Care Coordination Claims Data

Please use this page as the central resource for information on Care Coordination Claims Data.

Care Coordination Claims Data (CCCD) is a data set available to Healthcare and Family Services (HFS) care coordination partners for recipients enrolled in their programs. CCCD contains the most recent two years of Medicaid claims data, the most recent seven years of immunization and lead data and monthly updates of the above once the initial historical data has been sent.

Starting June 2017, CCCD will provide additional recipient flags:

• CCCD Flags Documentation released June 2017 (pdf)
  
• June 01, 2016, a new CCCD FAQ sheet has been uploaded. 
  

• November 1, 2015 (xls)

This dictionary is intended to provide descriptions of the data regarding the Care Coordination Claims Data.

• October 1, 2015 (xls)
• December 29, 2014 (xls)
• July 15, 2014 (xls)
• June 12, 2014 (xls)
• May 15, 2014 (xls)
  
• April 28, 2014 (xls)
• April 10, 2014 (xls)
• April 3, 2014 (xls)
• April 1, 2014 (xls)
• March 11, 2014 (xls)
• January 28, 2014 (xls)
• January 15, 2014 (xls)
• December 2, 2013 (xls)
• October 17, 2013 (xls)
• October 10, 2013 (xls)
• October 4, 2013 (xls)

This sheet is intended to provide answers to frequently asked questions regarding the Care Coordination Claims Data.

• CCCD FAQ sheet (pdf)
  
• CCCD � Medicare Specific FAQ Sheet (pdf)
  

• Code Descriptions.txt

• Place of Service Conversion (xls)

This crosswalk can be used to identify the package of services corresponding to HFS legacy �W� procedure codes (e.g. W7820).

•  Legacy W Procedure code Crosswalk (xls)

This glossary is intended to provide more details regarding the Care Coordination Claims Data.

•  CCCD Glossary (pdf)

• Data Connectivity Process Document (pdf)

• CCCD Distribution Dates (pdf)

The CCCD test files are provided as a method for plans to learn the CCCD record layout and become more familiar with the data and file structures. The purpose of the data is to: 1) demonstrate how data will be provided, 2) give plans an opportunity to practice joining the different files together, and 3) help plans prepare the technical environments for CCCD. Please see the supporting documents to learn more about these files.

• Sample Code Description (txt)
• Sample Compound Drugs Detail (txt)
• Sample Cornerstone (txt)
• Sample Diagnosis (txt)
  
• Sample iCare (txt)
• Sample Institutional (txt)
• Sample Lead (txt)
• Sample Main Claims (txt)
• Sample NIPS (txt)
• Sample Pharmacy Prior Authorization (txt)
• Sample Procedure (txt)
• Sample Recipient Prior Authorization (txt)
• Sample Adjustment (txt)
• Sample Revenue Code (txt)
• Sample Pharmacy (txt)

On August 28, 2013, a webinar was provided to Care Coordination Entities (CCEs) about CCCD. Below is that recording. 

• Care Coordination Entities (CCEs) about CCCD Webinar (.wmv)
  

On October 16, 2013, a webinar was conducted to address healthcare plans' questions about CCCD. Below are the recording and slides.

• Discussion about Care Coordination Claims Data (CCCD) (.wmv)
• October 2013 Monthly Claims Care Coordination Data (CCCD) Partner Meeting (pdf) (html)

The second CCCD Partner meeting occurred on November 13, 2013. Below are the related recording and slides.

• Discussion about Care Coordination Claims Data (CCCD) (.wmv)
• November 2013 Monthly Claims Care Coordination Data (CCCD) Partner Meeting (pdf) (html)
  

The third CCCD Partner meeting occurred on January 15, 2014. Below are the related recording and slides.

• Discussion about Care Coordination Claims Data (CCCD) (.wmv)
• January 2014 Monthly Claims Care Coordination Data (CCCD) Partner Meeting (pdf) (html)
  

The fourth CCCD Partner meeting occurred on February 19, 2014. Due to a technical problem, the webinar could not be recorded.  Below are the related slides.

• February 2014 Monthly Claims Care Coordination Data (CCCD) Partner Meeting (pdf) (html)

The fifth CCCD Partner meeting occurred on March 12, 2014. Below are the related recording and slides.

• Discussion about Care Coordination Claims Data (CCCD) (.wmv)
• March 2014 Monthly Claims Care Coordination Data (CCCD) Partner Meeting (pdf) (html)

The sixth CCCD Partner meeting occurred on April 16, 2014. Below are the related recording and slides.

• Discussion about Care Coordination Claims Data (CCCD) (.wmv)
  
• April 2014 Monthly Claims Care Coordination Data (CCCD) Partner Meeting (pdf) (html)

The seventh CCCD Partner meeting occurred on June 18, 2014. Below are the related recording and slides.

• Discussion about Care Coordination Claims Data (CCCD) (.wmv)
• June 2014 Monthly Claims Care Coordination Data (CCCD) Partner Meeting (pdf)

Please email any questions or comments about the Care Coordination Claims Data to HFS.data@illinois.gov