From f7c41326d31a6f53db4df64e6a78e1ce83bee255 Mon Sep 17 00:00:00 2001 From: Katon Minhas Date: Fri, 6 Jun 2025 18:37:36 +0000 Subject: [PATCH] Merged in feature/update-dynamic-mappings (pull request #561) Update mappings * Initial commit - update mappings * Update product mapping Approved-by: Alex Galarce --- .../crosswalk/mappings/crosswalk_lob.json | 10 +- .../mappings/crosswalk_place_of_service.json | 2 +- .../crosswalk/mappings/crosswalk_product.json | 10 -- .../mappings/crosswalk_product_lob.json | 4 +- .../crosswalk/mappings/crosswalk_program.json | 62 +++++++- .../mappings/crosswalk_program_lob.json | 146 ++++++++---------- 6 files changed, 128 insertions(+), 106 deletions(-) delete mode 100644 fieldExtraction/crosswalk/mappings/crosswalk_product.json diff --git a/fieldExtraction/crosswalk/mappings/crosswalk_lob.json b/fieldExtraction/crosswalk/mappings/crosswalk_lob.json index 4838c15..8fadd75 100644 --- a/fieldExtraction/crosswalk/mappings/crosswalk_lob.json +++ b/fieldExtraction/crosswalk/mappings/crosswalk_lob.json @@ -5,22 +5,18 @@ }, "mapping": { "Medicaid" : "Medicaid", - "Duals" : "Duals", - "Dual Eligible" : "Duals", - "Special Needs Plan (SNP)" : "Duals", - "Dual-Eligible Special Needs Plan (D-SNP)" : "Duals", - "Medicare-Medicaid (MM)" : "Duals", - "Medi-Medi (MM)" : "Duals", "Medicare" : "Medicare", + "Duals" : "Duals", + "Medicare-Medicaid (MM)" : "Duals", "Commercial" : "Commercial", "Group" : "Commercial", "Commercial-Exchange" : "Marketplace", "Marketplace" : "Marketplace", "Health Insurance Exchange (HIE)" : "Marketplace", "Health Benefit Exchange (HBE)" : "Marketplace", + "Health Connector" : "Marketplace", "Affordable Care Act (ACA)" : "Marketplace", "Individual and Family Market (IFM)" : "Marketplace", - "Obamacare" : "Marketplace", "Corrections" : "Corrections", "Veterans Affairs (VA)" : "Veterans Affairs", "CHAMPVA" : "CHAMPVA", diff --git a/fieldExtraction/crosswalk/mappings/crosswalk_place_of_service.json b/fieldExtraction/crosswalk/mappings/crosswalk_place_of_service.json index 2d833ba..14f3dc1 100644 --- a/fieldExtraction/crosswalk/mappings/crosswalk_place_of_service.json +++ b/fieldExtraction/crosswalk/mappings/crosswalk_place_of_service.json @@ -27,7 +27,7 @@ "Inpatient Hospital": "21", "On Campus-Outpatient Hospital": "22", "Emergency Room-Hospital": "23", - "Ambulatry Surgical Center": "24", + "Ambulatory Surgical Center": "24", "Birthing Center": "25", "Military Treatment Facility": "26", "Outreach Site/Street": "27", diff --git a/fieldExtraction/crosswalk/mappings/crosswalk_product.json b/fieldExtraction/crosswalk/mappings/crosswalk_product.json deleted file mode 100644 index 92a2e44..0000000 --- a/fieldExtraction/crosswalk/mappings/crosswalk_product.json +++ /dev/null @@ -1,10 +0,0 @@ -{ - "metadata": { - "from_col": "PRODUCT", - "to_col": "AARETE_DERIVED_PRODUCT" - }, - "mapping": { - "EXAMPLE_PRODUCT" : "EXAMPLE_PRODUCT" - } - -} \ No newline at end of file diff --git a/fieldExtraction/crosswalk/mappings/crosswalk_product_lob.json b/fieldExtraction/crosswalk/mappings/crosswalk_product_lob.json index 77615e9..a37f15b 100644 --- a/fieldExtraction/crosswalk/mappings/crosswalk_product_lob.json +++ b/fieldExtraction/crosswalk/mappings/crosswalk_product_lob.json @@ -19,8 +19,8 @@ }, "Parkland" : { - "HEALTHfirst" : "Medicaid", - "KIDSfirst" : "Medicaid" + "HEALTH first" : "Medicaid", + "KIDS first" : "Medicaid" }, "Molina" :{ "Molina Medicare Options" : "Medicare", diff --git a/fieldExtraction/crosswalk/mappings/crosswalk_program.json b/fieldExtraction/crosswalk/mappings/crosswalk_program.json index 181981d..6361f04 100644 --- a/fieldExtraction/crosswalk/mappings/crosswalk_program.json +++ b/fieldExtraction/crosswalk/mappings/crosswalk_program.json @@ -6,6 +6,7 @@ "mapping": { "Children's Health Insurance Program (CHIP)" : "CHIP", "Children's Health Insurance Program Perinate (CHIP-P)" : "CHIPP", + "KidsFirst" : "CHIP", "Aged, Blind, and Disabled (ABD)" : "ABD", "Alternative Benefit Plan (ABP)" : "ABP", "Community First Choice (CFC)" : "CFC", @@ -22,6 +23,7 @@ "Temporary Assistance Needy Families (TANF)" : "TANF", "Long-Term Services and Supports (LTSS)" : "LTSS", "Special Needs Plan (SNP)" : "SNP", + "Medicare Advantage Special Needs Plan (MA-SNP)" : "MASNP", "Chronic Condition Special Needs Plan (C-SNP)" : "CSNP", "Dual Eligible Special Needs Plan (D-SNP)" : "DSNP", "Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP)" : "FIDE SNP", @@ -51,103 +53,140 @@ "ALL Kids" : "CHIP" }, "AK" : { - "Denali KidCare" : "CHIP" + "Denali KidCare" : "CHIP", + "DenaliCare" : "DENALI" }, "AZ" : { + "Arizona Health Care Cost Containment System (AHCCCS)" : "AHCCCS", "KidsCare" : "CHIP" }, "AR" : { "ARKids First" : "CHIP" }, "CA" : { + "Medi-Cal" : "MEDICAL", + "Covered California" : "COVEREDCAL", "Medi-Cal Access Program (MCAP)" : "CHIP", "Healthy Families Benefit Program" : "CHIP" }, "CO" : { + "Health First Colorado" : "HFCO", + "Connect for Health Colorado" : "CFHCO", "Child Health Plan Plus (CHP+)" : "CHIP" }, "CT" : { + "Husky Health" : "HUSKY", + "Access Health CT" : "AHCT", "HUSKY A" : "CHIP", "HUSKY B" : "CHIP", "HUSKY C" : "CHIP", "HUSKY D" : "CHIP" }, "DE" : { + "Diamond State Health Plan" : "DSHP", + "Choose Health Delaware" : "CHDE", "Delaware Healthy Children Program (DHCP)" : "CHIP" }, "DC" : { + "DC Health Link" : "DCHL", "DC Healthy Families" : "CHIP" }, "FL" : { + "Florida Statewide Medicaid Managed Care Program (SMMC)" : "SMMC", "Florida KidCare" : "CHIP" }, "GA" : { + "Georgia Access" : "GAACCESS", "PeachCare for Kids" : "CHIP" }, "HI" : { + "Med-Quest" : "MQUEST", "QUEST Integration" : "CHIP" }, "ID" : { + "Your Health Idaho" : "YHID", "Idaho Medicaid for