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Technical Details

Dataset Description
This data set includes annual counts and percentages of Medicaid enrollees who are eligible for benefits based on disability, overall; by reason for qualification of disability benefits; and by four subpopulation topics: age group, dual eligibility status, race and ethnicity, and managed care participation. These results were generated using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) Release 1 data and the Race/Ethnicity Imputation Companion File. This data set includes Medicaid enrollees in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands who were enrolled for at least one day in the calendar year, except where otherwise noted. Enrollees in Guam, American Samoa, and the Northern Mariana Islands are not included. The Children’s Health Insurance Program (CHIP) does not confer eligibility based on disability, so Medicaid expansion CHIP (M-CHIP) and separate CHIP (S-CHIP) enrollees are not included. Results shown for the race and ethnicity subpopulation topic exclude enrollees in the U.S. Virgin Islands. Results shown for the dual eligibility, race and ethnicity, and managed care participation subpopulation topics are restricted to working-age adults (ages 19 to 64) with comprehensive Medicaid benefits. Some rows in the data set have a value of "DS," which indicates that data were suppressed according to the Centers for Medicare & Medicaid Services’ Cell Suppression Policy for values between 1 and 10. This data set is based on the brief: "Medicaid enrollees who qualify for benefits based on disability in 2020." Enrollees are assigned to a disability category based on their latest reported eligibility group code and age in the calendar year. Enrollees are assigned to an age group subpopulation using age as of December 31st of the calendar year. Enrollees are assigned to a dual eligibility status subpopulation based on the dual eligibility code that applies to the majority of their enrolled-months during the year (Dual Eligibility Code). Enrollees are assigned to a race and ethnicity subpopulation using the state-reported race and ethnicity information in TAF when it is available and of good quality; if it is missing or unreliable, race and ethnicity is indirectly estimated using an enhanced version of Bayesian Improved Surname Geocoding (BISG) (Race and ethnicity of the national Medicaid and CHIP population in 2020). Enrollees are assigned to a managed care participation subpopulation based on the managed care plan type code that applies to the majority of their enrolled-months during the year (Enrollment in CMC Plans). Please refer to the full brief for additional context about the methodology and detailed findings. Future updates to this data set will include more recent data years as the TAF data become available.
MetaData
Landing Page
Keywords

medicaid, t-msis analytic files, demographics, disability, eligibility

Publisher

data.medicaid.gov

Program Code

09:00

Bureau Code

09:00

Medicaid enrollees who qualify for benefits based on disability

Download Medicaid enrollees who qualify for benefits based on disability In Real Time

Getting CMS data into your dashboards shouldn’t require a team of engineers. We automate the end-to-end process, from pulling fresh datasets from data.cms.gov, to cleaning, structuring, and feeding them into your BI environment.

 

Whether you’re using Power BI, Tableau, Metabase, or need help picking the right tool, we make sure your data is accurate, up-to-date, and always ready for analysis.

Our Expertise With Health Care Data Integration

Anyone can wire up a CMS API. Red Corner has done far more than we’ve led data platform projects in providers, payers, and analytics firms, where CMS data wasn’t optional; it was mission-critical. We understand the downstream pressure: reports must run, queries must work, and decision-makers need answers quickly.

 

That’s why we build systems that aren’t just technically correct; they’re reliable under pressure, scalable, and deeply aligned with your business goals.

The Red Corner Approach

Most teams stop at pulling CMS data. We don’t. Red Corner understand that raw CMS datasets are messy, often duplicated, inconsistently structured, and a pain to work with.

 

That’s why we build more than just pipelines. We design and maintain robust processing systems that normalize, clean, and reshape CMS data into models that analysts and BI tools can work with immediately.

 

We don’t just deliver data; we deliver clarity, speed, and answers.

Foundational

We’ve already done the heavy lifting. Red Corner builds and manages robust systems that extract, clean, and structure CMS data reliably, so you don’t have to sink hundreds of thousands of dollars into solving the same problems.

 

From day one, your team gets access to a dependable, production-grade pipeline that’s been hardened across multiple clients and use cases. It’s plug-in ready, maintainable, and built for scale.

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2

Evolution

Once your CMS data is flowing and structured, we don’t stop. Red Corner ensures historical consistency by storing and managing all past data in the same unified structure. That means the reports you build today won’t break tomorrow, even as CMS releases new versions or modifies schemas.

