Ready to Help With Your state’s medicaid-medicare data needs.

Data Workshops

SDRC leads a series of technical assistance webinars that cover topics provided by participants.

Data Analysis Support

Assistance with understanding the formats and idiosyncrasies of Medicare data.

Live Support

SDRC offers hotline assistance Monday through Friday from 9 a.m. to 8 p.m. ET.

Extensive Resources

SDRC provides an array of resources to minimize data integration challenges.

States currently obtaining data through SDRC
Medicare Data Files Available
Years of Data Available

Florida’s Medicare-Medicaid Program Integrity Review

September 23, 2021 3 to 4 p.m. ET

The Florida Agency on Health Care Administration (AHCA) and its downstream user, HMS, Inc., perform an audit on Medicare and Medicaid claims data for dually eligible beneficiaries as an anti-fraud, waste, and abuse measure. By using the Chronic Conditions Warehouse (CCW) Medicare data files, the state Medicaid agency and HMS are able to compare Medicare payments and deductible/coinsurance amounts to the information submitted to Medicaid for services for this cohort and recoup any identified overpayments made to providers. Florida and HMS will describe the process of obtaining and utilizing the Medicare data for this audit, its return on investment (ROI) results to-date, and its lessons learned and tips for other state Medicaid agencies interested in performing a similar investigation.

A Q&A session will follow the presentation.

Register for this Webinar at:

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Trusted Technical Advisors

That’s right, work with the SDRC team for free. This federal data access and advisor program is provided to states at no cost.

(877) 657-9889

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