When may new CMS data be requested? When is it released?
It is important to consider the timing of data release, DUA submission, and DUA approval when planning a study using new data (i.e., not reusing existing, on-site data). Most DUA submissions for new annual data may not be submitted prior to the desired data's release. However, there a couple exceptions:
Medicare FFS quarterly data for the current year may not be requested before April.
As of summer 2024, CMS allows advanced requests for the next annual release (i.e., YYYY-1) of these files:
MBSF Base, 30 Chronic Conditions, Other Chronic Conditions, and Cost & Use segments
FFS Medicare IP, OP, SNF, DME, HH, and Hospice
MedPAR
Medicare Part D Event, Drug Characteristics, Formulary, and Pharmacy Characteristics
Medicare Plan Characteristics
LDS MDS 3.0 and Swing Bed
OASIS
IRF-PAI
It takes several months for DUA submissions to be approved and only one submission per DUA may be in CMS' queue for review at a time; it is rarely efficient to submit separate, back-to-back amendments for data released within a few months of each other because of this. Plan accordingly.
Overview of CMS Data Release
YYYY: Current year
YYYY-1: Last year
YYYY-2: Two years prior
Q: Quarter
Scheduled Releases
YYYY Month | Annual Data | |
---|---|---|
January | YYYY-2 Long Term Care MDS 3.0, Home Health Outcome and Assessment Information Set, Inpatient Rehab Facility-Patient Assessment Instrument, Long Term Care Minimum Data Set (MDS) - Swing-Bed 3.0 | |
February | Mid-month: YYYY-1 Q3 release | |
March | ||
April | Earliest that YYYY Q1 - Q4 files may be requested | |
May | Mid-month: YYYY-1 Q4 release | |
June | ||
July | ||
August | Mid-month: YYYY Q1 release | |
September | ||
October | ||
November | YYYY-2 Release:
| Mid-month: YYYY Q2 release |
December | YYYY-2 Release:
|
* Fee-for-service claims (Inpatient, Outpatient, Home Health Agency, Hospice, Skilled Nursing Facility, Carrier, and Durable Medical Equipment) and the Master Beneficiary Summary File: Base A/B/C/D segment
Approximate Release Dates
Files that are not listed above do not have set release schedules. The estimates below are based on past precedent.
Medicaid/CHIP TAF annual RIFs tend to release YYYY-1 preliminary and YYYY-2 final format files during YYYY Q3 - Q4.
Medicare Advantage (i.e., Part C, Medicare Encounter) annual RIFs tend to release YYYY-1 preliminary files in May YYYY and YYYY-2 final format files in November or December YYYY.
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