Medicaid Use (Claim Count) — Long-Term Care

SAS Name
MDCD_LT_TOTAL_USE

This variable is the total count of Medicaid long-term care (LT) (header) claims for the beneficiary during the year.

Comments

The corresponding Medicaid payment information for LT is in the MDCD_LT_TOTAL_SPEND variable; however, due to CMS payment redaction requirements the dollar totals will not reflect the (redacted) managed care expenditures. MMLEADS counts all claims in the MDCD_LT_TOTAL_USE variable. Use caution when calculating average spend per claim. There may be claims (i.e., use) for which there is no corresponding payment information.

Source: T-MSIS Long-Term Care Claims File (derived)