On March 31, 2025, NIH requested that the following language be added to this website:

This repository is under review for potential modification in compliance with Administration directives.

Available CMS Data

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