SDRC

State Data
Resource Center

Resources for States Integrating Medicare and Medicaid Data

MMDI's "Profiling the Provider Role in Opioid Prescribing Among Dual Eligible Beneficiaries – Full Use Case" is Now Available (Posted 03/05/2018)
Research shows that excessive and inappropriate prescribing of opioids is a widespread problem among providers and is largely responsible for the observed trends in opioid misuse. This use case will provide guidance to assist SMAs on how to leverage Medicare data to profile providers who prescribe opioids to dual eligibles. This will enhance SMAs' abilities to identify opportunities to implement efforts resulting in safer prescribing analgesic opioids.

  • Profiling the Provider Role in Opioid Prescribing Among Dual Eligibles
  • MMDI’s "Profiling Potential Opioid Misuse Among Dual Eligible Beneficiaries – Full Use Case" is Now Available (Posted 03/05/2018)
    Prescription opioid misuse has emerged as a growing epidemic. To address prescription opioid misuse among dual eligibles, SMAs must understand prescription filling patterns and factors associated with opioid misuse within this population. This use case shows SMAs how to use Part D Prescription Drug Event (PDE) data, with other Medicare and Medicaid data sources, to examine opioid prescription fills among dual-eligible beneficiaries.

  • Profiling Substance Use Disorder and Potential Opioid Misuse Among Dual Eligibles
  • SDRC Tip Sheet – Public Use Files (Posted 01/26/2018)
    A new SDRC Tip Sheet has been added under the Data Dictionaries and File Layouts section. This tip sheet lists free, publicly available data resources from CMS (i.e., Public Use Files or "PUFs") for State Medicaid Agencies to better understand Medicare enrollee experiences in their state and nationally.

    CMS-MMCO Announcing Changes to SDRC Support (Posted 09/27/2017)
    The Medicare-Medicaid Coordination Office (MMCO) is pleased to announce the State Data Resource Center (SDRC) contract has been awarded to Econometrica, Inc. Econometrica, along with their subcontractor Acumen LLC, will continue to offer the same level of excellent support to State Medicaid Agencies for care coordination and program integrity initiatives that has been provided since 2012. Both contractors will work together to ensure that this transition is as smooth as possible for State Medicaid Agencies and their downstream users.

    As of today, you can reach the new SDRC Team by:
    Email: sdrc@EconometricaInc.com
    Phone: (877) 657-9889

    2015 Medicare Historic Parts A & B and Assessments Data Available (Posted 03/16/2017)
    Calendar Year 2015 Medicare Historic Parts A & B and Assessments data from the CCW have been final-actioned and are now available for request.

    New Historic Part A/B Data Dictionary Available (Posted 03/02/2017)
    The historic Part A/B data distributor, GDIT, announced the RIF claims layout was updated to Version K last weekend. The new layout can be downloaded from the Chronic Condition Warehouse (CCW) website . Under Medicare Claims, select Medicare Fee-For-Service Claims – Version K.

    New MBSF Segment and 2011 MMLEADS Data Available (Posted 11/09/2016)
    The Master Beneficiary Summary File (MBSF) segment, Other Chronic Conditions and Potentially Disabling Conditions, and the 2011 MMLEADS data from the CCW are now available for request.

    2014 Medicare Historic Part A/B and Assessments Data Available (Posted 04/07/2016)
    Calendar Year 2014 Medicare Historic Parts A & B and Assessments data from the CCW have been final-actioned and are now available for request.

    Cybersecurity Initiative - CMS Beneficiary Data Protection (Posted 08/06/2015)
    The mission of the CMS Cybersecurity Initiative includes the protection of the personal information of the millions of people CMS serves. This includes the protection of the data CMS shares with State Medicaid Agencies for the purpose of coordinating care for Medicare-Medicaid Enrollees as well as Program Integrity efforts. As part of this effort, which will strengthen the safeguards in place to protect Medicare data received from CMS, the Medicare-Medicaid Coordination Office (MMCO) requests that State Medicaid Agencies review and possibly take action on the following requirements:

    1. All data management plans are up-to-date and include up to date protocols for securing data received from CMS.
    2. All downstream users and data custodians have signed the appropriate Data Use Agreement (DUA) attachment forms (DUA addenda and Attachment A), Conflict of Interest Letters (Part D data only), or have an up to date COBA Agreement listing all users of the data. Remember, the data cannot be released prior to the appropriate documents being on file and being signed at the State level.
    3. All approved planned data uses are current and all Medicare data requested addresses those planned uses.
    4. Data that is no longer useful or that are no longer scheduled for planned data uses should be disposed of and a Certificate of Disposition (COD) filed with the CMS Privacy Office.
    5. Please review the steps for reporting loss of data and consequences of breaches that are described in the Information Exchange Agreement (IEA) (please see Section IV (loss) and Section IX, part E (breach) of the IEA).
    If you have any questions or concerns, please contact the State Data Resource Center (SDRC)Team by phone at (877)-657-9889 or by email at sdrc@EconometricaInc.com.

