 03 APPLIES 
54 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 04 APPLIES 
55 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 05 APPLIES 
56 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 06 APPLIES 
57 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 07 APPLIES 
58 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 08 APPLIES 
59 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 09 APPLIES 
60 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE S-CHIP ELIGIBLE AND CODE 10 APPLIES 
99 = IN MSIS, ELIGIBLE'S MEDICARE STATUS IS UNKNOWN

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 38.   MEDICARE_BENEFICIARY_MONTHS

            Type:   NUM
            Length: 2
            Label:  MEDICARE BENEFICIARY MONTHS COUNT

            DESCRIPTION: TOTAL NUMBER OF MONTHS THE MEDICAID ELIGIBLE WAS
            A MEDICARE BENEFICIARY ACCORDING TO MEDICARE (EDB). USER NOTE:
            THIS IS A NUMBER FROM 0 TO 12. IF THE 'ELIGIBLE SOCIAL SECURITY
            NUMBER' REP.

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 39.   OREC

            Type:   NUM
            Length: 1
            Label:  MEDICARE ORIGINAL ENTITLEMENT REASON CODE

            DESCRIPTION: THE ORIGINAL REASON THE PERSON WAS ENTITLED TO
            MEDICARE BENEFITS. CODES: 0 = ENTITLED DUE TO AGE 1 = ENTITLED
            DUE TO DISABILITY 2 = ENTITLED DUE TO END STAGE RENAL DISEASE
            (ESRD) 3 = ENTI.

            Values: 
               CODES: 
0 = ENTITLED DUE TO AGE 
1 = ENTITLED DUE TO DISABILITY 
2 = ENTITLED DUE TO END STAGE RENAL DISEASE (ESRD) 
3 = ENTITLED DUE TO DISABILITY AND CURRENT ESRD 
8 = NOT APPLICABLE (NOT ENTITLED TO MEDICARE) 
9 = NO ATTEMPT WAS MADE TO MATCH THE RECORD FOR THIS PERSON TO THE MEDICARE ENROLLMENT DATA BASE (EDB), 
BECAUSE THERE WAS NO SSN REPORTED BY MEDICAID (E.G. PERSONS FOR WHOM THERE WERE MEDICAID CLAIMS BUT NO 
MEDICAID ELIGIBILITY DATA).

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 40.   CROSSOVER_MO_01

            Type:   CHAR
            Length: 2
            Label:  MEDICARE DUAL CODE - FIRST MONTH

            DESCRIPTION: CODE INDICATING THAT THE ELIGIBLE IS COVERED BY
            MEDICARE (KNOWN AS DUAL OR MEDICARE ELIGIBILITY), ACCORDING
            TO MEDICAID (MSIS), MEDICARE (EDB) OR BOTH FOR THE RESPECTIVE
            MONTH. PS DED Pag.

            Values: 
               CODES: 
00 = IN MSIS, ELIGIBLE IS NOT A MEDICARE BENEFICIARY 
01 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB ONLY 
02 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QMB AND FULL MEDICAID COVERAGE 
03 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB ONLY 
04 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-SLMB AND FULL MEDICAID COVERAGE 
05 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QDWI 
06 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (1) 
07 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-QUALIFYING INDIVIDUALS (2) 
08 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-OTHER DUAL ELIGIBLES 
09 = IN MSIS, ELIGIBLE IS ENTITLED TO MEDICARE-DUAL ELIGIBILITY CATEGORY UNKNOWN 
10 = IN MSIS, S-CHIP ELIGIBLE IS ENTITLED TO MEDICARE 
50 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODES 01-09 
DO NOT APPLY 
51 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 01 APPLIES 
52 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 02 APPLIES 
53 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 03 APPLIES 
54 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 04 APPLIES 
55 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 05 APPLIES 
56 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 06 APPLIES 
57 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 07 APPLIES 
58 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 08 APPLIES 
59 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE ELIGIBLE AND CODE 09 APPLIES 
60 = A RECORD WAS FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB) FOR THE S-CHIP ELIGIBLE AND CODE 10 APPLIES 
99 = IN MSIS, ELIGIBLE'S MEDICARE STATUS IS UNKNOWN

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 52.   STATE_SPECIFIC_ELIGIBILITY_MO_01

            Type:   CHAR
            Length: 6
            Label:  STATE-SPECIFIC ELIGIBILITY CODE - FIRST MONTH

            DESCRIPTION: STATE-SPECIFIC ELIGIBILITY CODE CLASSIFICATION
            FOR THE MEDICAID ELIGIBLE AND FOR THE RESPECTIVE MONTH. USER
            NOTES:  THESE  SOURCE  CODES  ARE  GENERALLY  NOT  USEFUL
            FOR  MOST  RESEARCH.

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 64.   SMRF_UNIFORM_ELIGIBILITY_MO_01

            Type:   CHAR
            Length: 2
            Label:  MAX UNIFORM ELIGIBILITY CODE - FIRST MONTH

            DESCRIPTION: MEDICAID ANALYTIC EXTRACT (MAX) UNIFORM ELIGIBILITY
            CODE FOR THE MEDICAID ELIGIBLE AND FOR THE RESPECTIVE MONTH.
            PS DED Page 50 CODES: 00 = NOT ELIGIBLE 11 = AGED, CASH 12
            = BLIND/DISABLE.

            Values: 
               CODES: 
00 = NOT ELIGIBLE 
11 = AGED, CASH 
12 = BLIND/DISABLED, CASH 
14 = CHILD (NOT CHILD OF UNEMPLOYED ADULT, NOT FOSTER CARE CHILD), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
15 = ADULT (NOT BASED ON UNEMPLOYMENT STATUS), ELIGIBLE UNDER SECTION 1931 OF THE ACT 
16 = CHILD OF UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
17 = UNEMPLOYED ADULT, ELIGIBLE UNDER SECTION 1931 OF THE ACT 
21 = AGED, MEDICALLY NEEDY 
22 = BLIND/DISABLED, MEDICALLY NEEDY 
24 = CHILD, MEDICALLY NEEDY (FORMERLY AFDC CHILD, MEDICALLY NEEDY) 
25 = ADULT, MEDICALLY NEEDY (FORMERLY AFDC ADULT, MEDICALLY NEEDY) 
31 = AGED, POVERTY 
32 = BLIND/DISABLED, POVERTY 
34 = CHILD, POVERTY (INCLUDES MEDICAID EXPANSION CHIP CHILDREN) 
35 = ADULT, POVERTY 
3A = INDIVIDUAL COVERED UNDER THE BREAST AND CERVICAL CANCER PREVENTION ACT OF 2000, POVERTY 
41 = OTHER AGED 
42 = OTHER BLIND/DISABLED 
44 = OTHER CHILD 
45 = OTHER ADULT 
48 = FOSTER CARE CHILD 
51 = AGED, SECTION 1115 DEMONSTRATION EXPANSION 
52 = BLIND/DISABLED, SECTION 1115 DEMONSTRATION EXPANSION 
54 = CHILD, SECTION 1115 DEMONSTRATION EXPANSION 
55 = ADULT, SECTION 1115 DEMONSTRATION EXPANSION 
99 = UNKNOWN ELIGIBILITY

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 76.   PRIVATE_HEALTH_INSURANCE_MO_01

            Type:   NUM
            Length: 1
            Label:  PRIVATE INSURANCE CODE - FIRST MONTH

            DESCRIPTION: CODE INDICATING IF THE ELIGIBLE HAD PRIVATE INSURANCE
            FOR THE RESPECTIVE MONTH. CODES: 0 = NOT ELIGIBLE FOR MEDICAID
            OR CHIP DURING MONTH 1 = ELIGIBLE DID NOT HAVE PRIVATE (INDIVIDUAL
            OR.

            Values: 
               CODES: 
0 = NOT ELIGIBLE FOR MEDICAID OR CHIP DURING MONTH 
1 = ELIGIBLE DID NOT HAVE PRIVATE (INDIVIDUAL OR EMPLOYER-SPONSORED) INSURANCE COVERAGE 
2 = ELIGIBLE HAD PRIVATE (INDIVIDUAL OR EMPLOYER-SPONSORED) HEALTH INSURANCE COVERAGE PURCHASED 
WHOLE OR IN PART BY ELIGIBLE OR FAMILY MEMBER, OR PROVIDED AT NO COST TO ELIGIBLE 
3 = ELIGIBLE HAD PRIVATE (INDIVIDUAL OR EMPLOYER-SPONSORED) HEALTH INSURANCE COVERAGE PURCHASED 
OR SUBSIDIZED, BY THE STATE 
4 = BOTH 2 AND 3 APPLY 
9 = STATE HAD ONLY INVALID OR MISSING INFORMATION

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 88.   MEDICARE_BENEFICIARY_MO_01

            Type:   NUM
            Length: 1
            Label:  MEDICARE BENEFICIARY CODE - FIRST MONTH

            DESCRIPTION: CODE  INDICATING  WHETHER  THE  MEDICAID  ELIGIBLE
            WAS  COVERED  BY  MEDICARE  FOR THE RESPECTIVE MONTH (BASED
            ON FINDING A BENEFICIARY RECORD FOR THE ELIGIBLE IN THE MEDICARE
            ENROLLMENT.

            Values: 
               CODES: 
0 = THERE WAS NO RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB). 
1 = THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE 
(EDB), FOR MEDICARE PART A (HOSPITAL INSURANCE). 
2 = THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE 
(EDB), FOR MEDICARE PART B (SUPPLEMENTARY MEDICAL INSURANCE). 
3 = THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB), FOR BOTH 
MEDICARE PART A AND PART B (BOTH HOSPITAL AND SUPPLEMENTARY MEDICAL INSURANCE).

