Data Availability

File availability information for the Qualified Entity Program data can be found in the Data Available section of the QE Program page: http://www.resdac.org/cms-data/request/qualified-entity-program.

Research Identifiable Files

Data File Available Quarters/Years Next Year Request Date
Beneficiary Annual Summary File ?

CY 1999 - 2010

Beneficiary Summary File ?

Discontinued

Carrier RIF ?

CY 1999 - 2016

12/2018
Chronic Condition Summary File ?

Discontinued

Consumer Assessment of Healthcare Providers & Systems RIF

Varies

Denominator RIF ?

Discontinued

Durable Medical Equipment RIF ?

CY 1999 - 2016

12/2018
Health and Retirement Survey- Medicare Linked Data ?

CY 1991-2010

Health Outcomes Survey RIF ?

CY 1998-2015

11/2015
Healthcare Effectiveness Data and Information Set RIF

Measurement Years 1997-2014

07/2015
Home Health Agency RIF ?

CY 1999 - 2016

12/2018
Home Health Outcome and Assessment Information Set

1999-2015

12/2017
Hospice RIF ?

CY 1999 - 2016

12/2018
Inpatient Rehab Facility- Patient Assessment Instrument

CY 2002-2015

12/2017
Inpatient RIF ?

CY 1999 - 2016

12/2018
Long Term Care Minimum Data Set 2.0 ?

CY 1999 - 2010

Long Term Care Minimum Data Set 3.0 ?

CY 2010-2016

12/2018
Master Beneficiary Summary File:

Base (A/B/C/D) Segment

?

CY 1999 - 2016

12/2018
Master Beneficiary Summary File:

Chronic Conditions Segment

CY 1999 - 2016

12/2018
Master Beneficiary Summary File:

Other Chronic or Potentially Disabling Conditions Segment

CY 1999 - 2016

12/2018
Master Beneficiary Summary File:

Cost and Use Segment

?

CY 1999 - 2016

12/2018
Master Beneficiary Summary File:

National Death Index Segment

?

CY 1999 - 2008

MAX Inpatient File ?

CY 1999-2014

02/2019
MAX Long Term Care File ?

CY 1999-2014

02/2019
MAX Other Therapy File ?

CY 1999-2014

02/2019
MAX Personal Summary File ?

CY 1999-2014

02/2019
MAX Prescription Drug File ?

CY 1999 - 2014

02/2019
Medicaid Enrollee Supplemental File:

Chronic Conditions segment

1999-2012

Medicaid Enrollee Supplemental File:

National Death Index (NDI) segment

1999-2007

Medicare Data on Provider Practice and Specialty (MD-PPAS)

2008-2015

01/2018
Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) RIF

CY 2006-2012

MedPAR RIF

CY 1999 - 2016

12/2018
MPIER File ?

CY 2003-2007 Q2

National Health and Aging Trends Study (NHATS) - Medicare Linked Data

Retrospective data package including CY 2006-2014

02/2017
Outpatient RIF ?

CY 1999 - 2016

12/2018
Part D Denominator ?

Discontinued

Part D Drug Characteristics File

CY 2006-2016

12/2018
Part D Drug Event File

CY 2006-2016

12/2018
Part D Formulary File

CY 2010-2016

12/2018
Part D Medication Therapy Management Data File

CY 2013-2015

07/2018
Part D Pharmacy Characteristics File

CY 2006-2016

12/2018
Part D Plan Characteristics File

CY 2006-2016

12/2018
Part D Plan Election Type Beneficiary Summary File

CY 2007-2015

12/2018
Part D Prescriber Characteristics File

CY 2006-2016

12/2018
Pioneer Accountable Care Organization (ACO) RIF
Renal Management Information System ?

CY 2015

01/2017
Shared Savings Program Accountable Care Organizations (ACO) Beneficiary-level RIF

CY 2013-2016

12/2018
Shared Savings Program Accountable Care Organizations (ACO) Provider-level RIF

CY 2013-2016

12/2018
Skilled Nursing Facility RIF ?

CY 1999 - 2016

12/2018
Swing-Bed Assessments 2.0 ?

CY 1999 - 2010

Swing-Bed Assessments 3.0 ?

CY 2010-2016

12/2018
UPIN Member File ?

CY 2005-2007

Value Modifier Beneficiary Level File

Performance Year 2013 - 2015, cohorts of the VM RIFs are unavailable

Value Modifier NPI-Practice Level File

Performance Year 2013 - 2015, cohorts of the VM RIFs are unavailable

Value Modifier Practice Level File


Performance Year 2013 - 2015, cohorts of the VM RIFs are unavailable

Vital Status File ?

Current File

Limited Data Sets

Data File Available Quarters/Years Next Year Request Date
Ambulatory Surgical Center Payment System File ?

CY 2008-2017

11/2016
Carrier LDS

CY 2006-2016

11/2018
Denominator LDS ?