    2013 Medicare Historic Part A/B and Assessments Data Available (Posted 03/31/2015)
    Final-action calendar year 2013 Medicare Historic Parts A & B and Assessments data from the CCW are now available upon request.

    New Information Exchange Agreement (Posted 09/10/2014)
    The new Information Exchange Agreement (IEA) is now available. This latest version accommodates state requests for new data types: assessments data (MDS, OASIS, Swing Bed, and IRF-PAI) and Medicare Part C encounter claims. Additionally, it allows states to use the Medicare data for program integrity activities to combat fraud, waste, and abuse in their Medicaid programs. SDRC is currently accepting requests for the assessments data and will begin accepting program integrity data uses in October. Additional information about Part C data requests will be available at a later date.

    Webinars

    The State Data Resource Center (SDRC) offers a range of data support services to State Medicaid Agencies—from understanding the Medicare data request process to handling and using received data. As a part of these services, SDRC leads a series of project-related training webinars over the course of the year. A description of past webinars is also available.

    Public Data Files and the Dual-Eligible Population – Tuesday, May 1, 2018, from 3-4pm ET
    The State Data Resource Center (SDRC) and its data experts will explore how State Medicaid Agencies can combine the free Public Use Files (PUFs) with other Medicare data types to initiate anti-fraud, waste, and abuse programs for their dual-eligible cohorts. By using the Medicare Provider Utilization and Payment data as a case study, SDRC's data experts will illustrate how PUFs can be a positive compliment for program integrity analyses and activities. A brief Q&A session will follow the presentation.

    Using Monthly Historic Parts A/B Data Webinar – Tuesday, March 20, 2018
    SDRC will provide an overview of Historic Parts A/B data and compare receiving Parts A/B data monthly to receiving data annually. All State Medicaid Agencies can now request monthly Historic Parts A/B data. We will also compare receiving Historic Parts A/B data monthly to receiving Parts A/B data daily and weekly through COBA [Coordination of Benefits Agreement]. The presentation will include potential implications for State Medicaid Agency care coordination and program integrity initiatives.

    MMDI Medicare Database Staging Model (DSM) Overview – Tuesday, January 23, 2018
    The Medicare-Medicaid Data Integration (MMDI) team provided an overview of the MMDI Medicare Database Staging Model (DSM), a tool designed to ease state burden when working with Medicare data. The MMDI Medicare DSM accomplishes this by assisting states with becoming familiar with the Medicare data and quickly/easily/effortlessly integrating it in their data environments. The MMDI Medicare DSM is available to states upon request. The MMDI Medicare DSM provides a set of pre-defined database tables that correlates to the Medicare data elements the states are eligible to request from the Centers for Medicare & Medicaid Services (CMS) via the State Data Resource Center (SDRC). Once materialized, the MMDI Medicare DSM is used as a holding area from which a state can then extract, transform, and load this data into intermediate tables for integration into their data environment.

    Transition to the Data Request and Attestation (DRA) Process – November 20, 2017
    The State Data Resource Center (SDRC) and Medicare-Medicaid Coordination Office (MMCO) discussed the transition and roll-out for the new Data Request and Attestation (DRA) process. MMCO explained the streamlined process for States, as well as detailed the new forms and changes that went into effect. Additionally, SDRC reviewed the roll-out plan for this transition.

    Part D PDE Data and the Opioid Epidemic – August 30 and September 21, 2017
    The State Data Resource Center (SDRC) and its data experts explored how State Medicaid Agencies can utilize Part D Prescription Drug Event (PDE) data to combat the opioid epidemic. From the early 1990s to the early 2010s, the number of opioid prescriptions in the United States has more than doubled, while the number of opioid-related overdose deaths has more than tripled during the 2000s and 2010s. SDRC illustrated which Part D PDE elements can maximize State Medicaid Agencies’ efforts to implement opioid-related care coordination and program integrity initiatives.

    Additional Opioid Analysis Resources:

    For more information on attending webinars and other support services available to State Medicaid Agencies, please contact the SDRC Team by phone at (877)-657-9889 or by email at sdrc@EconometricaInc.com.