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 100.   EL_PPH_PLN_MO_CNT_CMCP

            Type:   NUM
            Length: 2
            Label:  PRE-PAID PLAN TYPE-1 CODE - FIRST MONTH

            DESCRIPTION: CODE INDICATING THE TYPE OF THE FIRST OF UP TO
            FOUR MANAGED CARE PLAN TYPES IN WHICH THE ELIGIBLE WAS ENROLLED
            FOR THE RESPECTIVE MONTH. PS DED Page 60 CODES: 00 = INDIVIDUAL
            WAS NOT ELIG.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH. 
01 = ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO). 
02 = ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH. 
03 = ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH. 
04 = ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH. 
05 = ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH. 
06 = ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PLAN THIS MONTH. 
07 = ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT (PCCM) PLAN THIS MONTH. 
08 = ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH. 
88 = NOT APPLICABLE, INDIVIDUAL IS ELIGIBLE FOR MEDICAID, BUT NOT ENROLLED IN A MANAGED CARE PLAN THIS MONTH. 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN THIS MONTH.

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 101.   EL_PPH_PLN_MO_CNT_DMCP

            Type:   CHAR
            Length: 12
            Label:  PRE-PAID PLAN IDENTIFIER-1 - FIRST MONTH

            DESCRIPTION: THE  STATE  ASSIGNED  MANAGED  CARE  PLAN  IDENTIFICATION
            NUMBER  ASSOCIATED  WITH  PLAN  TYPE-1  IN  WHICH  THE ELIGIBLE
            WAS ENROLLED FOR THE RESPECTIVE MONTH. USER NOTE: WHEN SOMEONE
            H.

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 102.   EL_PPH_PLN_MO_CNT_BMCP

            Type:   NUM
            Length: 2
            Label:  PRE-PAID PLAN TYPE-2 CODE - FIRST MONTH

            DESCRIPTION: CODE INDICATING THE TYPE OF THE SECOND OF UP TO
            FOUR MANAGED CARE PLAN TYPES IN WHICH THE ELIGIBLE WAS ENROLLED
            FOR THE RESPECTIVE MONTH. PS DED Page 62 CODES: 00 = INDIVIDUAL
            WAS NOT ELI.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH. 
01 = ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO). 
02 = ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH. 
03 = ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH. 
04 = ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH. 
05 = ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH. 
06 = ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PLAN THIS MONTH. 
07 = ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT (PCCM) PLAN THIS MONTH. 
08 = ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH. 
88 = NOT APPLICABLE, INDIVIDUAL IS ELIGIBLE FOR MEDICAID, BUT NOT ENROLLED IN A MANAGED CARE PLAN THIS MONTH. 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN THIS MONTH.

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 103.   EL_PPH_PLN_MO_CNT_PDMC

            Type:   CHAR
            Length: 12
            Label:  PRE-PAID PLAN IDENTIFIER-2 - FIRST MONTH

            DESCRIPTION: THE  STATE  ASSIGNED  MANAGED  CARE  PLAN  IDENTIFICATION
            NUMBER  ASSOCIATED  WITH  PLAN  TYPE-2  IN  WHICH  THE ELIGIBLE
            WAS ENROLLED FOR THE RESPECTIVE MONTH. USER NOTE: WHEN SOMEONE
            H.

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 104.   EL_PPH_PLN_MO_CNT_LTCM

            Type:   NUM
            Length: 2
            Label:  PRE-PAID PLAN TYPE-3 CODE - FIRST MONTH

            DESCRIPTION: CODE INDICATING THE TYPE OF THE THIRD OF UP TO
            FOUR MANAGED CARE PLAN TYPES IN WHICH THE ELIGIBLE WAS ENROLLED
            FOR THE RESPECTIVE MONTH. PS DED Page 64 CODES: 00 = INDIVIDUAL
            WAS NOT ELIG.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH. 
01 = ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO). 
02 = ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH. 
03 = ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH. 
04 = ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH. 
05 = ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH. 
06 = ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PLAN THIS MONTH. 
07 = ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT (PCCM) PLAN THIS MONTH. 
08 = ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH. 
88 = NOT APPLICABLE, INDIVIDUAL IS ELIGIBLE FOR MEDICAID, BUT NOT ENROLLED IN A NAMED CARE PLAN THIS MONTH. 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN THIS MONTH.

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 105.   EL_PPH_PLN_MO_CNT_AICE

            Type:   CHAR
            Length: 12
            Label:  PRE-PAID PLAN IDENTIFIER-3 - FIRST MONTH

            DESCRIPTION: THE  STATE  ASSIGNED  MANAGED  CARE  PLAN  IDENTIFICATION
            NUMBER  ASSOCIATED  WITH  PLAN  TYPE-3  IN  WHICH  THE ELIGIBLE
            WAS ENROLLED FOR THE RESPECTIVE MONTH. USER NOTE: WHEN SOMEONE
            H.

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 106.   EL_PPH_PLN_MO_CNT_PCCM

            Type:   NUM
            Length: 2
            Label:  PRE-PAID PLAN TYPE-4 CODE - FIRST MONTH

            DESCRIPTION: CODE INDICATING THE TYPE OF THE FOURTH OF UP TO
            FOUR MANAGED CARE PLAN TYPES IN WHICH THE ELIGIBLE WAS ENROLLED
            FOR THE RESPECTIVE MONTH. PS DED Page 66 CODES: 00 = INDIVIDUAL
            WAS NOT ELI.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH. 
01 = ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO). 
02 = ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH. 
03 = ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH. 
04 = ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH. 
05 = ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH. 
06 = ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PLAN THIS MONTH. 
07 = ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT (PCCM) PLAN THIS MONTH. 
08 = ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH. 
88 = NOT APPLICABLE, INDIVIDUAL IS ELIGIBLE FOR MEDICAID, BUT NOT ENROLLED IN A MANAGED CARE PLAN THIS MONTH. 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN THIS MONTH.

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 107.   PREPAID_PLAN_TYPE_1_MO_01

            Type:   NUM
            Length: 2
            Label:  PRE-PAID PLAN MONTHS COUNT - FIRST PLAN TYPE

            DESCRIPTION: TOTAL NUMBER OF MONTHS THE MEDICAID ELIGIBLE WAS
            ENROLLED IN THE PARTICULAR TYPE OF PLAN DURING THE CALENDAR
            YEAR. USER NOTE: THIS IS A NUMBER FROM 0 TO 12. IT IS GIVEN
            VALUE > 0 BASED ON.

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 114.   PREPAID_PLAN_IDENTIFIER_4_MO_01

            Type:   CHAR
            Length: 12
            Label:  PRE-PAID PLAN IDENTIFIER-4 - FIRST MONTH

            DESCRIPTION: THE  STATE  ASSIGNED  MANAGED  CARE  PLAN  IDENTIFICATION
            NUMBER  ASSOCIATED  WITH  PLAN  TYPE-4  IN  WHICH  THE ELIGIBLE
            WAS ENROLLED FOR THE RESPECTIVE MONTH. USER NOTE: WHEN SOMEONE
            H.

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 203.   MANAGED_CARE_COMBINATIONS_MO_01

            Type:   NUM
            Length: 2
            Label:  MEDICAID MANAGED CARE COMBINATIONS - FIRST MONTH

            DESCRIPTION: CODE INDICATING THE TYPES OF MANAGED CARE THE ELIGIBLE
            WAS ENROLLED IN FOR THE RESPECTIVE MONTH. PS DED Page 69 CODES:
            00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH 01
            = COMPRE.