CHIP" : "CHIP" }, "IL" : { + "HealthChoice Illinois" : "HCIL", + "Get Covered Illinois" : "GCIL", "All Kids" : "CHIP" }, "IN" : { "Hoosier Healthwise" : "CHIP" }, "IA" : { + "Iowa Health Link" : "IAHL", "Healthy and Well Kids in Iowa (HAWK-I)" : "CHIP" }, "KS" : { - "KanCare" : "CHIP" + "KanCare" : "KANCARE" }, "KY" : { + "Kynect" : "KYNECT", "Kentucky Children's Health Insurance Program (KCHIP)" : "CHIP" }, "LA" : { + "Healthy Louisiana" : "HEALTHYLA", + "Lousiana State Insurance Exchange" : "LASIE", "LaCHIP" : "CHIP" }, "ME" : { + "MaineCare" : "MECARE", + "Cover ME" : "COVERME", "Cub Care" : "CHIP" }, "MD" : { + "Maryland HealthChoice" : "MDHC", "Maryland Children's Health Program (MCHP)" : "CHIP" }, "MA" : { + "MassHealth" : "MASSHEALTH", "MassHealth CHIP" : "CHIP" }, "MI" : { + "Healthy Michigan Plan" : "HMIP", "MIChild" : "CHIP" }, "MN" : { + "Minnesota Medical Assistance" : "MNMA", + "MNSure" : "MNSURE", "MinnesotaCare" : "CHIP" }, "MS" : { + "MississippiCAN" : "MSCAN", "Mississippi CHIP" : "CHIP" }, "MO" : { + "MO HealthNet" : "MOHN", "MO HealthNet for Kids" : "CHIP" }, "MT" : { "Healthy Montana Kids (HMK)" : "CHIP" }, "NE" : { + "Heritage Health" : "HHNE", "Kids Connection" : "CHIP" }, "NV" : { + "Nevada Health Link" : "NVHL", "Nevada Check Up" : "CHIP" }, "NH" : { + "NH Health Families" : "NHHF", "New Hampshire Healthy Families" : "CHIP" }, "NJ" : { - "NJ FamilyCare" : "CHIP" + "FamilyCare" : "NJFC", + "Get Covered NJ" : "GCNJ" }, "NM" : { + "Centennial Care" : "CCNM", + "WellNM" : "WELLNM", "New MexiKids" : "CHIP" }, "NY" : { + "NY State of Health" : "NYSOH", "Health and Recovery Plan (HARP)" : "HARP", "Child Health Plus (CHP)" : "CHPLUS" }, @@ -161,15 +200,20 @@ "Healthy Start" : "CHIP" }, "OK" : { - "SoonerCare Choice" : "CHIP" + "SoonerCare" : "SOONER" }, "OR" : { + "Oregon Health Plan" : "ORHP", + "OregonHealthCare" : "ORHC", "Oregon Healthy Kids" : "CHIP" }, "PA" : { + "Pennsylvania Medical Assistance" : "PAMA", + "Pennie" : "PENNIE", "Pennsylvania CHIP" : "CHIP" }, "RI" : { + "HealthSource RI" : "HSRI", "Rite Care" : "CHIP" }, "SC" : { @@ -179,6 +223,7 @@ "South Dakota Medicaid for CHIP" : "CHIP" }, "TN" : { + "TennCare" : "TENNCARE", "CoverKids" : "CHIP" }, "TX" : { @@ -188,24 +233,31 @@ "STAR+PLUS" : "STAR+PLUS" }, "UT" : { + "Healthy U" : "HEALTHYU", "Utah Children's Health Insurance Program (UCHIP)" : "CHIP" }, "VT" : { + "Green Mountain Care" : "GMCARE", "Dr. Dynasaur" : "CHIP" }, "VA" : { + "Cardinal Care" : "CCVA", + "Cover Virginia" : "COVERVA", "FAMIS" : "CHIP" }, "WA" : { + "Apple Health" : "AHWA", + "Washington Healthplanfinder" : "WAHPF", "Apple Health for Kids" : "CHIP" }, "WV" : { "WVCHIP" : "CHIP" }, "WI" : { - "BadgerCare Plus" : "CHIP" + "BadgerCare Plus" : "BADGER" }, "WY" : { + "EqualityCare" : "EQCAREWY", "Kid Care CHIP" : "CHIP" } } diff --git a/fieldExtraction/crosswalk/mappings/crosswalk_program_lob.json