Medicare Advantage, Part D, Medicaid

Each D-SNP plan segment x state with its integration status and the state's Medicaid wrap (dental, eyeglasses, hearing, NEMT, overriding SMAC rules)

medicare_semantic.vw_dsnp_medicaid_wrap_v5·live·semantic_view
Rows
4,795
Columns
37
History
N/A
Card
nocolumns only
Typed tools
0

What it is

  1. 1Joins dsnp_integration_status_v1 to the state duals KB v5: per plan_year, state and benefit the KB row in effect that year for a full-benefit dual (latest effective_from, ties exact > rule > judged); dental, eyeglasses, hearing aids, NEMT, eye exam, personal care, adult day, home services, home modifications and MCO value-added fitness, plus the SMAC rules that override plan filings in the plan year.

Grain

KeyGrain
N/A
  1. 1Same as medicare_silver.dsnp_integration_status_v1.

Columns (37)

ColumnTypeMeaning
plan_yearint
contract_idstring
plan_idstring
segment_idstring
state_codestring
plan_namestring
parent_org_namestring
plan_typestring
integration_statusstring
cms_list_integration_statusstring
applicable_integrated_planboolean
zero_dollar_cost_sharingboolean
cms_list_dual_categories_rawstring
cms_list_enrolls_full_benefit_dualsboolean
cms_list_enrolls_partial_dualsboolean
snp_report_partial_dual_onlyboolean
snp_report_plan_segment_enrollmentbigint
plan_segment_state_rankint
medicaid_wrap_deliveryvarchar(48)
medicaid_adult_dental_levelstring
medicaid_adult_dental_as_ofstring
medicaid_adult_dental_source_idstring
medicaid_eyeglassesstring
medicaid_eyeglasses_as_ofstring
medicaid_hearing_aidsstring
medicaid_hearing_aids_as_ofstring
medicaid_nemtstring
state_rules_overriding_plan_filingstring
state_rules_overriding_plan_filing_nbigint
integration_source_urlstring
integration_sha256_content_hashstring
medicaid_eye_examstring
medicaid_personal_carestring
medicaid_adult_daystring
medicaid_home_servicesstring
medicaid_home_modificationsstring
medicaid_mco_value_added_fitnessstring

Query it

describe_data_source(source_fqn="medicare_semantic.vw_dsnp_medicaid_wrap_v5")     # the card, live
query_substrate(sql="SELECT * FROM medicare_semantic.vw_dsnp_medicaid_wrap_v5 WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itnone; raw SQL
Identity keyplan_year,contract_id,plan_id,segment_id,state_code
Joinhow_to_join(source_fqn="medicare_semantic.vw_dsnp_medicaid_wrap_v5")
Raw doorAthena (read-only via query_substrate): medicare_semantic.vw_dsnp_medicaid_wrap_v5
Company namesparent_org_name resolve to a permanent Vlada ID: resolve_entity(text=<name>); the company pages hold owners and holdings
NoteRegistered 2026-10-12 under register source state_duals_kb (W8) as the successor of the v4 object (same facts under neutral ids). Serving takes effect with the next MCP bridge release.

This page as markdown: /docs-md/data/medicare_semantic_vw_dsnp_medicaid_wrap_v5.md · every page in one file: /llms-full.txt