CY 2006-2016

11/2018
Durable Medical Equipment LDS

CY 2006-2016

11/2018
ESRD Prospective Payment System ?

CY 2008-2011, 2015-18

Health Outcomes Survey LDS ?

CY 1998-2016

Historical MCBS Data Files:

Access to Care module

CY 1992-2013

Historical MCBS Data Files:

Cost and Use module

CY 1992-2013

Home Health Agency LDS

CY 2006-2016

11/2018
Hospice LDS

CY 2006-2016

11/2018
Implantable Cardioverter Defibrillator (ICD) Implantation LDS

February 2005 - April 2006

Inpatient LDS

CY 2006-2016

11/2018
Inpatient Psychiatric Facility Prospective Payment System

CY 2009-2012, 2017-2018

LDS SAF NPI/UPIN Crosswalk ?

CY 2012

Master Beneficiary Summary File LDS

CY 2016

11/2017
Medicare Current Beneficiary Survey (MCBS):

Survey File

?

2015

Q3 2018
Medicare Current Beneficiary Survey (MCBS):

Cost Supplement File

? Q1 2018
MedPAR Hospital National LDS:

Final Rule

?

FY 2006-2016

08/2018
MedPAR Hospital National LDS:

Proposed Rule

?

FY 2008-2016

04/2018
MedPAR Longterm Care Hospital PPS Expanded Modified:

Final Rule

FY 2006-2016

08/2017
MedPAR Longterm Care Hospital PPS Expanded Modified:

Proposed Rule

?

FY 2010-2016

04/2018
MedPAR Skilled Nursing Facility LDS ?

FY 2006-2016

09/2018
Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers & Systems LDS

FFY 2014-2015

OPPS Partial Hospitalization Program:

Final Rule

?

2006-2017

11/2017
OPPS Partial Hospitalization Program:

Proposed Rule

?

2006-2018

05/2018
Outpatient LDS

CY 2006-2016

11/2018
Outpatient Prospective Payment System :

Final Rule

2006-2017

12/2017
Outpatient Prospective Payment System :

Proposed Rule

2006-2018

07/2018
Skilled Nursing Facility LDS

CY 2006-2016

11/2018
Supplemental Date File LDS ?

CY 2009

Public Use Files

Data File Available Quarters/Years Next Year Request Date
Consumer Assessment of Healthcare Providers & Systems PUF

Varies

Data Entrepreneurs' Synthetic Public Use Files (DE-SynPUF):

Beneficiary Summary DE-SynPUF

CY 2008-2010

Data Entrepreneurs' Synthetic Public Use Files (DE-SynPUF):

Carrier Claims DE-SynPUF

CY 2008-2010

Data Entrepreneurs' Synthetic Public Use Files (DE-SynPUF):

Inpatient Claims DE-SynPUF

CY 2008-2010

Data Entrepreneurs' Synthetic Public Use Files (DE-SynPUF):

Outpatient Claims DE-SynPUF

CY 2008-2010

Data Entrepreneurs' Synthetic Public Use Files (DE-SynPUF):

Prescription Drug Events (PDE) DE-SynPUF

CY 2008-2010

Health Care Information System (HCIS) ?

CY 2000-2011

Health Outcomes Survey PUF ?

CY 1998-2015

11/2015
Healthcare Cost Report Information System ?

1994-2014

Healthcare Effectiveness Data and Information Set PUF

Measurement Years 1997-2014

07/2015
Hospital Service Area File

CY 1992-current

MAX Provider Characteristics File ?

2009-2011

MCBS PUF

CY 2013

Medicaid State Drug Utilization File ?

1991-2014

Medicaid/CHIP Environmental Scanning and Program Characteristics File

2005-2013

Medicare Basic Stand Alone Claims Files ?

2008, 2010

Medicare Compare:

Hospital Compare

?

CY 2005-2014

Medicare Compare:

Home Health Compare

?

CY 2003-2014

Medicare Compare:

Nursing Home Compare

?

CY 2002-2014

Medicare Compare:

Dialysis Facility Compare

?

CY 2010-2014

Medicare Compare:

Physician Compare

?

CY 2014

Medicare Geographic Variation Files

CY 2007-2012

Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) PUF

CY 2006-2012

NPI Downloadable File

Current

Part B Summary Data Files:

National File

CY 2000-2013

Part B Summary Data Files:

Carrier File

CY 2005-2011

Physician Supplier Procedure Summary Master File

CY 1991-current

Prescription Drug Plan Formulary and Pharmacy Network Files:

Quarterly File

?

2009 - Current

Prescription Drug Plan Formulary and Pharmacy Network Files:

Monthly File

2005 - Current

Provider of Services File ?

CY 2006-2016

UPIN Directory ?

2003-2007 Q2

UPIN Group File ?

2005-2007 Q2

Value Modifier Performance PUF

Performance Year 2013 - 2015