SDRC

State Data
Resource Center

Resources for States Integrating Medicare and Medicaid Data

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. For information about future webinars, please see Announcements and Webinars.

Program Integrity: How States Can Utilize Medicare Data for Fraud, Waste, and Abuse Prevention Programs – May 25, 2017
The State Data Resource Center (SDRC) and the Center for Program Integrity (CPI) provided background information on program integrity requests. CPI illustrated the importance of State Medicaid Agencies leveraging the Medicare data for fraud, waste, and abuse detection among the dual-eligible population. SDRC outlined the requirements and the process of how to request historic Part A/B, assessments, COBA, and Part D PDE data for program integrity uses. California, a state already approved for program integrity uses, provided status updates on how it implemented program integrity initiatives from using the Medicare data.

Available Medicare Data Through SDRC Webinar – Tuesday, March 28, 2017
The State Data Resource Center (SDRC) provided an overview of the available Medicare data through the SDRC process. SDRC described how State Medicaid Agencies can request and utilize historic Part A/B, assessments, COBA, and Part D PDE data. This presentation was intended for State Medicaid Agencies who are interested in exploring how to engage in care coordination and/or program integrity initiatives for dual eligible beneficiaries.

Washington State: Different Ways to Obtain Medicare Data and Achievements to Date – Wednesday, February 1, 2017
Washington State was one of the first states to receive Medicare data for duals, both through historical and COBA feeds. As part of our State Innovation Models work, we are also in the process of requesting dual plus non-dual Medicare data. The presentation reviewed the different avenues for accessing Medicare data we have explored, what has worked best for us, and what lies ahead. We presented examples of what we have accomplished with the data and how we have avoided/dealt with limitations.

South Carolina Webinar - Putting Data to Work: Effective Utilization of Medicare Data – Wednesday, November 30, 2016
South Carolina’s Healthy Connections Prime is a demonstration program to integrate care for Medicare-Medicaid dual eligible seniors. The team presented a webinar focused on the use of Medicare data to facilitate intelligent assignment and the development of risk stratification to ensure balance case mix for each Medicare-Medicaid Plan as well as the creation of demographic member profiles based on chronic conditions, race, gender, and other criteria. This presentation was intended for State Medicaid Agencies who are implementing a dual demonstration program and looking to learn about how to leverage Medicare beneficiary data.

Wisconsin's Medicare Data Use – Tuesday, August 16, 2016
The State Data Resource Center (SDRC) presented a webinar discussing how Wisconsin has obtained and used Medicare data. Wisconsin gave an overview of their experience with the data, provided a high-level view of how they process and use Coordination of Benefits Agreement (COBA) data, and discussed examples of how they have analyzed and used Medicare data to measure quality and care coordination efforts in their long-term care programs via scorecards and dashboards. This presentation was intended for State Medicaid Agencies who are interested in learning more about how other states use Medicare data.

Arizona's Use of Medicare Data – Tuesday, April 5, 2016
Arizona described how the Arizona Health Care Cost Containment System (AHCCCS), the state’s Medicaid agency, uses the Medicare data to serve its dual-eligible population. Arizona gathers information from the encounter data provided by Managed Care Organizations (MCOs) as well as the historic Part A/B data and Part D Prescription Drug Event (PDE) data obtained through the State Data Resource Center (SDRC). The state explained these information exchange types, valuable lessons learned along the way, and plans for the future.

Colorado's Accountable Care Collaborative Webinar: Medicare-Medicaid Program, Using Medicare-Medicaid Data to Improve Care Coordination, Outcomes, and Cost of Care – Wednesday, December 2, 2015
The Colorado Department of Health Care Policy and Financing partnered with its contractor, 3M Health Information Systems, and presented a webinar on how it is using integrated Medicare-Medicaid data to support state-wide efforts to improve care coordination, health outcomes, and cost of care for its dually-eligible Medicare-Medicaid members.

Maintaining State Medicaid Agencies’ Data Use Agreements (DUAs) – Most Frequently Asked Questions
Wednesday, October 21, 2015

SDRC hosted a webinar addressing the most frequently asked questions about maintaining State Medicaid Agencies’ DUAs. SDRC reviewed DUA extensions and DUA contact changes and discussed the process for adding downstream users and/or data custodians. At the beginning of each year, SDRC will contact State Medicaid Agencies to perform a DUA Update for the most recent year of Medicare data. SDRC provided guidance on the DUA Update process and requirements for next year. Finally, SDRC demonstrated how to locate DUA compliance materials on the limited access SDRC Assistance website.

