Data File Search
The Medicaid and CHIP TAF (T-MSIS Analytic File) Demographic and Eligibility (DE) file contains one record for every individual eligible for and enrolled in Medicaid or CHIP for at least one day during the file calendar year.
Program:
Medicaid
The Medicaid and CHIP TAF (T-MSIS Analytic File) Inpatient (IP) file contains records for enrollees who had an inpatient hospital stay. Records include fee-for-service (FFS) claims, managed care encounters and supplemental payments for Medicaid, Medicaid-expansion CHIP and separate CHIP.
Program:
Medicaid
The Medicaid and CHIP TAF (T-MSIS Analytic File) Other Services (OT) file contains records for a variety of Medicaid services, including physician services, outpatient hospital institutional utilization, lab/X-ray, clinic services, home health, hospice and premium payments. Records include fee-for-service (FFS) claims, managed care encounters and supplemental payments for Medicaid, Medicaid-expansion CHIP and separate CHIP.
Program:
Medicaid
The Medicaid and CHIP TAF (T-MSIS Analytic File) Long Term Care (LT) file contains records for institutional long term care provided by specific facilities identified by the Type of Service variable:Nursing Facility ServicesMental Facility ServicesIndependent (free-standing) Psychiatric Wings of Acute Care HospitalsIntermediate Care Facility (ICF) Services for Individuals With Intellectual DisabilitiesThe records in the LT TAF include fee-for-service (FFS) claims, managed care encounters and supplemental...
Program:
Medicaid
The Medicaid and CHIP TAF (T-MSIS Analytic File) Pharmacy (RX) file includes records of filled prescriptions. Records include fee-for-service (FFS) claims, managed care encounters and supplemental payments for Medicaid, Medicaid-expansion CHIP and separate CHIP.
Program:
Medicaid
Medicaid MAX (Medicaid Analytic Extract) Personal Summary (PS) file contains one record for every individual eligible for and enrolled in Medicaid for at least one month or who had a Medicaid-paid service within the file year.
Program:
Medicaid
The Medicaid MAX (Medicaid Analytic Extract) Inpatient (IP) file contains complete stay records for enrollees who had an inpatient hospital stay. Records include fee-for-service (FFS) claims and encounter records submitted for stays covered by Medicaid managed care.
Program:
Medicaid
Medicaid MAX (Medicaid Analytic Extract) Other Services (OT) file contains claim records for a variety of Medicaid services, including physician services, outpatient hospital institutional utilization, lab/X-ray, clinic services, home health, hospice and premium payments.
Program:
Medicaid
Medicaid MAX (Medicaid Analytic Extract) Long Term (LT) Care file contains claim records for institutional long term care provided at four specific facility identified by the MAX Type of Service:Nursing Facility ServicesMental Hospital Services for the AgedInpatient Psychiatric Facility Services for Individuals Under the Age Of 21Intermediate Care Facility (ICF) Services for Individuals With Intellectual Disabilities
Program:
Medicaid
Medicaid MAX (Medicaid Analytic Extract) Prescription Drug (RX) file includes records of filled prescriptions from fee-for-service (FFS) claims paid by Medicaid and encounter records for prescription drugs paid by a Medicaid managed care organization.
Program:
Medicaid
The Conditions segment of the MESF flags each Medicaid beneficiary for the presence of one of 27 specific chronic conditions or one of 35 other chronic or potentially disabling conditions.
Program:
Medicaid
The National Death Index segment of the MESF includes cause of death information from death certificates provided through linkage with the National Death Index (NDI) cause of death information. Annual files are available for 1999-2013.
Program:
Medicaid
The Long Term Care Minimum Data Set (MDS) is a health status screening and assessment tool used for all residents of long term care nursing facilities certified to participate in Medicare or Medicaid, regardless of payer. The assessment is also required for Medicare payment of skilled nursing facility stays. Assessment data for Skilled Nursing Swing Beds 3.0 is included in a separate file, MDS version 3.0 was implemented on October 1, 2010, replacing version 2.0.
Program:
Medicare, Medicaid
The Home Health Outcome and Assessment Information Set (OASIS) contains data items developed to measure patient outcomes and for improve home health care. The OASIS assessments are required of all home health agencies certified to accept Medicare and Medicaid payments.
Program:
Medicare, Medicaid
The Long Term Care Minimum Data Set (MDS)-Swing Bed is a health status screening and assessment tool. It is required for Medicare payment of hospital-based skilled nursing care. Swing-bed providers are hospitals that can use their beds, as needed, to provide either acute or post-acute skilled nursing care. The swing-bed assessment includes a subset of the skilled nursing facility (SNF) assessment items. The MDS 3.0 was implemented in October, 2010, replacing version 2.0.
Program:
Medicare, Medicaid
The Long Term Care Minimum Data Set (MDS) is a health status screening and assessment tool used for all residents of long term care nursing facilities certified to participate in Medicare or Medicaid, regardless of payer. The assessment is also required for Medicare payment of skilled nursing facility stays. Assessment data for Skilled Nursing Swing Beds 2.0 is included in a separate file. Version 2.0 was replaced by MDS version 3.0 on October 1, 2010.
Program:
Medicare, Medicaid
The Long Term Care Minimum Data Set (MDS)-Swing Bed is a health status screening and assessment tool. It is required for Medicare payment of hospital-based skilled nursing care. Swing-bed providers are hospitals that can use beds, as needed, to provide either acute or post-acute skilled nursing care. The swing-bed assessment includes a subset of the skilled nursing facility (SNF) MDS items. MDS Swing Bed 2.0 was replaced by version 3.0 in October, 2010.
Program:
Medicare, Medicaid
The Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) suite of files includes beneficiary-level Medicare and Medicaid enrollment and claims data for Medicare-only, Medicare-Medicaid dually enrolled and Medicaid-only blind and disabled beneficiaries. The 27 CCW Chronic Conditions plus an additional 25 other conditions flags are part of the included data.
Program:
Medicare, Medicaid