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Opioid-Related Hospitalization or ED First Ever Occurrence Date - Medicare Only Claims

Opioid-Related Hospitalization or ED First Ever Occurrence Date - Medicare Only Claims

Use of Medication-Assisted Treatment (MAT) - Combined Medicare & Medicaid Claims

Use of Medication-Assisted Treatment (MAT) First Ever Occurrence Date - Combined Medicare &Medicaid Claims

Use of Medication-Assisted Treatment (MAT) - Medicaid Only Claims

Use of Medication-Assisted Treatment (MAT) First Ever Occurrence Date - Medicaid Only Claims

Use of Medication-Assisted Treatment (MAT) - Medicare Only Claims

Use of Medication-Assisted Treatment (MAT) First Ever Occurrence Date - Medicare Only Claims

This variable is the dollar amount of the Medicare-defined Part D annual Out-of-Pocket (OOP) Cost Threshold. This field is blank for Fixed Capitated Reinsurance Demonstration Projects.

This variable is the dollar amount of the Medicare-defined Part D annual Out-of-Pocket (OOP) Cost Threshold.

This field is blank for Fixed Capitated Reinsurance Demonstration Projects

This field specifies the number of days paid as outliers under Prospective Payment System (PPS) and the days over the threshold for the DRG.

This code indicates the Type of Outlier Code or DRG Source.

INDICATES WHETHER THE DRUG IS AN OVER-THE-COUNTER OR A PRESCRIBED DRUG. USER NOTE: THIS IS MEDI-SPAN DRUG DATA BASE (MDDB) DATA ELEMENT 'RX-OTC INDICATOR CODE" FROM POSITION 67 IN THE Key Identifier (A1) RECORD, PREVIOUSLY REFERRED TO AS THE "A061" RECORD. THE MDDB PRODUCT VERSION8, APRIL 2003 WAS USED.

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Overarching opioid use disorder (any positive result from the three indicators: DX or procedure, hospital or ED, or MAT). 

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Overarching opioid use disorder (any positive result from the three indicators: DX or procedure, hospital or ED, or MAT). 

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Overarching opioid use disorder (any positive result from the three indicators: DX or procedure, hospital or ED, or MAT). 

This variable is the Overarching Opioid Use Disorder (OUD) indicator, which identifies whether a beneficiary met any of the three opioid-related sub-Indicators as of the end of the calendar year. Beneficiaries who were identified as meeting the criteria for any of the following, also meet the criteria for this overarching indicator: OUD_DX_MEDICARE, OUD_HOSP_MEDICARE, or OUD_MAT_MEDICARE.

This variable shows the date when the beneficiary first met the criteria for the Overarching opioid use disorder (OUD) condition indicator (Any of the Three SubIndicators). The variable will be blank for beneficiaries that have never had the condition.

The data in this column indicates the frequency that a bed rail(s) was used.

The data in this column indicates the frequency that a trunk restraint in bed was used.

The data in this column indicates the frequency that a limb restraint in bed was used.

The data in this column indicates the frequency that an other type of restraint in bed was used.

The data in this column indicates the frequency that a trunk restraint in a chair was used.

The data in this column indicates the frequency that a limb restraint in a chair was used.

The data in this column indicates the frequency that a chair to prevent rising was used.

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