Medicare — Skilled Nursing Facility Months (from Claims)

SAS Name
MDCR_SNF_MOS

This variable is the total count of months during the year where the beneficiary was in a skilled nursing facility (SNF), according to Medicare claims. A hierarchical algorithm is used, so that SNF is only counted for the month if there is not a Medicare long-term care hospital claim.

Comments

CCW uses Medicare SNF claims for this variable.

CCW creates Medicare Timeline file to identify the type of facility or level of acuity of care received by the beneficiary each day. Using CMS rules, CCW employs a hierarchy of claims and MDS assessment data. If the beneficiary does not have Medicare claims for inpatient hospitalization, then CCW determines if there are Medicare claims for skilled nursing facility (SNF). For MMLEADS, CCW calculates the number of months during the year when the beneficiary was in a SNF. Note that the number of months with a Medicare long-term care hospital (LTCH) claim or when there was not LTCH or SNF claims, but there was a Minimum Data Set (MDS) assessment are captured in the MDCR_LTCH_MOS and MDCR_NF_MOS variables, respectively.

Values: 1-12, or null/missing (if no Medicare enrollment)

Source: Medicare Skilled Nursing Facility claims (derived)