            Values: 
               CODES: 
00 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH 
01 = COMPREHENSIVE PLAN ONLY 
02 = DENTAL PLAN ONLY 
03 = BEHAVIORAL PLAN ONLY 
04 = PRIMARY CARE CASE MANAGEMENT (PCCM) PLAN ONLY 
05 = OTHER MANAGED CARE PLAN ONLY 
06 = COMPREHENSIVE PLAN AND DENTAL PLAN 
07 = COMPREHENSIVE PLAN AND BEHAVIORAL PLAN 
08 = COMPREHENSIVE PLAN AND OTHER MANAGED CARE PLAN 
09 = COMPREHENSIVE PLAN, DENTAL PLAN AND BEHAVIORAL PLAN 
10 = PRIMARY CARE CASE MANAGEMENT (PCCM) AND DENTAL PLAN 
11 = PRIMARY CARE CASE MANAGEMENT (PCCM) AND BEHAVIORAL PLAN 
12 = PRIMARY CARE CASE MANAGEMENT (PCCM) AND OTHER MANAGED CARE PLAN 
13 = PRIMARY CARE CASE MANAGEMENT (PCCM), DENTAL PLAN AND BEHAVIORAL PLAN 
14 = DENTAL PLAN AND BEHAVIORAL PLAN 
15 = OTHER COMBINATIONS 
16 = FEE FOR SERVICE (NO MANAGED CARE PLAN REPORTED) 
99 = ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN THIS MONTH 
THE  FOLLOWING  IS  HOW  MSIS  DATA  ELEMENTS  PLAN-TYPE-1  TO  PLAN-TYPE-4  ARE  MAPPED  INTO  THE CODE VALUES FOR THIS DATA 
ELEMENT: 
MAX MSIS 
CODE CODE 
00 = 00 IN ALL FOUR PLAN TYPES THIS MONTH - PERSON WAS NOT ELIGIBLE FOR MEDICAID THIS MONTH 
01 = 01 ELIGIBLE IS ENROLLED IN A MEDICAL OR COMPREHENSIVE MANAGED CARE PLAN THIS MONTH (E.G. HMO), 
AND NO OTHER TYPE OF PLAN 
02 = 02 ELIGIBLE IS ENROLLED IN A DENTAL MANAGED CARE PLAN THIS MONTH, AND NO OTHER TYPE OF PLAN 
03 = 03 ELIGIBLE IS ENROLLED IN A BEHAVIORAL MANAGED CARE PLAN THIS MONTH, AND NO OTHER TYPE OF PLAN 
04 = 07 ELIGIBLE IS ENROLLED IN A PRIMARY CARE CASE MANAGEMENT MANAGED CARE PLAN THIS MONTH, AND 
NO OTHER TYPE OF PLAN 
05 = 04 ELIGIBLE IS ENROLLED IN A PRENATAL/DELIVERY MANAGED CARE PLAN THIS MONTH, OR 
05 = 05 ELIGIBLE IS ENROLLED IN A LONG-TERM CARE MANAGED CARE PLAN THIS MONTH, OR 
05 = 06 ELIGIBLE IS ENROLLED IN A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) THIS MONTH, OR 
05 = 08 ELIGIBLE IS ENROLLED IN AN OTHER MANAGED CARE PLAN THIS MONTH, OR (ONE OR MORE OF THE MSIS 
CODES 04, 05, 06, 08 THIS MONTH) 
06 = 01 AND 02 
07 = 01 AND 03 
08 = 01 AND (ONE OR MORE OF THE MSIS CODES 04, 05, 06, 08 THIS MONTH) 
09 = 01 AND 02 AND 03 
10 = 07 AND 02 
11 = 07 AND 03 
12 = 07 AND (ONE OR MORE OF THE MSIS CODES 04, 05, 06, 08 THIS MONTH) 
13 = 07 AND 02 AND 03 
14 = 02 AND 03 
15 = ALL OTHER COMBINATIONS OF MANAGED CARE PLAN CODES THIS MONTH (INCLUDING 99 AND ONE OR MORE 
OTHER MSIS CODES) 
16 = 88 IN ALL FOUR MSIS PLAN TYPES THIS MONTH - PERSON WAS ELIGIBLE THIS MONTH BUT NOT ENROLLED 
IN MANAGED CARE 
99 = 99 IN ALL FOUR MSIS PLAN TYPES THIS MONTH - ELIGIBLE'S MANAGED CARE PLAN STATUS IS UNKNOWN THIS MONTH

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 215.   DAYS_OF_ELIGIBILITY_MO_01

            Type:   NUM
            Length: 2
            Label:  DAYS OF ELIGIBILITY - FIRST MONTH

            DESCRIPTION: THE NUMBER OF DAYS THE ELIGIBLE WAS ENROLLED IN
            MEDICAID FOR THE RESPECTIVE MONTH. USER NOTE: WHEN SOMEONE
            HAS CLAIMS BUT NO ELIGIBILITY INFORMATION, THIS DATA ELEMENT
            IS 0-FILLED. SOURCE.

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 227.   TANF_CASH_ELIGIBILITY_MO_01

            Type:   NUM
            Length: 1
            Label:  TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) CASH FLAG - FIRST MONTH

            DESCRIPTION: CODE  INDICATING  WHETHER  THE  ELIGIBLE  RECEIVED
            TEMPORARY  ASSISTANCE  FOR  NEEDY  FAMILIES  (TANF)  BENEFITS
            FOR THE RESPECTIVE MONTH. PS DED Page 74 CODES: 0 = INDIVIDUAL
            WAS NOT EL.

            Values: 
               CODES: 
0 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID AT ANY TIME DURING THE MONTH. 
1 = INDIVIDUAL DID NOT RECEIVE TANF BENEFITS DURING THE MONTH. 
2 = INDIVIDUAL DID RECEIVE TANF BENEFITS DURING THE MONTH (STATES SHOULD ONLY USE THIS VALUE IF 
THEY CAN ACCURATELY SEPARATE ELIGIBLES RECEIVING TANF BENEFITS FROM OTHER SECTION 1931 ELIGIBLES 
REPORTED INTO MAS VALUE = 1). 
9 = INDIVIDUAL'S TANF STATUS IS UNKNOWN.

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 239.   RESTRICTED_BENEFITS_MO_01

            Type:   CHAR
            Length: 1
            Label:  RESTRICTED BENEFITS FLAG - FIRST MONTH

            DESCRIPTION: CODE INDICATING THE SCOPE OF MEDICAID BENEFITS
            TO WHICH AN ELIGIBLE IS ENTITLED FOR THE RESPECTIVE MONTH.
            CODES: 0 = INDIVIDUAL IS NOT ELIGIBLE FOR MEDICAID OR CHIP
            DURING THE MONTH. 1 =.

            Values: 
               CODES: 
0 = INDIVIDUAL IS NOT ELIGIBLE FOR MEDICAID OR CHIP DURING THE MONTH. 
1 = INDIVIDUAL IS ELIGIBLE FOR MEDICAID OR CHIP DURING THE MONTH AND IS ENTITLED TO THE FULL SCOPE 
OF MEDICAID BENEFITS. 
2 = INDIVIDUAL IS ELIGIBLE FOR MEDICAID OR M-CHIP DURING THE MONTH BUT ONLY ENTITLED TO RESTRICTED 
BENEFITS BASED ON ALIEN STATUS (INCLUDING ILLEGAL ENTRANTS AND LEGAL ENTRANTS DURING THE 5-YEAR 
WAITING PERIOD). 
3 = INDIVIDUAL IS ELIGIBLE FOR MEDICAID DURING THE MONTH BUT ONLY ENTITLED TO RESTRICTED BENEFITS 
BASED ON MEDICAID DUAL ELIGIBILITY STATUS (E.G. QMB ONLY OR SLMB ONLY). 
4 = INDIVIDUAL IS ELIGIBLE FOR MEDICAID OR CHIP DURING THE MONTH BUT ONLY ENTITLED TO RESTRICTED 
BENEFITS FOR PREGNANCY-RELATED SERVICES. 
5 = INDIVIDUAL IS ELIGIBLE FOR MEDICAID OR M-CHP DURING THE MONTH BUT ONLY ENTITLED TO RESTRICTED 
BENEFITS FOR REASONS OTHER THAN ALIEN, DUAL ELIGIBILITY OR PREGNANCY RELATED STATUS (E.G. RESTRICTED 
BENEFITS BASED UPON SUBSTANCE ABUSE, MEDICALLY NEEDY OR OTHER CRITERIA). 
6 = INDIVIDUAL IS ELIGIBLE FOR MEDICAID OR M-CHIP BUT ONLY ENTITLED TO RECEIVE FAMILY PLANNING 
SERVICES (BEGINNING IN 2001). 
7 = INDIVIDUAL IS ELIGIBLE FOR MEDICAID AND ENTITLED TO MEDICAID BENEFITS UNDER AN ALTERNATIVE 
PACKAGE OF BENCHMARK-EQUIVALENT COVERAGE, AS ENACTED BY THE DEFICIT REDUCTION ACT OF 2005. 
8 = INDIVIDUAL IS ELIGIBLE FOR MEDICAID AND ENTITLED TO BENEFITS UNDER A 'MONEY FOLLOWS THE PERSON' 
(MFP) REBALANCING DEMONSTRATION, AS ENACTED BY THE DEFICIT REDUCTION ACT OF 2005, TO ALLOW STATES 
TO DEVELOP COMMUNITY-BASED LONG-TERM CARE OPPORTUNITIES. 
9 = INDIVIDUAL'S BENEFIT RESTRICTIONS ARE UNKNOWN. 
A = INDIVIDUAL IS ELIGIBLE FOR MEDICAID AND ENTITLED TO BENEFITS UNDER THE PSYCHIATRIC RESIDENTIAL 
TREATMENT FACILITIES DEMONSTRATION GRANT PROGRAM (PRTF), AS ENACTED BY THE DEFICIT REDUCTION ACT 
OF 2005. PRTF GRANTS ASSIST STATES TO HELP PROVIDE COMMUNITY ALTERNATIVES TO PSYCHIATRIC RESIDENT 
TREATMENT FACILITIES FOR CHILDREN. 
B = INDIVIDUAL IS ELIGIBLE FOR MEDICAID AND ENTITLED TO MEDICAID BENEFITS USING A HEALTH OPPORTUNITY 
ACCOUNT (HOA). 
C = INDIVIDUAL IS ELIGIBLE FOR SEPARATE CHIP DENTAL COVERAGE (SUPPLEMENTAL DENTAL WRAPAROUND BENEFIT 
TO EMPLOYER-SPONSORED INSURANCE). 
W = INDIVIDUAL IS ONLY ELIGIBLE FOR MEDICAID HEALTH INSURANCE PREMIUM PAYMENT ASSISTANCE (NO ADDITIONAL 
TITLE XIX or XXI FFS OR MANAGED CARE WRAPAROUND SERVICES) IN MASSACHUSETTS, NEW JERSEY, OKLAHOMA, OR 
VERMONT. 
X = INDIVIDUAL IS ELIGIBLE FOR MEDICAID DURING THE MONTH BUT ONLY ENTITLED TO RECEIVE PRESCRIPTION 
DRUG BENEFITS (BEGINNING IN 2003). 
Y = INDIVIDUAL IS ELIGIBLE FOR MEDICAID AND MEDICARE DURING THE MONTH BUT ONLY ENTITLED TO RECEIVE 
PRESCRIPTION DRUG BENEFITS AND RESTRICTED BENEFITS BASED ON MEDICAID DUAL ELIGIBILITY STATUS (E.G. 
QMB ONLY, SLMB ONLY, OR QDWI OR QI). (BEGINNING IN 2003) 
Z  =  INDIVIDUAL  IS  ELIGIBLE  FOR  MEDICAID  AND  MEDICARE  DURING  THE  MONTH  BUT  ONLY  ENTITLED TO RECEIVE PRESCRIPTION DRUG 
BENEFITS.  THE  EDB  LINK  FOUND  THAT  THE  INDIVIDUAL  WAS  ALSO  ELIGIBLE  FOR  MEDICARE,  BUT  THE MEDICAID PROGRAM WAS NOT 
PAYING RESTRICTED BENEFITS BASED ON MEDICAID DUAL ELIGIBILITY STATUS (E.G. QMB ONLY, SLMB ONLY, QDWI OR QI). (BEGINNING IN 
2003)

