Table 2TAF RIF Data Elements and Relevant Codes for Identifying Claims Paid by an HCBS Program

TAF RIF Data ElementRelevant Codesa
Program Type

07--Home and Community-Based Care Waiver Services

08--Money Follows the Person

11--Community First Choice (1915(k))

13--HCBS State Plan Option (1915(i))

16--1915(j) Self-directed Personal Assistance Services/Personal Care under State Plan or 1915(c) Waiver

Benefit Type

054--Community First Choice

055--Health Home Services

105--Program of All-inclusive Care for the Elderly (PACE) Services

106--Self-directed Personal Assistance Services under 1915(j)

HCBS Service Code

1--The HCBS was provided under 1915(i)

2--The HCBS was provided under 1915(j)

3--The HCBS was provided under 1915(k)

4--The HCBS was provided under 1915(c) HCBS waiver

5--The HCBS was provided under 1115 waiver

7 The HCBS was not provided under the statutes identified above and was of a long-term care nature

Waiver Type06-20, 33--1915(c) waiver

Note:

a

Codes are defined in the TAF Other Services (OT) file data documentation found on the Research Data Assistance Center website (https://resdac​.org/cms-data​/files/taf-ot/data-documentation).

From: Identifying and Classifying Medicaid Home and Community-Based Services Claims in the Transformed Medicaid Statistical Information System, 2016-2020

Cover of Identifying and Classifying Medicaid Home and Community-Based Services Claims in the Transformed Medicaid Statistical Information System, 2016-2020
Identifying and Classifying Medicaid Home and Community-Based Services Claims in the Transformed Medicaid Statistical Information System, 2016-2020: Issue Brief [Internet].
Rooney J, Irvin C, Self J, et al.
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