For example, suppose a state has enrollees in all 4 strata (4 levels), has enrollees of both genders but no unknown gender (2 levels), has enrollees living in 100 different ZIP codes (100 levels), and enrollees in each of the six age groups (6 levels). Assuming no enrollee in the sampling frame has unknown ZIP code, the sampling frame summary counts file would consist of at most 421006 = 4,800 rows (some combination of categories many not have any enrollee with all the characteristics, so the row would be missing from the table). Table C1: Medicaid Eligible Enrollee Records as of December 31, 2013 Field Name Description MSIS_ID MSIS identification number if available, the unique enrollee – identifier the state provides CMS in its quarter MSIS submissions SSN Social Security Number GENDER The gender (sex) of the enrollee: Male, Female, Unknown DOB Date of (CCYYMMDD) DOD Date of death (CCYYMMDD); not deceased, set field = 88888888; deceased and a complete, valid date is not available, set field = 99999999 F_NAME* Enrollee’s first name M_Name* Enrollee’s middle name (if available; otherwise leave blank) L_NAME* Enrollee’s last name Street address or post office box ADDR2* Mailing address 2nd line (if needed; otherwise leave blank) CITY* City STATE* 2-character state abbreviation ZIP character ZIP4 4-digit character (if available; otherwise leave blank) PHONE1* area code plus 7-digit phone number; no separators or delimiters PHONE2* PHONE2…PHONE5 are optional. If more than one phone number is … available, please provide up to four additional numbers. Do not PHONE5* include fax numbers. If more than five numbers exist, provide the five deemed most reliable. PRIOR_CAHPS_FLAG Indicator field denoting if an enrollee has participated in a prior CAHPS survey in calendar year 2014. 1 if a enrollee is known to have participated in a prior CAHPS survey in calendar year 2014 0 Otherwise If your has not conducted such a survey, or has conducted a survey via a third party and does not know the identity of respondent enrollees, all records should be coded as 0.
For example, suppose a state has enrollees in all 4 strata (4 levels), has enrollees of both genders but no unknown gender (2 levels), has enrollees living in 100 different ZIP codes (100 levels), and enrollees in each of the six age groups (6 levels). Assuming no enrollee in the sampling frame has unknown ZIP code, the sampling frame summary counts file would consist of at most 421006 = 4,800 rows (some combination of categories many not have any enrollee with all the characteristics, so the row would be missing from the table). Table C1: Medicaid Eligible Enrollee Records as of December 31, 2013 Field Name Description MSIS_ID MSIS identification number – if available, the unique enrollee identifier the state provides CMS in its quarter MSIS submissions SSN Social Security Number GENDER The gender (sex) of the enrollee: Male, Female, Unknown DOB Date of (CCYYMMDD) DOD Date of death (CCYYMMDD); not deceased, set field = 88888888; deceased and a complete, valid date is not available, set field = 99999999 F_NAME* Enrollee’s first name M_Name* Enrollee’s middle name (if available; otherwise leave blank) L_NAME* Enrollee’s last name Street address or post office box ADDR2* Mailing address 2nd line (if needed; otherwise leave blank) CITY* City STATE* 2-character state abbreviation ZIP character ZIP4 4-digit character (if available; otherwise leave blank) PHONE1* PHONE2* … PHONE5* area code plus 7-digit phone number; no separators or delimiters PHONE2…PHONE5 are optional. If more than one phone number is available, please provide up to four additional numbers. Do not include fax numbers. If more than five numbers exist, provide the five deemed most reliable. PRIOR_CAHPS_FLAG Indicator field denoting if an enrollee has participated in a prior CAHPS survey in calendar year 2014. 1 if a enrollee is known to have participated in a prior CAHPS survey in calendar year 2014 0 Otherwise If your has not conducted such a survey, or has conducted a survey via a third party and does not know the identity of respondent enrollees, all records should be coded as 0.
Sample%20Specifications%20Final%20v2.docx