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 251.   SCHIP_ELIGIBILITY_MO_01

            Type:   NUM
            Length: 1
            Label:  CHILD HEALTH INSURANCE PROGRAM (CHIP) CODE - FIRST MONTH

            DESCRIPTION: CODE  INDICATING  WHETHER  THE  INDIVIDUAL  WAS
            ELIGIBLE  FOR  THE  CHILD HEALTH INSURANCE PROGRAM (CHIP)
            FOR THE RESPECTIVE MONTH. PS DED Page 79 CODES: 0 = INDIVIDUAL
            WAS NOT A MEDICAI.

            Values: 
               CODES: 
0 = INDIVIDUAL WAS NOT A MEDICAID ELIGIBLE (INCLUDING M-CHIP) AND NOT ELIGIBLE FOR SEPARATE CHIP 
DURING THE MONTH. 
1 = INDIVIDUAL WAS A MEDICAID ELIGIBLE, BUT WAS NOT INCLUDED IN EITHER A MEDICAID EXPANSION CHIP 
OR A SEPARATE TITLE XXI CHIP PROGRAM DURING THE MONTH. 
2 = INDIVIDUAL WAS ENROLLED IN THE MEDICAID EXPANSION CHIP PROGRAM (M-CHIP) AND SUBJECT TO ENHANCED 
FEDERAL MATCHING FUNDS DURING THE MONTH. 
3 = INDIVIDUAL WAS NOT A MEDICAID ELIGIBLE (INCLUDING M-CHIP), BUT WAS INCLUDED IN A NON MEDICAID 
EXPANSION TITLE XXI CHIP PROGRAM DURING THE MONTH (S-CHIP). REPORTING OF MSIS ELIGIBILITY RECORDS 
FOR THESE NON-MEDICAID CHIP INDIVIDUALS IS OPTIONAL FOR STATES. 
9 = CHIP STATUS IS UNKNOWN.

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 263.   MAX_WAIVER_TYPE_CODE_1_01

            Type:   CHAR
            Length: 1
            Label:  MAX WAIVER TYPE CODE - 1 - FIRST MONTH

            DESCRIPTION: CODE INDICATING WAIVER TYPE. BLANK = INDIVIDUAL’S
            WAIVER ENROLLMENT IS UNKNOWN (PERSON WITH MISSING ELIGIBILITY
            INFORMATION) 0 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID OR
            CHIP THIS MO.

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 264.   WAIVER_ID_1_01

            Type:   CHAR
            Length: 2
            Label:  WAIVER ID - 1 - FIRST MONTH

            DESCRIPTION: STATE-ASSIGNED WAIVER IDENTIFICATION NUMBER. USER
            NOTE:  THIS  DATA  ELEMENT  IS  0-FILLED  FOR  INDIVIDUALS
            NOT  ELIGIBLE  FOR  MEDICAID  DURING  THE  MONTH, 8-FILLED
            FOR INDIVIDUALS.

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 265.   MAX_WAIVER_TYPE_CODE_2_01

            Type:   CHAR
            Length: 1
            Label:  MAX WAIVER TYPE CODE - 2 - FIRST MONTH

            DESCRIPTION: CODE INDICATING WAIVER TYPE. CODES: BLANK = INDIVIDUAL’S
            WAIVER ENROLLMENT IS UNKNOWN (PERSON WITH MISSING ELIGIBILITY
            INFORMATION) 0 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID OR
            CHIP.

            Values: 
               CODES: 
BLANK = INDIVIDUAL’S WAIVER ENROLLMENT IS UNKNOWN (PERSON WITH MISSING ELIGIBILITY INFORMATION) 
0 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID OR CHIP THIS MONTH 
1 = ENROLLED IN SECTION 1115 WAIVER THIS MONTH 
2 = ENROLLED IN SECTION 1915(B) WAIVER THIS MONTH 
4 = ENROLLED IN COMBINED SECTION 1915(B)(C) WAIVER THIS MONTH 
5 = ENROLLED IN SECTION 1115 HIFA (HEALTH INSURANCE AND FLEXIBILITY AND ACCOUNTABILITY) WAIVER THIS MONTH 
6 = SECTION 1115 PHARMACY WAIVER COVERAGE THIS MONTH 
7 = ENROLLED IN OTHER TYPE OF WAIVER THIS MONTH 
8 = NOT APPLICABLE (NOT ENROLLED IN A WAIVER THIS MONTH) 
9 = ENROLLED IN UNKNOWN TYPE OF WAIVER THIS MONTH 
A = ENROLLED IN SECTION 1115 DISASTER-RELATED WAIVER THAT ALLOWS FOR COVERAGE RELATED TO A HURRICANE 
OR OTHER DISASTER THIS MONTH 
F = ENROLLED IN SECTION 1115 FAMILY PLANNING-ONLY WAIVER THIS MONTH 
G = ENROLLED IN SECTION 1915(C) WAIVER FOR AGED AND DISABLED (A/D) THIS MONTH 
H = ENROLLED IN SECTION 1915(C) WAIVER FOR AGED THIS MONTH 
I = ENROLLED IN SECTION 1915(C) WAIVER FOR PHYSICALLY DISABLED (PD) THIS MONTH 
J = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH BRAIN INJURIES (BI) THIS MONTH 
K = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH HIV/AIDS THIS MONTH 
L = ENROLLED IN SECTION 1915(C) WAIVER FOR INTELLECTUALLY DISABLED/DEVELOPMENTALLY DISABLED/ (ID/DD) 
THIS MONTH 
M = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH MENTAL ILLNESS/SERIOUS EMOTIONAL DISTURBANCE 
(MI/SED) THIS MONTH 
N = ENROLLED IN SECTION 1915(C) WAIVER FOR TECHNOLOGY DEPENDENT/MEDICALLY FRAGILE THIS MONTH 
O = ENROLLED IN SECTION 1915(C) WAIVER FOR UNSPECIFIED OR UNKNOWN POPULATIONS 
P = ENROLLED IN SECTION 1915(C) WAIVER FOR AUTISM/AUTISM SPECTRUM DISORDER THIS MONTH

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 266.   WAIVER_ID_2_01

            Type:   CHAR
            Length: 2
            Label:  WAIVER ID - 2 - FIRST MONTH

            DESCRIPTION: STATE-ASSIGNED WAIVER IDENTIFICATION NUMBER. USER
            NOTE:  THIS  DATA  ELEMENT  IS  0-FILLED  FOR  INDIVIDUALS
            NOT  ELIGIBLE  FOR  MEDICAID  DURING  THE  MONTH, 8-FILLED
            FOR INDIVIDUALS.

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 267.   MAX_WAIVER_TYPE_CODE_3_01

            Type:   CHAR
            Length: 1
            Label:  MAX WAIVER TYPE CODE - 3 - FIRST MONTH

            DESCRIPTION: CODE INDICATING WAIVER TYPE. CODES: BLANK = INDIVIDUAL’S
            WAIVER ENROLLMENT IS UNKNOWN (PERSON WITH MISSING ELIGIBILITY
            INFORMATION) 0 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID OR
            CHIP.

