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Variable: CLM_PTNT_RSDNC_CD

Patient Residence Code

Description:

This variable indicates where the beneficiary lived when the prescription was filled, as reported on the PDE record. CMS requires Part D plans to maintain pharmacy networks that are sufficient to ensure convenient access to Medicare beneficiaries – including retail, home infusion, and long-term care pharmacies. This variable is designed to help CMS and plan sponsors monitor beneficiary access to a range of 'in-network' pharmacies.

Values

This variable is coded, and will contain one of the following values.

ValueDescription
00Not specified, other patient residence not identified below
01Home
02Skilled Nursing Facility
03Nursing facility (long-term care facility)
04Assisted living facility
05Custodial Care Facility (residential but not medical care)
06Group home (e.g., congregate residential foster care)
07Inpatient Psychiatric Facility
08Psychiatric Facility – Partial Hospitalization
09Intermediate care facility for the mentally retarded (ICF/MR)
10Residential Substance Abuse Treatment Facility
11Hospice
12Psychiatric Residential Treatment Facility
13Comprehensive Inpatient Rehabilitation Facility
14Homeless Shelter
15Correctional Institution
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