Find a CMS Data File

Showing 1 to 15 of 15 results.
  1. MAX Personal Summary File

    The Personal Summary 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, monthly ...

  2. MAX Other Therapy File

    The Other Therapy File contains claim records for a variety of Medicaid services, including physician services, lab/X-ray, clinic services, home health, hospice and premium payments.  Outpatient hospital institutional claims are also included in this file ...

  3. MAX Inpatient File

    The Inpatient File contains complete stay records for enrollees who used inpatient services including diagnoses, procedures, discharge status, length of stay, and payment amount. The MAX Inpatient File contains 10 diagnostic fields and 7 procedure fields. ...

  4. MAX Prescription Drug File

    The Prescription Drug File contains final action, paid drug claims.  Since 1996, the dispensed drug has been identified by an NDC . Drugs or supplies identified by HCPCS ( CMS Health Care Common Proceedure Codes) or any state-specific codes, are included ...

  5. MAX Long Term Care File

    The Long Term Care File contains claims for institutional long term care services provided by Nursing Facilities, Intermediate Care Facilities (ICFs), and independent psychiatric facilities. Fields include facility type, dates of service, and discharge ...

  6. Medicare-Medicaid Linked Enrollee Analytic Data Source

    The Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) has been developed to allow for the examination of all Medicare and Medicaid enrollment and claims data for those who were dually enrolled in both programs. The file includes records for ...

  7. MAX Provider Characteristics File

    There is currently considerable interest at CMS in examining health reform proposals, program integrity, and access-to-care issues among certain types of Medicaid providers. However, it has not been possible to easily conduct provider-based research ...

  8. Long Term Care Minimum Data Set 2.0

    The Long Term Care Minimum Data Set ( MDS ) is a standardized, primary screening and assessment tool of health status which forms the foundation of the comprehensive assessment for all residents (regardless of payer) of long-term care facilities certified ...

  9. Long Term Care Minimum Data Set 3.0

    The Long Term Care Minimum Data Set ( MDS ) is a standardized, primary screening and assessment tool of health status which forms the foundation of the comprehensive assessment for all residents (regardless of payer) of long-term care facilities certified ...

  10. Swing-Bed Assessments 2.0

    Swing-Bed providers are hospitals that can use its beds, as needed, to provide either acute or SNF care. A provider must complete an assessments for patients that are in a swing bed in order to receive payment.  The Swing-Bed MDS is a subset of the MDS ...

  11. Swing-Bed Assessments 3.0

    Swing-Bed providers are hospitals that can use their beds, as needed, to provide either acute or SNF care. A provider must complete an assessments for patients that are in a swing bed in order to receive payment.  The Swing-Bed MDS is a subset of the MDS ...

  12. Mini MAX

    Mini- MAX is a five percent cross-sectional national sample of the MAX files.  The sample is stratified by 51 jurisdictions and by basis of eligibility (aged, disabled, children, and adults) among full beneficiaries and separately for restricted ...

  13. Medicaid State Drug Utilization File

    Drug utilization data is available for covered outpatient drugs paid for by State Medicaid agencies since the start of the Drug Rebate Program. For help in interpreting the data, please refer to the State Drug Utilization Data Specifications. The ...

  14. Medicaid/CHIP Environmental Scanning and Program Characteristics File

    The ESPC database is in a Microsoft (MS) Access format and contains Medicaid and CHIP data, for the 50 States and District of Columbia.  Specifically, The ESPC database predominantly houses information on Medicaid and CHIP program characteristics as well ...

  15. MSIS Datamart

      The MSIS Datamart contains two resources: the MSIS State Summary Datamart and the MSIS Drug Utilization Datamart.  The State Summary Datamart allows the user to develop high-level statistical tables covering a range of Medicaid program statistics. The ...