            Values: 
               CODES: 
BLANK = INDIVIDUAL’S WAIVER ENROLLMENT IS UNKNOWN (PERSON WITH MISSING ELIGIBILITY INFORMATION) 
0 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID OR CHIP THIS MONTH 
1 = ENROLLED IN SECTION 1115 WAIVER THIS MONTH 
2 = ENROLLED IN SECTION 1915(B) WAIVER THIS MONTH 
4 = ENROLLED IN COMBINED SECTION 1915(B)(C) WAIVER THIS MONTH 
5 = ENROLLED IN SECTION 1115 HIFA (HEALTH INSURANCE AND FLEXIBILITY AND ACCOUNTABILITY) WAIVER THIS MONTH 
6 = SECTION 1115 PHARMACY WAIVER COVERAGE THIS MONTH 
7 = ENROLLED IN OTHER TYPE OF WAIVER THIS MONTH 
8 = NOT APPLICABLE (NOT ENROLLED IN A WAIVER THIS MONTH) 
9 = ENROLLED IN UNKNOWN TYPE OF WAIVER THIS MONTH 
A = ENROLLED IN SECTION 1115 DISASTER-RELATED WAIVER THAT ALLOWS FOR COVERAGE RELATED TO A HURRICANE 
OR OTHER DISASTER THIS MONTH 
F = ENROLLED IN SECTION 1115 FAMILY PLANNING-ONLY WAIVER THIS MONTH 
G = ENROLLED IN SECTION 1915(C) WAIVER FOR AGED AND DISABLED (A/D) THIS MONTH 
H = ENROLLED IN SECTION 1915(C) WAIVER FOR AGED THIS MONTH 
I = ENROLLED IN SECTION 1915(C) WAIVER FOR PHYSICALLY DISABLED (PD) THIS MONTH 
J = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH BRAIN INJURIES (BI) THIS MONTH 
K = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH HIV/AIDS THIS MONTH 
L = ENROLLED IN SECTION 1915(C) WAIVER FOR INTELLECTUALLY DISABLED/DEVELOPMENTALLY DISABLED/ (ID/DD) 
THIS MONTH 
M = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH MENTAL ILLNESS/SERIOUS EMOTIONAL DISTURBANCE 
(MI/SED) THIS MONTH 
N = ENROLLED IN SECTION 1915(C) WAIVER FOR TECHNOLOGY DEPENDENT/MEDICALLY FRAGILE THIS MONTH 
O = ENROLLED IN SECTION 1915(C) WAIVER FOR UNSPECIFIED OR UNKNOWN POPULATIONS 
P = ENROLLED IN SECTION 1915(C) WAIVER FOR AUTISM/AUTISM SPECTRUM DISORDER THIS MONTH

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 268.   WAIVER_ID_3_01

            Type:   CHAR
            Length: 2
            Label:  WAIVER ID - 3 - FIRST MONTH

            DESCRIPTION: STATE-ASSIGNED WAIVER IDENTIFICATION NUMBER. USER
            NOTE:  THIS  DATA  ELEMENT  IS  0-FILLED  FOR  INDIVIDUALS
            NOT  ELIGIBLE  FOR  MEDICAID  DURING  THE  MONTH, 8-FILLED
            FOR INDIVIDUALS.

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 335.   MAX_1915C_WAIVER_TYPE_LTST

            Type:   CHAR
            Length: 1
            Label:  ANNUAL 1915(C) MAX WAIVER TYPE - MOST RECENT

            DESCRIPTION: CODE  CONTAINS  THE  TARGET  POPULATION  FOR  THE
            ENROLLEE'S  MOST  RECENT  SECTION  1915(C) WAIVER. THE TARGET
            POPULATION CODES ARE DERIVED FROM THE STATES' WAIVER IDS. PS
            DED Page 87 C.

            Values: 
               CODES: 
BLANK = INDIVIDUAL’S WAIVER ENROLLMENT IS UNKNOWN (PERSON WITH MISSING ELIGIBILITY INFORMATION) 
0 = INDIVIDUAL WAS NOT ELIGIBLE FOR MEDICAID OR CHIP THIS MONTH 
1 = ENROLLED IN SECTION 1115 WAIVER THIS MONTH 
2 = ENROLLED IN SECTION 1915(B) WAIVER THIS MONTH 
4 = ENROLLED IN COMBINED SECTION 1915(B)(C) WAIVER THIS MONTH 
5 = ENROLLED IN SECTION 1115 HIFA (HEALTH INSURANCE AND FLEXIBILITY AND ACCOUNTABILITY) WAIVER THIS MONTH 
6 = SECTION 1115 PHARMACY WAIVER COVERAGE THIS MONTH 
7 = ENROLLED IN OTHER TYPE OF WAIVER THIS MONTH 
8 = NOT APPLICABLE (NOT ENROLLED IN A WAIVER THIS MONTH) 
9 = ENROLLED IN UNKNOWN TYPE OF WAIVER THIS MONTH 
A = ENROLLED IN SECTION 1115 DISASTER-RELATED WAIVER THAT ALLOWS FOR COVERAGE RELATED TO A HURRICANE 
OR OTHER DISASTER THIS MONTH 
F = ENROLLED IN SECTION 1115 FAMILY PLANNING-ONLY WAIVER THIS MONTH 
G = ENROLLED IN SECTION 1915(C) WAIVER FOR AGED AND DISABLED (A/D) THIS MONTH 
H = ENROLLED IN SECTION 1915(C) WAIVER FOR AGED THIS MONTH 
I = ENROLLED IN SECTION 1915(C) WAIVER FOR PHYSICALLY DISABLED (PD) THIS MONTH 
J = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH BRAIN INJURIES (BI) THIS MONTH 
K = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH HIV/AIDS THIS MONTH 
L = ENROLLED IN SECTION 1915(C) WAIVER FOR INTELLECTUALLY DISABLED/DEVELOPMENTALLY DISABLED/ (ID/DD) 
THIS MONTH 
M = ENROLLED IN SECTION 1915(C) WAIVER FOR PEOPLE WITH MENTAL ILLNESS/SERIOUS EMOTIONAL DISTURBANCE 
(MI/SED) THIS MONTH 
N = ENROLLED IN SECTION 1915(C) WAIVER FOR TECHNOLOGY DEPENDENT/MEDICALLY FRAGILE THIS MONTH 
O = ENROLLED IN SECTION 1915(C) WAIVER FOR UNSPECIFIED OR UNKNOWN POPULATIONS 
P = ENROLLED IN SECTION 1915(C) WAIVER FOR AUTISM/AUTISM SPECTRUM DISORDER THIS MONTH

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 336.   RECIPIENT_INDICATOR

            Type:   CHAR
            Length: 1
            Label:  RECIPIENT INDICATOR

            DESCRIPTION: CODE  INDICATING  IF  AND  HOW  THE  ELIGIBLE
            RECEIVED  A  MEDICAID  SERVICE  DURING  THE  CALENDAR YEAR
            AND WHETHER THOSE SERVICES WERE RECEIVED UNDER A FEE-FOR-SERVICE
            OR PRE-PAID PLAN.

            Values: 
               CODES: 
0 = THE ELIGIBLE PERSON DID NOT RECEIVE ANY SERVICES. 
1 = THE ELIGIBLE PERSON HAD ONLY FEE-FOR-SERVICE CLAIMS FOR TYPES OF SERVICE = 1-19, 23-54 AND 99. 
2 = THE ELIGIBLE PERSON HAD ONLY PREMIUM PAYMENT CLAIMS (PRE-PAID PLAN) FOR TYPES OF SERVICE = 20-22. 
3 = THE ELIGIBLE PERSON HAD ONLY ENCOUNTER RECORDS (PRE-PAID PLAN) FOR TYPES OF SERVICE = 1-19, 23-54, 99. 
4 = THE ELIGIBLE PERSON HAD FEE-FOR-SERVICE AND PREMIUM PAYMENT CLAIMS, BUT NO ENCOUNTER RECORDS. 
5 = THE ELIGIBLE PERSON HAD PREMIUM PAYMENT CLAIMS AND ENCOUNTER RECORDS, BUT NO FEE-FOR- SERVICE CLAIMS. 
6 = THE ELIGIBLE PERSON HAD FEE-FOR-SERVICE CLAIMS AND ENCOUNTER RECORDS, BUT NO PREMIUM PAYMENT CLAIMS. 
7 = THE ELIGIBLE PERSON HAD FEE-FOR-SERVICE CLAIMS, PREMIUM PAYMENT CLAIMS AND ENCOUNTER RECORDS. 
8 = S-CHIP ENROLLMENT MONTHS WERE FOUND BUT NO MEDICAID ENROLLMENT MONTHS WERE FOUND. 
9 = NEITHER S-CHIP ENROLLMENT MONTHS NOR MEDICAID ENROLLMENT MONTHS WERE FOUND.

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 337.   IP_DISCHARGES

            Type:   NUM*
            Length: 3
            Label:  TOTAL INPATIENT DISCHARGE COUNT

            DESCRIPTION: TOTAL NUMBER OF INPATIENT HOSPITAL DISCHARGES,
            FOR THE CALENDAR YEAR. (SAS USERS: ZONED DECIMAL - ZD3) USER
            NOTE:  THIS  DATA  ELEMENT  COUNTS  THE  NUMBER  OF  INPATIENT
            HOSPITAL  STAY.

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 338.   IP_STAYS

            Type:   NUM*
            Length: 3
            Label:  TOTAL INPATIENT STAY COUNT

            DESCRIPTION: TOTAL NUMBER OF INPATIENT HOSPITAL STAYS, FOR THE
            CALENDAR YEAR. (SAS USERS: ZONED DECIMAL - ZD3) USER  NOTE:
            THIS  DATA  ELEMENT  COUNTS  THE  NUMBER  OF  INPATIENT  HOSPITAL
            STAYS  (A.

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 339.   LENGTH_OF_STAY_FOR_DISCHARGES

            Type:   NUM*
            Length: 3
            Label:  TOTAL INPATIENT LENGTH OF STAY (LOS), IN DAYS (FOR DISCHARGES)

            DESCRIPTION: TOTAL LENGTH OF STAY, IN DAYS, FOR INPATIENT HOSPITAL
            DISCHARGES, FOR THE CALENDAR YEAR. (SAS USERS: ZONED DECIMAL
            - ZD3) USER NOTE: THIS DATA ELEMENT COUNTS THE NUMBER OF DAYS
            FOR INPATI.

