1 |
BENE_ID |
Encrypted CCW Beneficiary ID |
2 |
RFRNC_YR |
Year of Part D Medication Therapy Management (MTM) File |
3 |
CONTRACT_ID |
Part D Contract Number |
4 |
TARG_CRITERIA_MET |
Beneficiary Met Targeting Criteria |
5 |
COG_IMPAIRED |
Beneficiary Identified as Cognitively Impaired |
6 |
LTC_CMR |
Beneficiary identified as residing in a LTC facility |
7 |
LTC_ENROLLMENT |
Long-term care (LTC) facility resident |
8 |
ENROLLMENT_DT |
Date of MTM program enrollment |
9 |
TARG_CRITERIA_MET_DT |
Date Part D Targeting Criteria Met |
10 |
OPT_OUT_DT |
Date of MTM program opt-out |
11 |
OPT_OUT_REASON |
Reason participant opted-out of MTM program |
12 |
CMR_OFFERED |
Comprehensive Medication Review (CMR) offered |
13 |
CMR_OFFERED_DT |
Date Comprehensive Medication Review (CMR) offered |
14 |
CMR_RECIPIENT |
Comprehensive Medication Review (CMR) recipient |
15 |
CMR_RECEIVED |
Comprehensive Medication Review (CMR) received |
16 |
CMR_RECEIVED_NUM |
Number of Comprehensive Medication Reviews (CMRs) received |
17 |
CMR_RECEIVED_DT1 |
Date First Comprehensive Medication Review (CMR) received |
18 |
CMR_RECEIVED_DT2 |
Date Second Comprehensive Medication Review (CMR) received |
19 |
CMR_RECEIVED_DT3 |
Date Third Comprehensive Medication Review (CMR) received |
20 |
CMR_RECEIVED_DT4 |
Date Fourth Comprehensive Medication Review (CMR) received |
21 |
CMR_RECEIVED_DT5 |
Date Fifth Comprehensive Medication Review (CMR) received |
22 |
WRIT_SUMM_DT |
Date the written summary of the required CMR (CMS standardized format) was provided or sent |
23 |
CMR_DELIVERY_METHOD |
Comprehensive Medication Review (CMR) delivery method |
24 |
CMR_PROVIDER |
Comprehensive Medication Review (CMR) provider type |
25 |
CMR_RECIPIENT_INI |
If offered a CMR recipient of (initial) offer |
26 |
TARG_MED_REV_NUM |
Number of targeted medication reviews conducted |
27 |
TMR_PERF_DT |
Date the first targeted medication review (TMR) was performed |
28 |
PRESCRIBER_INTERV_NUM |
Number of drug therapy problem recommendations to prescribers |
29 |
DRUG_THER_CHG_NUM |
Number of drug therapy problem resolutions with prescribers |