CVG_MEM_RISK_ADJ_FACT

Description: |
This table holds member level risk adjustment factor.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
CVG_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | CVG_ID | NUMERIC | No |
The unique identifier for the coverage record.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | PAT_ID | VARCHAR | No |
The member that the risk adjustment factor applies to.
4 | EFF_DATE | DATETIME | No |
The effective date of the risk adjustment factor.
5 | TERM_DATE | DATETIME | No |
The termination date of the risk adjustment factor.
6 | RISK_ADJ_FACT_MODEL_C_NAME | VARCHAR | No |
The model of the risk adjustment factor.
May contain organization-specific values: Yes
Category Entries:
CMS-HCC Part C
CMS-HCC Part D
CMS-HCC Part A
CMS-HCC Part B
7 | RISK_ADJ_FACT_TYPE_C_NAME | VARCHAR | No |
The type of the risk adjustment factor.
May contain organization-specific values: Yes
Category Entries:
Community
Community Post Graft 4-9 (ESRD)
Community Post Graft 10+ (ESRD)
Community Full Dual
Community Partial Dual
Community Non-Dual
Dialysis (ESRD)
New Enrollee
New Enrollee Dialysis (ESRD)
New Enrollee Post Graft 4-9 (ESRD)
New Enrollee Post Graft 10+ (ESRD)
Graft I (ESRD)
Graft II (ESRD)
Institutional
Institutional Post Graft 4-9 (ESRD)
Institutional Post Graft 10+ (ESRD)
New Enrollee Chronic Care SNP
PACE Dialysis Factor
PACE New Enrollee Dialysis Factor
PACE Community Post Graft 4-9
PACE Institutional Post Graft 4-9
PACE New Enrollee Post Graft 4-9
PACE Community Post Graft 10+
PACE Institutional Post Graft 10+
PACE New Enrollee Post Graft 10+
PACE Community Full Dual
PACE Community Partial Dual
PACE Community Non-Dual
PACE Graft I
PACE Graft II
Community Post Graft 4-9 (ESRD) Full Dual
Community Post Graft 4-9 (ESRD) Partial Dual
Community Post Graft 4-9 (ESRD) Non-Dual
Community Post Graft 10+ (ESRD) Full Dual
Community Post Graft 10+ (ESRD) Partial Dual
Community Post Graft 10+ (ESRD) Non-Dual
Dialysis (ESRD) Full Dual
Dialysis (ESRD) Partial Dual or Non-dual
Institutional Dialysis (ESRD) Full Dual
Institutional Dialysis (ESRD) Partial or Non-Dual
Institutional Post Graft 4-9 (ESRD) Full Dual
Institutional Post Graft 4-9 (ESRD) Partial Dual
Institutional Post Graft 4-9 (ESRD) Non-Dual
Institutional Post Graft 10+ (ESRD) Full Dual
Institutional Post Graft 10+ (ESRD) Partial Dual
Institutional Post Graft 10+ (ESRD) Non-Dual
Community Non-Low Income Continuing Enrollee
Community Low Income Continuing Enrollee
Institutional Continuing Enrollee
New Enrollee Community Non-Low Income Non-ESRD
New Enrollee Community Non-Low Income
New Enrollee Community Low Income Non-ESRD
New Enrollee Community Low Income ESRD
New Enrollee Institutional Non-ESRD
New Enrollee Institutional ESRD
PACE New Enrollee Community Low Income Non-ESRD
PACE New Enrollee Community Non-Low Income Non-ESRD
PACE New Enrollee Institutional Non-ESRD
PACE New Enrollee Institutional ESRD
PACE New Enrollee Community Low Income ESRD
PACE New Enrollee Community Non-Low Income ESRD
PACE Community Non-Low Income Continuing Enrollee
PACE Community Low Income Continuing Enrollee
PACE Institutional Continuing Enrollee
Community Non-Low Income Continuing Enrollee MAPD
Community Non-Low Income Continuing Enrollee PDP
Community Low Income Continuing Enrollee MAPD
Community Low Income Continuing Enrollee PDP
Institutional Continuing Enrollee MAPD
Institutional Continuing Enrollee PDP
New Enrollee Institutional Non-ESRD MAPD
New Enrollee Institutional Non-ESRD PDP
New Enrollee Institutional ESRD MAPD
New Enrollee Institutional ESRD PDP
New Enrollee Community Non-Low Income Non- ESRD MAPD
New Enrollee Community Non-Low Income Non- ESRD PDP
New Enrollee Community Non-Low Income ESRD MAPD
New Enrollee Community Non-Low Income ESRD PDP
New Enrollee Community Low Income Non- ESRD MAPD
New Enrollee Community Low Income Non- ESRD PDP
New Enrollee Community Low Income ESRD MAPD
New Enrollee Community Low Income ESRD PDP
8 | RISK_ADJ_FACTOR | NUMERIC | No |
The risk adjustment factor.