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 340.   LENGTH_OF_STAY_FOR_STAYS

            Type:   NUM*
            Length: 3
            Label:  TOTAL INPATIENT LENGTH OF STAY (LOS), IN DAYS (FOR STAYS)

            DESCRIPTION: TOTAL LENGTH OF STAY, IN DAYS, FOR INPATIENT HOSPITAL
            STAYS, FOR THE CALENDAR YEAR. (SAS USERS: ZONED DECIMAL - ZD3)
            USER  NOTE:  THIS  DATA  ELEMENT  COUNTS  THE  NUMBER  OF  DAYS
            FOR IN.

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 341.   COVERED_DAYS_FOR_DISCHARGES

            Type:   NUM*
            Length: 3
            Label:  TOTAL INPATIENT COVERED DAY COUNT (FOR DISCHARGES)

            DESCRIPTION: TOTAL MEDICAID-COVERED DAYS OF CARE FOR INPATIENT
            HOSPITAL DISCHARGES, FOR THE CALENDAR YEAR. (SAS USERS: ZONED
            DECIMAL - ZD3) USER NOTE: THIS DATA ELEMENT COUNTS THE NUMBER
            OF MEDICAID-C.

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 342.   COVERED_DAYS_FOR_STAYS

            Type:   NUM*
            Length: 3
            Label:  TOTAL INPATIENT COVERED DAY COUNT (FOR STAYS)

            DESCRIPTION: TOTAL MEDICAID-COVERED DAYS OF CARE FOR INPATIENT
            HOSPITAL STAYS, FOR THE CALENDAR YEAR. (SAS USERS: ZONED DECIMAL
            - ZD3) USER  NOTE:  THIS  DATA  ELEMENT  COUNTS  THE  NUMBER
            OF  MEDICA.

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 343.   MENTAL_HOSPITAL_COVERED_DAYS

            Type:   NUM*
            Length: 3
            Label:  LONG-TERM CARE MENTAL HOSPITAL FOR THE AGED COVERED DAY COUNT

            DESCRIPTION: TOTAL  NUMBER  OF  MEDICAID-COVERED  DAYS  FOR
            THE  RECIPIENT  IN  A  MENTAL  HOSPITAL  FOR  THE  AGED  (NOT
            A HOSPITAL) FOR THE CALENDAR YEAR. PS DED Page 98 (SAS USERS:
            ZONED DECIMAL -.

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 344.   INPATIENT_PSYCH_COVERED_DAYS

            Type:   NUM*
            Length: 3
            Label:  LONG-TERM CARE INPATIENT PSYCHIATRIC FACILITY (AGE < 21) COVERED DAY COUNT

            DESCRIPTION: TOTAL NUMBER OF MEDICAID-COVERED DAYS FOR THE RECIPIENT
            IN AN INPATIENT PSYCHIATRIC FACILITY FOR INDIVIDUALS UNDER THE
            AGE OF 21 (NOT A HOSPITAL) FOR THE CALENDAR YEAR. PS DED Page
            99 (SA.

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 345.   ICF_MR_COVERED_DAYS

            Type:   NUM*
            Length: 3
            Label:  INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABLITIES - ICF-IID COVERED DAY COUNT

            DESCRIPTION: TOTAL  NUMBER  OF  MEDICAID-COVERED  DAYS  FOR
            THE  RECIPIENT  IN  AN  INTERMEDIATE  CARE  FACILITY  FOR
            INDIVIDUALS WITH INTELLECTUAL DISABLITIES - ICF-IID - FOR
            THE CALENDAR YEAR. PS.

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 346.   NURSING_FACILITY_COVERED_DAYS

            Type:   NUM*
            Length: 3
            Label:  NURSING FACILITY - NF - COVERED DAY COUNT

            DESCRIPTION: TOTAL NUMBER OF MEDICAID-COVERED DAYS FOR THE RECIPIENT
            IN A NURSING FACILITY FOR THE CALENDAR YEAR. (SAS USERS: ZONED
            DECIMAL - ZD3) USER  NOTE:  DAYS  MAY  BE  >  365  IN  SOME
            STATES.

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 347.   TOTAL_LT_COVERED_DAYS

            Type:   NUM*
            Length: 3
            Label:  LONG-TERM CARE COVERED DAY COUNT

            DESCRIPTION: TOTAL NUMBER OF MEDICAID-COVERED DAYS FOR THE RECIPIENT
            IN A LONG-TERM CARE FACILITY (NOT A HOSPITAL), FOR THE CALENDAR
            YEAR. PS DED Page 102 (SAS USERS: ZONED DECIMAL - ZD3) USER
            NOTE:.

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 348.   TOTAL_RECORD_COUNT

            Type:   NUM*
            Length: 5
            Label:  TOTAL MEDICAID RECORD COUNT

            DESCRIPTION: RECIPIENT'S TOTAL NUMBER OF FEE-FOR-SERVICE CLAIMS,
            PREMIUM PAYMENT CLAIMS AND ENCOUNTER RECORDS FOR THE CALENDAR
            YEAR, FOR ALL TYPES OF SERVICE AND ANY TYPE OF CLAIM. PS DED
            Page 104 (SA.

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 349.   FEE_FOR_SERVICE_CLAIM_COUNT

            Type:   NUM*
            Length: 5
            Label:  TOTAL MEDICAID FEE-FOR-SERVICE CLAIM COUNT

            DESCRIPTION: RECIPIENT'S TOTAL NUMBER OF FEE-FOR-SERVICE CLAIMS
            FOR THE CALENDAR YEAR, FOR TYPES OF SERVICE = 1-19, 23-54 AND
            99 AND TYPE OF CLAIM = 1 (FEE-FOR-SERVICE) OR TYPE OF CLAIM
            = 5 (SUPPLEMEN.

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 350.   PREMIUM_PAYMENT_CLAIM_COUNT

            Type:   NUM*
            Length: 5
            Label:  TOTAL MEDICAID PRE-PAID PLAN PREMIUM PAYMENT RECORD COUNT

            DESCRIPTION: RECIPIENT'S TOTAL NUMBER OF PREMIUM PAYMENT CLAIMS
            FOR THE CALENDAR YEAR, FOR TYPES OF SERVICE = 20-22. (SAS USERS:
            ZONED DECIMAL - ZD5) USER  NOTE:  RECORDS  WITH  TYPES  OF
            SERVICE  =.

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 351.   ENCOUNTER_RECORD_COUNT

            Type:   NUM*
            Length: 5
            Label:  TOTAL MEDICAID ENCOUNTER RECORD COUNT

            DESCRIPTION: RECIPIENT'S TOTAL NUMBER OF ENCOUNTER RECORDS FOR
            THE CALENDAR YEAR FOR TYPES OF SERVICE = 1-19, 23-54 AND 99
            AND TYPE OF CLAIM = 3 (ENCOUNTER RECORD). PS DED Page 107 (SAS
            USERS: ZONED D.

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 352.   TOTAL_MEDICAID_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  TOTAL MEDICAID PAYMENT AMOUNT

            DESCRIPTION: TOTAL  AMOUNT  OF  MONEY  PAID  BY  MEDICAID  FOR
            THE  RECIPIENT  DURING  THE  CALENDAR  YEAR  (FEE-FOR-SERVICE
            AND PREMIUM PAYMENTS), FOR ALL TYPES OF SERVICE AND ANY TYPE
            OF CLAIM. PS.

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 353.   FEE_FOR_SERVICE_MEDICAID_PMT_AMT

            Type:   NUM*
            Length: 8
            Label:  TOTAL MEDICAID FEE-FOR-SERVICE PAYMENT AMOUNT

            DESCRIPTION: AMOUNT  OF  MONEY  PAID  BY  MEDICAID  (UNDER
            FEE-FOR-SERVICE)  FOR  THE  RECIPIENT  DURING  THE  CALENDAR
            YEAR,  FOR TYPES OF SERVICE = 1-19, 23-54 AND 99 AND TYPE OF
            CLAIM = 1 (FEE-FO.

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 354.   PREMIUM_PAYMENT_MEDICAID_PMT_AMT

            Type:   NUM*
            Length: 8
            Label:  TOTAL MEDICAID PRE-PAID PLAN PREMIUM PAYMENT AMOUNT

            DESCRIPTION: AMOUNT OF MONEY PAID BY MEDICAID (PREMIUM PAYMENTS
            TO PREPAID PLANS) FOR THE RECIPIENT DURING THE CALENDAR YEAR,
            FOR TYPES OF SERVICE = 20-22. PS DED Page 110 (SAS USERS: ZONED
            DECIMAL -.

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 355.   CHARGE_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  TOTAL MEDICAID CHARGE AMOUNT

            DESCRIPTION: TOTAL AMOUNT OF CHARGES BY PROVIDERS TO MEDICAID
            FOR THE RECIPIENT DURING THE CALENDAR YEAR. (SAS USERS: ZONED
            DECIMAL - ZD8) USER NOTE: THIS AMOUNT IS NOT APPLICABLE FOR
            ENCOUNTER OR PRE.

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 356.   THIRD_PARTY_PAYMENT_AMOUNT

            Type:   NUM*
            Length: 8
            Label:  TOTAL THIRD PARTY PAYMENT AMOUNT

            DESCRIPTION: TOTAL NON-MEDICAID PAYMENTS FOR SERVICES FOR THE
            RECIPIENT DURING THE CALENDAR YEAR. (SAS USERS: ZONED DECIMAL
            - ZD8) USER NOTE: THIS AMOUNT IS NOT APPLICABLE FOR ENCOUNTER
            OR PREMIUM PAY.

