Frequently Asked Questions

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Is it possible to determine living arrangements for Medicaid and CHIP in enrollees in MSIS and Medicaid Analytic eXtract (MAX) data?

There are many different types of living arrangements, such as independent living in the community, nursing facilities, congregate living facilities, shelters, dormitories, assisted living facilities, hospice, drug treatment facilities and others.  Unfortunately, the Medicaid MSIS and MAX data do not identify living arrangements. However, using Medicaid services delivered to an enrollee, there are some indirect ways to infer living arrangements during some months for some enrollees.  For example, from MAX service records it is possible to determine if an enrollee received any of the following services in a given month:

- Nursing Facility (NF) services
- Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID)
- Inpatient Psychiatric Facility for persons under age 21
- Mental Hospital for the Aged
- Home and Community-Based Care waiver services
- Other


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