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MEDICAID PAYMENT AMOUNT FOR ALL OTHER SERVICE RECORDS CONTAINING MSIS PROGRAM TYPE = 5 (INDIAN HEALTH SERVICES)

(SAS USERS: ZONED DECIMAL - ZD8)

MEDICAID PAYMENT AMOUNT FOR ALL OTHER SERVICE RECORDS CONTAINING MSIS PROGRAM TYPE = 3 (RURAL HEALTH CLINIC)

(SAS USERS: ZONED DECIMAL - ZD8)

NUMBER OF OTHER SERVICE RECORDS CONTAINING MSIS PROGRAM TYPE = 2 (FAMILY PLANNING).

NUMBER OF OTHER SERVICE RECORDS CONTAINING MSIS PROGRAM TYPE = 4 (FEDERALLY QUALIFIED HEALTH CENTERS).

NUMBER OF OTHER SERVICE RECORDS CONTAINING MSIS PROGRAM TYPE = 6 (HOME AND COMMUNITY-BASED CARE FOR DISABLED ELDERLY AND INDIVIDUALS AGE 65 AND OLDER).

NUMBER OF OTHER SERVICE RECORDS CONTAINING MSIS PROGRAM TYPE = 7 (HOME AND COMMUNITY-BASED CARE WAIVER SERVICES).

NUMBER OF OTHER SERVICE RECORDS CONTAINING MSIS PROGRAM TYPE = 5 (INDIAN HEALTH SERVICES).

NUMBER OF OTHER SERVICE RECORDS CONTAINING MSIS PROGRAM TYPE = 3 (RURAL HEALTH CLINIC).

For outpatient hospital facility claims, HCPCS/CPT is captured here.

This field represents the year and month of the reporting period.

Indicator representing the iteration of the file.

An additional taxonomy classification different from the primary taxonomy classification.

NUCC Provider Taxonomy Codes have three levels: Type, Classification, and Specialization. The Classification is obtained from the first four characters of the full Taxonomy Code and represents the provider's general specialty.

An additional taxonomy classification different from the primary taxonomy classification.

NUCC Provider Taxonomy Codes have three levels:  Type, Classification, and Specialization.  The Classification is obtained from the first four characters of the full Taxonomy Code and represents the provider's general specialty.

An additional taxonomy classification different from the primary taxonomy classification.

NUCC Provider Taxonomy Codes have three levels:  Type, Classification, and Specialization. The Classification is obtained from the first four characters of the full Taxonomy Code and represents the provider's general specialty.

An additional taxonomy classification different from the primary taxonomy classification.

NUCC Provider Taxonomy Codes have three levels: Type, Classification, and Specialization. The Classification is obtained from the first four characters of the full Taxonomy Code and represents the provider's general specialty.

This data element indicates that the claim is for a beneficiary for whom other thirdparty resource development and collection activities are in progress, when the liability is not another health insurance plan for which the eligible is a beneficiary.

This is the amount of any payment made by other third-party payers that reduces the beneficiary’s liability for the PDE and counts towards Part D’s true out-of-pocket (TrOOP) requirement. Two examples are payments by qualified state pharmacy assistance programs or charities. This variable does not include amounts covered by the Part D low-income subsidy.

Number of months the beneficiary was enrolled in any other type of waiver in the calendar year.

Medicaid Coinsurance and Deductible FFS Payments for Months with 'Full' Dual Status

Medicaid Coinsurance and Deductible FFS and Managed Care Payments for Months with 'Other' Dual Status

Medicaid FFS claims for months with 'Other' Dual Status

Medicaid covered days for months with 'Other' Dual Status*

Medicaid days for months with 'Other' Dual Status (day count determined from start and end date of the claim)*

Medicaid FFS Payments for Months with 'Other' Dual Status

Medicaid FFS and Managed Care Payments for Months with 'Other' Dual Status

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