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 357.   INPATIENT_HOSPITAL_RECORDS_PT_2

            Type:   NUM
            Length: 3
            Label:  INPATIENT HOSPITAL RECORDS - FIRST TYPE OF PROGRAM

            DESCRIPTION: NUMBER OF INPATIENT HOSPITAL RECORDS CONTAINING
            MSIS PROGRAM TYPE = 2 (FAMILY PLANNING). SOURCE: CREATED USING
            THE MSIS INPATIENT HOSPITAL CLAIMS FILE. PS DED Page 115.

            Values: 
               PS DED Page 116 PE

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 358.   INPATIENT_HOSPITAL_PAYMENTS_PT_2

            Type:   NUM*
            Length: 8
            Label:  INPATIENT HOSPITAL PAYMENTS - FIRST TYPE OF PROGRAM

            DESCRIPTION: MEDICAID PAYMENT AMOUNT FOR ALL INPATIENT HOSPITAL
            RECORDS CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING).
            (SAS USERS: ZONED DECIMAL - ZD8) SOURCE: CREATED USING THE
            MSIS INPATIENT HO.

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 359.   LONG_TERM_CARE_RECORDS_PT_2

            Type:   NUM
            Length: 3
            Label:  INSTITUTIONAL LONG-TERM CARE RECORDS - FIRST TYPE OF PROGRAM

            DESCRIPTION: NUMBER OF LONG-TERM CARE RECORDS CONTAINING MSIS
            PROGRAM TYPE = 2 (FAMILY PLANNING). SOURCE: CREATED USING THE
            MSIS LONG-TERM CARE CLAIMS FILE. PS DED Page 117.

            Values: 
               PS DED Page 118 PERSON SUM

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 360.   LONG_TERM_CARE_PAYMENTS_PT_2

            Type:   NUM*
            Length: 8
            Label:  INSTITUTIONAL LONG-TERM CARE PAYMENTS - FIRST TYPE OF PROGRAM

            DESCRIPTION: MEDICAID PAYMENT AMOUNT FOR ALL LONG-TERM CARE
            RECORDS CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING).
            (SAS USERS: ZONED DECIMAL - ZD8) SOURCE: CREATED USING THE
            MSIS LONG-TERM CARE C.

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 361.   OTHER_SERVICE_RECORDS_PT_2

            Type:   NUM
            Length: 3
            Label:  OTHER SERVICE RECORDS - FIRST TYPE OF PROGRAM

            DESCRIPTION: NUMBER OF OTHER SERVICE RECORDS CONTAINING MSIS
            PROGRAM TYPE = 2 (FAMILY PLANNING). SOURCE: CREATED USING THE
            MSIS OTHER SERVICE CLAIMS FILE. PS DED Page 119.

            Values: 
               PS DED Page 120 PERSON SUMMA

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 362.   OTHER_SERVICE_PAYMENTS_PT_2

            Type:   NUM*
            Length: 8
            Label:  OTHER SERVICE PAYMENTS - FIRST TYPE OF PROGRAM

            DESCRIPTION: MEDICAID PAYMENT AMOUNT FOR ALL OTHER SERVICE RECORDS
            CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING). (SAS USERS:
            ZONED DECIMAL - ZD8) SOURCE: CREATED USING THE MSIS OTHER SERVICE
            CLA.

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 363.   PRESCRIPTION_DRUG_RECORDS_PT_2

            Type:   NUM
            Length: 3
            Label:  PRESCRIPTION DRUG RECORDS - FIRST TYPE OF PROGRAM

            DESCRIPTION: NUMBER OF PRESCRIPTION DRUG RECORDS CONTAINING
            MSIS PROGRAM TYPE = 2 (FAMILY PLANNING). SOURCE: CREATED USING
            THE MSIS PRESCRIPTION DRUG CLAIMS FILE. PS DED Page 121.

            Values: 
               PS DED Page 122 PERS

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 364.   PRESCRIPTION_DRUG_PAYMENTS_PT_2

            Type:   NUM*
            Length: 8
            Label:  PRESCRIPTION DRUG PAYMENTS - FIRST TYPE OF PROGRAM

            DESCRIPTION: MEDICAID PAYMENT AMOUNT FOR ALL PRESCRIPTION DRUG
            RECORDS CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING).
            (SAS USERS: ZONED DECIMAL - ZD8) SOURCE: CREATED USING THE
            MSIS PRESCRIPTION.

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 365.   TOTAL_RECORDS_PT_2

            Type:   NUM
            Length: 3
            Label:  TOTAL RECORDS - FIRST TYPE OF PROGRAM

            DESCRIPTION: TOTAL NUMBER OF RECORDS CONTAINING MSIS PROGRAM
            TYPE = 2 (FAMILY PLANNING). SOURCE:  CREATED  USING  ALL  OF
            THE  MSIS  CLAIMS  FILES,  ALTHOUGH FAMILY PLANNING SERVICES
            PROVIDED TO A PE.

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 366.   TOTAL_PAYMENTS_PT_2

            Type:   NUM*
            Length: 8
            Label:  TOTAL PAYMENTS - FIRST TYPE OF PROGRAM

            DESCRIPTION: MEDICAID PAYMENT AMOUNT FOR ALL RECORDS CONTAINING
            MSIS PROGRAM TYPE = 2 (FAMILY PLANNING). (SAS USERS: ZONED DECIMAL
            - ZD8) SOURCE:  CREATED  USING  ALL  OF  THE  MSIS  CLAIMS
            FILES,  A.

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 417.   DELIVERY_CODE

            Type:   NUM
            Length: 1
            Label:  DELIVERY CODE

            DESCRIPTION: CODE  INDICATING  WHETHER  OR  NOT  THE  ELIGIBLE
            HAD  AT  LEAST  ONE  INPATIENT  HOSPITAL  STAY  IN  THE  YEAR
            WITH A MATERNAL DELIVERY DIAGNOSIS CODE. PS DED Page 125 CODES:
            0 = NO MA.

            Values: 
               CODES: 
0 = NO MAX INPATIENT CLAIM DURING THE YEAR WITH A MATERNAL DELIVERY DIAGNOSIS CODE. 
1 = AT LEAST ONE MAX INPATIENT CLAIM DURING THE YEAR WITH A MATERNAL DELIVERY DIAGNOSIS CODE.

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 418.   RECIPIENT_INDICATOR_TOS_01

            Type:   CHAR
            Length: 1
            Label:  RECIPIENT INDICATOR - FIRST MAX TOS

            DESCRIPTION: INDICATOR TO SHOW IF AND HOW THE ELIGIBLE RECEIVED
            A MEDICAID SERVICE (UNDER FEE-FOR-SERVICE) DURING THE CALENDAR
            YEAR, FOR THIS TYPE OF SERVICE. THIS DATA ELEMENT IS REPORTED
            FOR ALL TYP.

            Values: 
               CODES: 
0 = THE ELIGIBLE PERSON DID NOT RECEIVE ANY SERVICES. 
1 = THE ELIGIBLE PERSON HAD ONLY FEE-FOR-SERVICE CLAIMS FOR TYPES OF SERVICE = 1-19, 23-54 AND 99. 
2 = THE ELIGIBLE PERSON HAD ONLY PREMIUM PAYMENT CLAIMS (PRE-PAID PLAN) FOR TYPES OF SERVICE = 20-22. 
3 = THE ELIGIBLE PERSON HAD ONLY ENCOUNTER RECORDS (PRE-PAID PLAN) FOR TYPES OF SERVICE = 1-19, 23-54, 99. 
4 = THE ELIGIBLE PERSON HAD FEE-FOR-SERVICE AND PREMIUM PAYMENT CLAIMS, BUT NO ENCOUNTER RECORDS. 
5 = THE ELIGIBLE PERSON HAD PREMIUM PAYMENT CLAIMS AND ENCOUNTER RECORDS, BUT NO FEE-FOR- SERVICE CLAIMS. 
6 = THE ELIGIBLE PERSON HAD FEE-FOR-SERVICE CLAIMS AND ENCOUNTER RECORDS, BUT NO PREMIUM PAYMENT CLAIMS. 
7 = THE ELIGIBLE PERSON HAD FEE-FOR-SERVICE CLAIMS, PREMIUM PAYMENT CLAIMS AND ENCOUNTER RECORDS. 
8 = S-CHIP ENROLLMENT MONTHS WERE FOUND BUT NO MEDICAID ENROLLMENT MONTHS WERE FOUND. 
9 = NEITHER S-CHIP ENROLLMENT MONTHS NOR MEDICAID ENROLLMENT MONTHS WERE FOUND.

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 419.   CLAIM_COUNT_TOS_01

            Type:   NUM*
            Length: 5
            Label:  FEE-FOR-SERVICE CLAIM COUNT - FIRST MAX TOS

            DESCRIPTION: TOTAL NUMBER OF FEE-FOR-SERVICE CLAIMS FOR THE
            RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE.
            THIS DATA ELEMENT IS REPORTED FOR ALL TYPES OF SERVICE, EXCEPT
            TOS = 20, 21 AND.

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 420.   MEDICAID_PAYMENT_AMOUNT_TOS_01

            Type:   NUM*
            Length: 8
            Label:  FEE-FOR-SERVICE MEDICAID PAYMENT AMOUNT - FIRST MAX TOS

            DESCRIPTION: TOTAL FEE-FOR-SERVICE MEDICAID PAYMENTS FOR THE
            RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE.
            THIS DATA ELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT
            TOS = 20, 21 AND.

