This variable is contained in the following files:
SAS Name
MDCD_TOTAL_SPEND
This variable is the sum of Medicaid payment amount from the inpatient (IP), long-term care (LT), pharmacy (RX) and other services (OT) (header) claims for the beneficiary during the year. Note that this dollar amount may be an undercount if the beneficiary had managed care claims.
CCW calculates this variable as the sum of all MDCD_PD_AMT from all IP, LT, OT, and RX header claims. Unlike the MMLEADS variable called MDCD_TOTAL_NON_ CAPTD_SPEND, this variable does not remove records for capitated payments. All claims are included in this amount.
Note that the Center for Medicaid and CHIP Services (CMCS) at CMS has required redaction of the MDCD_PD_AMT field for managed care claims due to the proprietary and confidential nature of this information. Therefore, this total does not reflect the redacted managed care expenditures. MMLEADS may count claims (in the MDCD_TOTAL_USE variable) for which there is no corresponding payment information.
Values: $
Source: T-MSIS Claims files (derived)