The research files listed below, created by the NIA Data LINKAGE Program (LINKAGE), link HRS data to detailed information about health care utilization from records maintained by the Centers for Medicare & Medicaid Services (CMS). Learn more about the application process.
Note: The NIA Data LINKAGE Program was formerly known as the Medicare and Medicaid Resource Information Center (MedRIC).
Available Files and Years
| Data Type | Available Years |
|---|---|
| Medicare Enrollment Data | |
| Denominator (DN) | 1991 - 1998 |
| Master Beneficiary Summary File (MBSF): Base – Segment (A/B/C/D) | 1999 - 2025 |
| Medicare Summary Files | |
| Master Beneficiary Summary File (MBSF): Chronic Conditions | 1999 - 2023 |
| Master Beneficiary Summary File (MBSF): Cost & Utilization | 1999 - 2023 |
| Master Beneficiary Summary File (MBSF): Other Chronic or Potentially Disabling Conditions | 2000 - 2023 |
| Medicare Part A & B Claims Data | |
| Medicare Carrier (PB) Claims | 1991 - 2025 |
| Medicare Durable Medical Equipment (DM) Claims | 1991 - 2025 |
| Medicare Home Health (HH) Claims | 1991 - 2025 |
| Medicare Hospice (HS) Claims | 1991 - 2025 |
| Medicare Inpatient (IP) Claims | 1991 - 2025 |
| Medicare Outpatient (OP) Claims | 1991 - 2025 |
| Medicare Skilled Nursing Facility (SN) Claims | 1991 - 2025 |
| LINKAGE-Built Medicare Provider Analysis & Review (MedPAR) | 1991 - 2023 |
| Medicare Part C Claims Data | |
| Medicare Carrier Encounter Claims | 2015 - 2023 |
| Medicare Durable Medical Equipment (DME) Encounter | 2015 - 2023 |
| Medicare Home Health Agency (HH) Encounter Claims | 2015 - 2023 |
| Medicare Inpatient (IP) Encounter Claims | 2015 - 2023 |
| Medicare Outpatient (OP) Encounter Claims | 2015 - 2023 |
| Medicare Skilled Nursing Facility (SNF) Encounter Claims | 2015 - 2023 |
| Part C Chart Review Record (CRR) Claims Data | |
| CRR for Medicare Carrier (PB) Encounter Claims | 2015 - 2023 |
| CRR for Medicare Durable Medical Equipment (DME) Encounter Claims | 2015 - 2023 |
| CRR for Medicare Home Health Agency (HH) Encounter Claims | 2015 - 2023 |
| CRR for Medicare Inpatient (IP) Encounter Claims | 2015 - 2023 |
| CRR for Medicare Outpatient (OP) Encounter Claims | 2015 - 2023 |
| CRR for Medicare Skilled Nursing Facility (SNF) Encounter Claims | 2015 - 2023 |
| Other Data | |
| Medicare Part D Medication Therapy Management (MTM) | 2013 - 2021 |
| Healthcare Effectiveness Data and Information Set (HEDIS) | 2015 - 2020 |
| Inpatient Rehab Facility-Patient Assessment Instrument (IRF-PAI) | 2002 - 2023 |
| Long Term Care Minimum Data Set (MDS) | 1999 - 2023 |
| Medicare Part D Prescription Drug Event (PDE) | 2006 - 2024 |
| Outcome and Assessment Information Set (OASIS) | 1999 - 2023 |
| Data Type | Available Years |
|---|---|
| Medicaid Enrollment Data | |
| Medicaid Analytic Extract (MAX): Personal Summary (PS) Enrollment Data | 1999-2015 |
| TMSIS Analytic Files (TAF): Demographic and Eligibility (DE) Enrollment Data | 2014-2023 |
| Medicaid Analytic Extracts (MAX) Files | |
| MAX Inpatient (IP) | 1999-2015 |
| MAX Other Services (OT) | 1999-2015 |
| MAX Long Term Care (LT) | 1999-2015 |
| MAX Prescription Drug (RX) | 1999-2015 |
| Medicaid T-MSIS Analytic Files (TAF) | |
| TAF Inpatient (IP) | 2014-2023 |
| TAF Other Services (OT) | 2014-2023 |
| TAF Long Term Care (LT) | 2014-2023 |
| TAF Prescription Drug (RX) | 2014-2023 |
| TAF Annual Provider (APR) | 2014-2023 |
| TAF Annual Managed Care Plan (APL) | 2014-2023 |
Encryption Level
For most Medicare and Medicaid files (all except Medicare PDE) researchers may apply for three different levels of data:
-
Level 1: The standard release, which contains enrollment and utilization information but omits geographic identifiers and masks provider identifiers, which should meet the needs of most users
-
Level 2: A geographic release, which adds beneficiary state, county and zip code to the above
-
Level 3: A provider release, which includes complete provider identifiers and geographic information for respondents and providers.
HRS/CMS Cross-Reference Files
HRS/CMS Cross-Reference Files allow researchers to link HRS/CMS LINKAGE data files to other HRS data products:
Documentation
- HRS CMS Data Dictionary, an xlsx file containing the data dictionary for HRS Medicare and Medicaid data files.