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 421.   CHARGE_AMOUNT_TOS_01

            Type:   NUM*
            Length: 8
            Label:  FEE-FOR-SERVICE CHARGE AMOUNT - FIRST MAX TOS

            DESCRIPTION: TOTAL  AMOUNT  OF  FEE-FOR-SERVICE  CHARGES  FOR
            THE  RECIPIENT  DURING  THE  CALENDAR  YEAR  FOR  THIS  TYPE
            OF SERVICE. THIS DATA ELEMENT IS REPORTED FOR ALL TYPES OF
            SERVICE EXCEPT T.

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 422.   THIRD_PARTY_PAYMENT_AMT_TOS_01

            Type:   NUM*
            Length: 8
            Label:  FEE-FOR-SERVICE THIRD PARTY PAYMENT AMOUNT - FIRST MAX TOS

            DESCRIPTION: TOTAL NON-MEDICAID PAYMENTS, RELATED TO FEE-FOR-SERVICE
            CARE FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE
            OF SERVICE. THIS DATA ELEMENT IS REPORTED FOR ALL TYPES OF SERVICE
            EX.

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 423.   ENCOUNTER_RECORD_COUNT_TOS_01

            Type:   NUM
            Length: 5
            Label:  ENCOUNTER RECORD COUNT - FIRST MAX TOS

            DESCRIPTION: TOTAL NUMBER OF ENCOUNTER RECORDS (TYPE OF CLAIM
            = 3), RELATED TO CARE PROVIDED BY A CAPITATED (PREPAID) PLAN
            FOR THE RECIPIENT  DURING  THE  CALENDAR  YEAR  FOR  THIS
            TYPE  OF  SERVICE.

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 604.   CLTC_FFS_PYMT_AMT_11

            Type:   NUM*
            Length: 8
            Label:  MEDICAID PAYMENT AMOUNT - FIRST TYPE OF CLTC

            DESCRIPTION: FIELD  CONTAINING  THE  FIRST  OF  21  MEDICAID
            PAYMENT  AMOUNTS  EXISTING  FOR  EACH  MAX  COMMUNITY-BASED
            LONG-TERM CARE INDICATOR  CODE.  THERE  IS  ONE  DATA  ELEMENT
            FOR  EACH  LIS.

            Values: 
               CODES: 
11 = NON-WAIVER PERSONAL CARE PROGRAM TYPE NOT = (6 OR 7) AND MAX TOS = 30 
12 = NON-WAIVER PRIVATE DUTY NURSING PROGRAM TYPE NOT = (6 OR 7) AND MAX TOS = 38 
13 = NON-WAIVER ADULT DAY PROGRAM TYPE NOT = (6 OR 7) AND MAX TOS = 54 
14 = NON-WAIVER HOME HEALTH PROGRAM TYPE NOT = (6 OR 7) AND MAX TOS = 13 
15 = NON-WAIVER RESIDENTIAL CARE PROGRAM TYPE NOT = (6 OR 7) AND MAX TOS = 52 
16 = NON-WAIVER REHABILITATION FOR AGED OR DISABLED ENROLLEE PROGRAM TYPE NOT = (6 OR 7) AND MAX 
TOS = 33 AND BOE = (1 OR 2) 
17 = NON-WAIVER TARGETED CASE MANAGEMENT FOR AGED OR DISABLED ENROLLEE PROGRAM TYPE NOT = (6 OR 
7) AND MAX TOS = 31 AND BOE = (1 OR 2) 
18 = NON-WAIVER TRANSPORTATION FOR AGED OR DISABLED ENROLLEE PROGRAM TYPE NOT = (6 OR 7) AND MAX 
TOS = 26 AND BOE = (1 OR 2) 
19 = NON-WAIVER HOSPICE CARE FOR AGED OR DISABLED ENROLLEE PROGRAM TYPE NOT = (6 OR 7) AND MAX 
TOS = 35 AND BOE = (1 OR 2) 
20 = NON-WAIVER DURABLE MEDICAL EQUIPMENT FOR AGED OR DISABLED ENROLLEE PROGRAM TYPE NOT = (6 OR 
7) AND MAX TOS = 51 AND BOE = (1 OR 2) 
30 = WAIVER SERVICE IN ANY OTHER TYPE OF SERVICE NOT LISTED BELOW PROGRAM TYPE = (6 OR 7) AND MAX 
TOS NOT = (30, 38, 54, 13, 52, 33, 31, 26, 35, 51) 
31 = WAIVER PERSONAL CARE PROGRAM TYPE = (6 OR 7) AND MAX TOS = 30 
32 = WAIVER PRIVATE DUTY NURSING PROGRAM TYPE = (6 OR 7) AND MAX TOS = 38 
33 = WAIVER ADULT DAY PROGRAM TYPE = (6 OR 7) AND MAX TOS = 54 
34 = WAIVER HOME HEALTH PROGRAM TYPE = (6 OR 7) AND MAX TOS = 13 
35 = WAIVER RESIDENTIAL CARE PROGRAM TYPE = (6 OR 7) AND MAX TOS = 52 
36 = WAIVER REHABILITATION PROGRAM TYPE = (6 OR 7) AND MAX TOS = 33 
37 = WAIVER TARGETED CASE MANAGEMENT PROGRAM TYPE = (6 OR 7) AND MAX TOS = 31 
38 = WAIVER TRANSPORTATION PROGRAM TYPE = (6 OR 7) AND MAX TOS = 26 
39 = WAIVER HOSPICE CARE PROGRAM TYPE = (6 OR 7) AND MAX TOS = 35 
40 = WAIVER DURABLE MEDICAL EQUIPMENT PROGRAM TYPE = (6 OR 7) AND MAX TOS = 51

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 625.   HCBS_FFS_PYMT_AMT_01

            Type:   NUM*
            Length: 8
            Label:  MEDICAID PAYMENT AMOUNT - FIRST TYPE OF HCBS TAXONOMY

            DESCRIPTION: FIELD  CONTAINING  THE  FIRST  OF  18  MEDICAID
            PAYMENT  AMOUNTS  EXISTING  FOR  EACH  HOME  AND COMMUNITY-BASED
            SERVICES IDENTIFIED  BY  THE  FIRST  TWO  BYTES  OF  THE  TAXONOMY
            CODE.

            Values: 
               CODES: 
01 = CASE MANAGEMENT 
02 = ROUND-THE-CLOCK SERVICES 
03 = SUPPORTED EMPLOYMENT 
04 = DAY SERVICES 
05 = NURSING SERVICES 
06 = HOME DELIVERED MEALS 
07 = RENT AND FOOD EXPENSES FOR LIVE-IN CAREGIVER 
08 = HOME-BASED SERVICES 
09 = CAREGIVER SUPPORT 
10 = OTHER MENTAL HEALTH AND BEHAVIORAL SERVICES 
11 = OTHER HEALTH AND THERAPEUTIC SERVICES 
12 = SERVICES SUPPORTING PARTICIPANT DIRECTION 
13 = PARTICIPANT TRAINING 
14 = EQUIPMENT, TECHNOLOGY, AND MODIFICATIONS 
15 = NON-MEDICAL TRANSPORTATION 
16 = COMMUNITY TRANSITION SERVICES 
17 = OTHER SERVICES 
99 = UNKNOWN

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 643.   PREMIUM_PAYMENT_INDICATOR_TOS_20

            Type:   NUM*
            Length: 1
            Label:  PREMIUM PAYMENT INDICATOR - FIRST TYPE OF PREMIUM

            DESCRIPTION: INDICATOR  TO  SHOW  IF  ANY  PREMIUM  PAYMENTS
            WERE  MADE  TO  A  CAPITATED  (PREPAID)  PLAN  FOR  THIS ELIGIBLE
            DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY
            FOR TOS = 2.

            Values: 
               CODES: 
0 = NO PREMIUM PAYMENTS WERE MADE FOR THIS ELIGIBLE BY MEDICAID 
1 = PREMIUM PAYMENTS WERE MADE FOR THIS ELIGIBLE BY MEDICAID

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 644.   PREMIUM_PAYMENT_RECORDS_TOS_20

            Type:   NUM*
            Length: 5
            Label:  PREMIUM PAYMENT RECORD COUNT - FIRST TYPE OF PREMIUM

            DESCRIPTION: TOTAL NUMBER OF PREMIUM PAYMENTS THAT WERE MADE
            TO A CAPITATED (PREPAID) PLAN FOR THIS ELIGIBLE DURING THE
            CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY FOR TOS =
            20, 21, 22, AND 23.

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 645.   MEDICAID_PREMIUM_PAYMENTS_TOS_20

            Type:   NUM*
            Length: 8
            Label:  MEDICAID PREMIUM PAYMENT AMOUNT - FIRST TYPE OF PREMIUM

            DESCRIPTION: TOTAL  DOLLAR  AMOUNT  OF  PREMIUM  PAYMENTS  THAT
            WERE  MADE  TO  A  CAPITATED  (PREPAID)  PLAN  FOR  THIS ELIGIBLE
            DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY
            FOR TOS.

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 655.   ENCTR_REC_CNT_HCBS

            Type:   NUM
            Length: 5
            Label:  ENCOUNTER RECORD COUNT - HCBS

            DESCRIPTION: TOTAL  NUMBER  OF  ENCOUNTER  RECORDS  (TYPE  OF
            CLAIM  =  3),  RELATED  TO  HOME  AND  COMMUNITY-BASED SERVICES
            FOR THE RECIPIENT DURING THE CALENDAR YEAR. PS DED Page 145
            NOTE: IN MAX.