Summary of 2014 Changes. ADAP Data Report: Client Report

Transcription

1 Summary of 2014 Changes ADAP Data Report: Client Report The following changes to the ADAP Data Report (ADR) will apply to 2014 ADR reporting due Monday June 8 th, For the Client Report, ADAPs report data based on the calendar year, January 1 December 31, 2014, for s enrolled during this period. System Variables Deletions/Modifications Field #1: Reporting period DELETED Field #3: ADAP number DELETED Client Demographics Deletions/Modifications Field #4: Ethnicity Unknown deleted as a response option Field #5: Race Unknown deleted as a response option Field #8: Pregnancy status DELETED Field #10: HIV/AIDS status Unknown deleted as a response option Field #11: Poverty level Response options were changed; unknown deleted as a response option Field #13: Health insurance coverage Response options were changed Additions Field #68: Hispanic/Latino(a) breakdown If a is reported as Hispanic/Latino, this additional information will now be required Field #69: Asian breakdown If a is reported as Asian, this additional information will now be required Field #70 : Native Hawaiian/Pacific Islander breakdown If a is reported as Native Hawaiian/Pacific Islander, this additional information will now be required Field #71: Sex at birth - The biological sex assigned to the at birth has been added Note Where Unknown is deleted, s with no information will show as missing. 11/07/2014 Page 1

2 Enrollment and Certification Deletions/Modifications Field #14: Change wording and skip pattern to accommodate new 12 month reporting period Field #16: Change wording, logic to allow data for both #16 and element #17 Field #17: Recertification dates More than one date will now be accepted Field #19: Reasons for disenrollment Response options were modified ADAP Insurance Services Received Deletions/Modifications Field #21: Premium paid changed to include Medicare Part D Field #23: Copays/deductibles changed to include Medicare Part D co-insurance, copays or donut hole coverage Field #24: Medicare Part D co-insurance, copays or donut hole coverage DELETED Additions Field #67: Type of insurance assistance provided Specified insurance assistance service(s) provided to during the reporting period. Drugs and Drug Expenditures Deletions/Modifications Field #30: Separate dispensing fees collected DELETED Field #31: Total cost of dispensing fees DELETED Additions Section now includes A1-OI medications 11/07/2014 Page 2

3 ADR System Variables 1 ReportPeriodId Deleted 2 ClientUci The encrypted, unique identifier 3 AdapNumber Deleted Yes 1 per 41 character string 1

4 Client Demographics 4 EthnicityId The s ethnicity 68 New HispanicSubgr oup Client s Hispanic subgroup Yes 1 per 1=Hispanic 2=Non Hispanic 3=Unknown (Removed) 4=1 1 4 per 5 RaceId The s race Yes 1 5per 1=Mexican 2=Puerto Rican 3=Cuban 4=Another Hispanic 1=White 2=Black 3=Asian 4=NH/PI 5=AI/AN 6=Unknown (Removed) 2

5 Client Demographics 69 New 70 New AsianSubgroup NHPISubgroup Client s Asian subgroup Client s NH/PI subgroup 5=3 1 7 per 5=4 1 4per 1=Asian Indian 2=Chinese 3=Filipino 4=Japanese 5=Korean 6=Vietnamese 7=Other Asian 1=Native Hawaiian 2=Guamanian 3=Samoan 4=Other PI 3

6 Client Demographics 71 New SexAtBirth The biologic sex assigned at birth 6 GenderId The s gender 7 TransgenderId Client s current transgender status 8 PregnancyStat us 9 BirthYear The s birth year Yes 1 per 1=Male 2=Female Yes 1 per 1=Male 2=Female 3=Transgender 4=Unknown 6=3 0 1 per Deleted Yes 1 per YYYY 1=M to F 2=F to M 3=Unknown 4

7 Client Demographics 10 HIVAIDSStatus The s HIV/AIDS status at end of reporting period 11 PovertyLevel Client s % of poverty at end of review period Yes 1 per 2=HIV Positive, not AIDS 3=HIV Positive, AIDS status unknown 4=CDC defined AIDS 6=Unknown (Removed) Yes 1 per 13=<100% 9= % 10= % 11= % 12= % 7= % 8=>500% 1=<101% 2= % 3= % 6= % 5=Unknown (Removed) 5

8 Client Demographics 13 MedicalInsura nce Client s medical insurance Yes 1 9 per 10=Private Employer 11=Private Individual 8=Medicare Part A/B 9=Medicare Part D 12=Medicaid, CHIP, other public 13=VA/Tricare 14=IHS 15=Other plan 16=Uninsured 3=Medicaid 1=Private 4=Other public 5=No insurance 6=Other (Removed) 6

9 Client Demographics 12 HighRiskInsura nce Client in high risk insurance pool at anytime in review period Yes 1 per 1=No 2=Yes 3=Unknown 7

10 Enrollment and Certification 14 NewEnrollmen tflag 15 ApplicationRec eiveddate 16 ApplicationAp provaldate 17 Recertification Date 18 EnrollmentStat us Client newly enrolled in reporting period Date completed application received Date approved/enrolle d in ADAP Date(s) eligible to continue ADAP Client status at end of report pd Yes 1 per 0=No 1=Yes New 0 1 Mm,dd,yyyy New 0 1 Mm,dd,yyyy Yes 0 2 per Mm,dd,yyyy Yes 1 per 8=Enrolled, receiving service 9=Enrolled, wait list 10=Enrolled service not req 11=Disenrolled 8

11 Enrollment and Certification 19 Disenrollment Reason Reason disenrolled 18= per 9=Ineligible, change in ADAP criteria 10=Ineligible, change in eligibility 4=Didn t recert 5=Didn t fill script 6=Deceased 7=Dropped out 11=Other/Unknow n 1=Ineligible, Change in FPL 2=Ineligible, eligible for Medicaid 3=Ineligible, other (Removed) 9

12 Insurance Services 20 InsuranceAssis tancereceived 67 New InsuranceAssis tancetype 21 InsurancePrem iumamount 22 InsurancePrem iummonth 23 InsuranceDedu ctibleandcopa yamount 24 MedicarePartD Amount Client received insurance services Type of insurance assistance received Total premium amount paid Months of coverage purchased Total deductible & copay amount paid Yes 1 per 0=No 1=Yes 20=1 1=3 per 1=Full premium payment 2=Partial premium payment 3=CoPay/deductibl e including Medicare Part D 20=1 1 per integer 20=1 1 per 0 12 integer 20=1 1 per integer Deleted 10

13 Drug and Drug Expenditure 25 MedicationsDi spensed Client medications dispensed flag Yes 1 per 0=No 1=Yes 26 MedicationId Medication dcode 25=1 1 or more per 27 MedicationSta rtdate 28 MedicaitonDay s 29 MedicationCos t 30 MedicationDis pensingfeefla g 31 MedicationDis pensingfeeam ount Dispense date of medication Days medication dispensed Cost of each medication dispensed 25=1 1 or more per 25=1 1 or more per or more per Deleted Deleted D##### Mm,dd,yyyy integer in increments of 30 if > integer 11

14 Clinical Elements 32 LastCd4Date Client s last CD4 test date in review period 33 LastCd4Count Client s last CD4 test count in review period 34 LastViralLoadD ate 35 LastViralLoadC ount Client s last viral load date in review period Client s last viral load test count in review period 25=1 0 1per 25=1 0 1per 25=1 0 1per 25=1 0 1 per Mm,dd,yyyy integer Mm,dd,yyyy integer 12