Minnesota's Administrative Alignment Demonstration: Using An Integrated Medicare/Medicaid Database to Support Care Coordination – Monday, August 24, 2015
Minnesota’s Department of Human Services Special Needs Purchasing team described the State’s 20 year history of integrated Medicare and Medicaid services and their current Administrative Alignment Demonstration. A major initiative of the State’s current demonstration is to create a sustainable database of integrated Medicare and Medicaid data. The integrated database will be used to provide a complete picture of all dual eligibles, support care coordination, investigate potential cost saving initiatives, and evaluate the State’s health care purchasing efforts.

CPI Approval of State Medicaid Agency Requests to Use Medicare Data for Program Integrity Webinar – Thursday, August 6, 2015
The State Data Resource Center (SDRC) hosted a webinar focused on the Center for Program Integrity’s (CPI) role in response to State Medicaid Agency requests to use Medicare data for program integrity purposes. This presentation was intended for State Medicaid Agencies that are initially requesting Medicare data for program integrity purposes and State Medicaid Agencies that are already using Medicare data for coordination of health care benefits and are interested in re-using the same data for program integrity purposes. The webinar focused on CPI’s criteria used to evaluate state requests, CPI’s responsibilities under the Small Business Jobs Act, and the State Medicaid Agency's ongoing responsibility to convey information regarding the achievement of project goals/objectives. Additionally, the SDRC Team reviewed the overall data request process and package components for each available data type.

Provider Use Files Webinar – Wednesday, April 8, 2015
The State Data Resource Center (SDRC) hosted a webinar to introduce a number of publicly available provider use files. Provider use files include data that can be used to augment the provider identification information included on claims. SDRC discussed the following types of provider use files: National Plan & Provider Enumeration System (NPPES-NPI Registry), compare tools and their downloadables, cost reports, Medicare provider utilization and payment datasets, and Open Payments. Provider use files offer State Medicaid Agencies valuable information that can be used to support provider-focused care coordination and program integrity activities.

MMLEADS Public Use File (PUF) Data Webinar – Wednesday, March 11, 2015
The State Data Resource Center (SDRC) sponsored a webinar focused on the newly available Medicare-Medicaid Linked Enrollee Analytic Data Source Public Use File (MMLEADS PUF) lead by the data distributor, GDIT. These data are based off the MMLEADS, version 2.0. GDIT described the 2006 to 2010 aggregated data which not only includes information on full and partial Medicare-Medicaid enrollees, but also for comparison purposes - Medicare only enrollees and Medicaid only (eligible via disability) enrollees.

Using Chiapas Software with COBA Data Webinar – Wednesday, February 11, 2015
The State Data Resource Center (SDRC) hosted a webinar focused on how to use Chiapas software with Parts A & B (COBA) data. This presentation was intended for State Medicaid Agencies that are currently considering requesting and using COBA data for care coordination or program integrity activities. During the webinar, SDRC reviewed a background of Chiapas software and how to use the software to provide a solution for converting COBA files to easy-to-read CSV files. This will allow states to utilize these files in any statistical package to perform further analysis.

Using Medicare Part D Prescription Drug Event (PDE) Data Webinar – Thursday, November 20, 2014

Using Medicare Data for Program Integrity and Care Coordination Activities Webinar – Thursday, September 25, 2014

Using Medicaid and Medicare Data in the Connecticut Duals Demonstration Program Webinar – Wednesday, August 27, 2014

Illinois: Delivering Medicare Claims for Care Coordination Webinar – Thursday, July 24, 2014

Using Medicare Parts A & B Historic Data Webinar – Wednesday, July 9, 2014

Maintaining Your Data Use Agreement (DUA) Webinar – Thursday, May 15, 2014

Requesting and Using Assessments Data for Care Coordination Webinar – Thursday, February 20, 2014

California's Use of Medicare Data to Enhance Care Coordination Webinar – Thursday, September 26, 2013

Using Medicare Data for Care Coordination Activities Webinar – Monday, July 22, 2013

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.