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Arkansas APCD 24C Release Notes - March 2025 (internal)

Arkansas APCD 24C Release Notes - March 2025 (internal)

The Arkansas Healthcare Transparency Initiative (HTI) releases updates to the Arkansas All-Payer Claims Database quarterly. The Arkansas APCD 24C database is now available.  The Arkansas APCD 24C release includes data through December 2024.  The Data Coverage table provides overall coverage periods.  Some submitters have submitted data through the next quarter and some submitters have exemptions affecting missing coverage. The Universe Counts report provides detailed counts for all file types included in this update.

DATA COVERAGE

Source Category

COVERAGE

Arkansas Works Data

January 2014 – December 2024

Commercial, Fully Insured Data

January 2013 – December 2024

Arkansas Employee Benefits Division Data

January 2013 – December 2024

Arkansas Medicaid Data

January 2013 – December 2024

Arkansas Qualified Health Plan Data

January 2014 – December 2024

Arkansas Medicare Data

January 2013 - December 2022

Vital Statistics Data - Arkansas Birth Certificate Data

January 2013 - December 2023

Vital Statistics Data - Arkansas Death Certificate Data

January 2013 - December 2023

Inpatient Hospital Discharge Data (uninsured or self-pay patients)

January 2013 - December 2023

Emergency Department Data (uninsured or self-pay patients)

January 2013 - December 2023

Cancer Registry Data

January 2013 - December 2021

Medical Marijuana Cardholders Data

August 2018 – September 2024

Arkansas Workers' Compensation Data

January 2013 – December 2024

Member Enrollment Selection Table (NEW!)

January 2016 - June 2024

With a few exceptions, all required submitting entities have submitted data in the ranges indicated in the Data Coverage table above.  Refer to the Source Specific Release Notes section for more information.

Source Specific and Data Release Notes

 

SE_ID

Submitting Entity

Release Notes

Release Status

99MDI1, 99MDI2 99MDI3

99MDI4, 99MDI5

MedImpact

MedImpact is a new pharmacy submitter. Member IDs and subscriber IDs are problematic on much of the member data and pharmacy claims causing orphaned claims. Use with caution. The Arkansas APCD team is working with the submitter to resolve the issue.

  • 99MDI1 is the PBM for multiple submitting entities.

  • 99MDI2 is the PBM for Arkansas State University (ASU)

  • 99MDI3 is the PBM for Arkansas State Police (ASP).

  • 99MDI4 is the PBM for EBD Arkansas State Employees (ASE) through 2023

  • 99MDI5 is the PBM for EBD Arkansas Public School Employees (PSE) through 2023

Update: Issues with 99MDI1 and 99MDI3 have been resolved.

Issue: MedImpact Pharmacy Orphans

Partially resolved. 99MDI1, 99MDI3, 99MDI4 and 99MDI5 are now correct.

99MDI1, 99MDI2, 99MDI3, 99MDI4, 99MDI5

MedImpact

MedImpact submitting data without versioning requirements, stating that their data could not be versioned. Investigation revealed that there was a versioning method. All MedImpact data in this release has been versioned. Counts for the 24C build will be lower as only the most current, versioned claims will be selected.

Submitting Entity

24B Row Count

24C Row Count

99MDI1

3885145

3161360

99MDI2

447898

355827

99MDI3

285061

207223

99MDI4

1724894

925218

99MDI5

1764885

982595

Informational

10155

WellCare

ME001_CAT has been updated to differentiate between Medicare Advantage plans (MCR_ADV) and Medicare Advantage Pharmacy plans (MCRAdvPhrm).

Informational

70998A, 95448A

QualChoice

Pharmacy NPIs (PC021) on the pharmacy claims records for these QualChoice entities were populated using the APCD provider data (PV023) when missing on the pharmacy claim records. Not all pharmacy NPIs were populated because of data quality issues between the claims records and the provider data.

Resolved in 24C

99MCD1

Medicaid

Duplicate enrollment records were identified in Arkansas Medicaid enrollment records because of conflicting data points used to set versionrank. These have been resolved so no duplicate enrollment records exist with versionrank = 1.

Resolved in 24C

17096

99NAV1

99ESA1

Caresource

Navitus

Express Scripts

ME001_CAT has been changed from COM to PASSE for all 17096 records.

ME001_CAT has been changed from COM to EBD_PBM for all 99NAV1 records.

ME001_CAT has been changed from COM to QHP for all 99ESA1 records when HIOS ID (ME992) ends in the following values: 00, 01, 02, 03, 04, 05, 06.

ME001_CAT has been changed from COM to MCD_QHP for all 99ESA1 records when HIOS ID (ME992) ends in the following values: 32, 36, 21, 41, 61,81, 11.

Informational

83470

95442

16751

USAble

HMO Partners

(All are Arkansas BCBS)

Pharmacy NPI (PC021) was corrected using a crosswalk file from Arkansas Blue Cross and Blue Shield (BCBS).

Resolved in 24C

60054A

AETNA

There are 26% distinct Pharmacy claims in 60054A data that are orphaned (the pharmacy claim carrier specific unique member ID (PC107) does not exist in eligibility/member data (ME107) for this submitting entity). The orphaned records are from 2019 and earlier. No resolution possible.

https://achiapcd.atlassian.net/wiki/x/AQBZ7

Informational

Important Information

  • The APCD Unique ID (ME998, Hash ID, or Study ID) is consistent with the previous build.

  • Review the latest published on the APCD website for information about the latest data available.

  • Utilize the searchable Arkansas APCD data dictionaries and tip sheets (be sure to review all of them).

  • For high level descriptions of the APCD and its data, refer to the Arkansas APCD Infographic for a summary of the latest data available to data requesters.