 

We will also guide you through understanding where this stability delivers cost savings, analytics acceleration, and long-term ROI across teams.

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Growth

With a reliable CMS data pipeline in place, your organization can stop relying on analysts for every insight.

 

Red Corner structures your data to work natively with modern BI tools, enabling business leaders to explore trends, spot risks, and make informed decisions without bottlenecks.

 

We will help extend that reach across teams, empowering everyone to move faster with data they can trust.

Expert Guidance

We have worked deep in the healthcare trenches, where CMS data is not just a compliance tool but a driver of strategic decisions. We’ve seen the pitfalls: broken queries, outdated datasets, overworked analysts, and built systems that avoid them.

 

With Red Corner, you’re not just getting someone to wire up a feed. You’re getting a seasoned partner who knows how CMS data powers quality improvement, benchmarking, and real-world business outcomes.

Continuous Support

The moment you sign up with us, your CMS data stays fresh. Red Corner ensures automated, ongoing updates from data.cms.gov starting on day zero. No stale reports, no surprise schema changes.

 

We monitor, manage, and maintain the entire flow so your teams always have access to the latest available data, ready for analysis when you need it.

Tailored Solutions

Whether you need your CMS data in your existing Power BI, Tableau, or Metabase setup or you’re starting from scratch, we’ve got you covered.

 

Red Corner offers a ready-to-use, self-service BI interface that lets your team chat with the data directly, no SQL or tech support required. Prefer your own environment? We’ll integrate clean, query-ready data right into your existing tools. 

Innovative Approach

Innovation, for us, means cutting through the usual complexity. With Red Corner, your CMS data arrives report-ready from day one, clean, structured, and instantly usable in any BI tool. No manual wrangling, no delayed timelines, no guesswork.

 

We’ve built a system that turns a messy public dataset into a plug-and-play source of truth, so your team can skip straight to insights.

Live, Updated CMS Data — Delivered as a Service by Red Corner

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FAQ

  1. What CMS datasets can you integrate?

    We support a wide range of datasets published on data.cms.gov, including Medicare Provider Utilization, Hospital Quality, Medicare Advantage plan ratings, and more. If it’s available from CMS, we can pull it, process it, and deliver it into your analytics workflow fully structured and analysis-ready.
     

  2. How often is the data updated?

    We update CMS data weekly, as new files are published. Our system automatically detects updates, processes the latest versions, and syncs them to your destination, whether that’s a BI tool, a data warehouse, or our self-service interface. You don’t have to lift a finger.
     

  3. Do you clean and structure the CMS data?

    Yes. CMS datasets are often unstructured, inconsistent, and full of duplicate entries. We clean every record, normalize date formats, and ensure column consistency so that your analysts spend time analyzing, not fixing broken rows and cells.
     

  4. Can you integrate with our existing BI tools?

    Absolutely. Whether you use Power BI, Tableau, Metabase, Looker, or another tool, we adapt to your environment. If you don’t yet have a BI tool, we’ll provide a powerful self-service interface where your team can explore and visualize the data from day one.
     

  5. How do you handle schema changes from CMS?

    CMS can change field names, column formats, or file layouts without notice. Our pipelines track version changes, test against historical schemas, and preserve your existing data model. That means your reports don’t break, even when CMS makes changes upstream.
     

  6. Is this secure and compliant with healthcare standards?

    Yes. However, due to the public nature of the data, HIPAA does not apply.
     

  7. Do I need a technical team to manage this?

    No. Red Corner manages the full stack from ingestion to transformation to delivery. Your team gets clean, up-to-date data in the tools they already use, without needing internal engineers to maintain scripts or fix broken pipelines.
     

  8. What if I need historical data?

    We don’t just keep current data; we preserve all historical files in the same structured schema. This makes it easy to build reports over time, compare year-over-year trends, and answer complex analytical questions without having to jump through hoops.
     

  9. Can you help with analytics and reporting?

    Yes. We provide not only the data but also expert analysts who understand the healthcare context behind it. Whether you need ad hoc reports, dashboard design, or help interpreting trends, we’re here to support your goals, not just deliver files.
     

  10. What’s the onboarding time?

    In most cases, we can have your CMS data live and integrated in under a few weeks. Our systems are built and battle-tested, which means we don’t start from scratch; we start with what works and tailor it to your needs.

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