Medicare-Medicaid Data Sharing Program
The Medicare-Medicaid Data Sharing program, established by CMS-MMCO, is a free-of-charge process for state and territory Medicaid agencies to request timely access to certain Medicare data to coordinate the care of dually eligible beneficiaries and help ensure the integrity of the states’ and territories’ Medicaid programs.
For more information on the available Medicare data files, approved data uses, and options for analyzing these data, please see the Requesting and Using Medicare Data for Medicare-Medicaid Care Coordination and Program Integrity: An Overview document.
Claims data files contain records for each service paid for a given beneficiary, as well as extensive demographic and service-level identifiers. These data files will provide all data elements in Parts A and B claims.
Parts A and B Claims Data Files:
Yearly, final action claims
Monthly, non-final action claims
Daily or Weekly, non-final action claims (enhanced, secondary Coordination of Benefits Agreement (COBA) data)
Claims and event data files contain records for each service paid for a given beneficiary, as well as extensive demographic and service-level identifiers. These data files will include the available Part D Prescription Drug Event (PDE) elements.
Part D PDE Data Files:
Yearly, final-action Part D PDE data
Monthly, non-final action Part D PDE data
These datasets consist of aggregated assessment data about beneficiaries in different types of sub-acute care settings, including nursing facilities, inpatient rehabilitation facilities, and home health.
Assessments Data Files:
Summary data files contain summary measures on utilization, spending per year by beneficiary, and additional identifiers that allow users to analyze by population or service-type subgroup.
Summary Data Files:
Other Available Data Files:
Summary Data Files
Other Available Data Files
The State Data Resource Center (SDRC) website was established to facilitate state access to, and use of, Medicare data for Medicare-Medicaid care coordination and program integrity.
Attention
You are leaving the SDRC Public website and are being redirected to the new SDRC Portal website, where you can submit and track data requests, ask questions, and access SDRC resources. You will need a username and password to log into the SDRC Portal. If you are Medicaid agency staff and/or associated downstream user who would like access, please contact the SDRC Support Team for more information.