b/fieldExtraction/crosswalk/mappings/crosswalk_program_lob.json index 4811fd4..a8f92b4 100644 --- a/fieldExtraction/crosswalk/mappings/crosswalk_program_lob.json +++ b/fieldExtraction/crosswalk/mappings/crosswalk_program_lob.json @@ -31,6 +31,7 @@ "MMP" : "Duals", "PACE" : "Duals", "MA" : "Medicare", + "MASNP" : "Medicare", "Supp" : "Medicare", "SF" : "Commercial", "FF" : "Commercial", @@ -43,160 +44,145 @@ }, "state_mapping" : { "AL" : { - "Alabama Medicaid" : "Medicaid" + }, "AK" : { - "DenaliCare" : "Medicaid" + "DENALI" : "Medicaid" }, "AZ" : { - "Arizona Health Care Cost Containment System" : "Medicaid", - "Arizona Health Insurance Exchange" : "Marketplace" + "AHCCCS" : "Medicaid" }, "AR" : { - "Arkansas Medicaid" : "Medicaid", - "Arkansas Health Connector" : "Marketplace" + }, "CA" : { - "Medi-Cal" : "Medicaid", - "Covered California" : "Marketplace" + "MEDICAL" : "Medicaid", + "COVEREDCAL" : "Marketplace" }, "CO" : { - "Health First Colorado" : "Medicaid", - "Connect for Health Colorado" : "Marketplace" + "HFCO" : "Medicaid", + "CFHCO" : "Marketplace" }, "CT" : { - "Husky Health" : "Medicaid", - "Access Health CT" : "Marketplace" + "HUSKY" : "Medicaid", + "AHCT" : "Marketplace" }, "DE" : { - "Diamond State Health Plan" : "Medicaid", - "Choose Health Delaware" : "Marketplace" + "DSHP" : "Medicaid", + "CHDE" : "Marketplace" }, "DC" : { - "DC Medicaid" : "Medicaid", - "DC Health Link" : "Marketplace" + "DCHL" : "Marketplace" }, "FL" : { - "Florida Statewide Medicaid Managed Care Program (SMMC)" : "Medicaid" + "SMMC" : "Medicaid" }, "GA" : { - "Georgia Medicaid" : "Medicaid", - "Georgia Access" : "Marketplace" + "GAACCESS" : "Marketplace" }, "HI" : { - "Med-QUEST" : "Medicaid", - "Hawaii Health Connector" : "Marketplace" + "MQUEST" : "Medicaid" }, "ID" : { - "Idaho Medicaid" : "Medicaid", - "Your Health Idaho" : "Marketplace" + "YHID" : "Marketplace" }, "IL" : { - "HealthChoice Illinois" : "Medicaid", - "Get Covered Illinois" : "Marketplace" + "YHID" : "Medicaid", + "GCIL" : "Marketplace" }, "IN" : { - "Indiana Medicaid" : "Medicaid" + }, "IA" : { - "Iowa Health Link" : "Medicaid" + "IAHL" : "Medicaid" }, "KS" : { - "KanCare" : "Medicaid" + "KANCARE" : "Medicaid" }, "KY" : { - "Kentucky Medicaid" : "Medicaid", - "Kynect" : "Marketplace" + "KYNECT" : "Marketplace" }, "LA" : { - "Healthy Louisiana" : "Medicaid", - "Louisiana State Insurance Exchange" : "Marketplace" + "HEALTHYLA" : "Medicaid", + "LASIE" : "Marketplace" }, "ME" : { - "MaineCare" : "Medicaid", - "CoverME" : "Marketplace" + "MECARE" : "Medicaid", + "COVERME" : "Marketplace" }, "MD" : { - "Maryland HealthChoice" : "Medicaid", - "Maryland Health Connection" : "Marketplace" + "MDHC" : "Medicaid" }, "MA" : { - "MassHealth" : "Medicaid", - "Massachusetts Health Connector" : "Marketplace" + "MASSHEALTH" : "Medicaid" }, "MI" : { - "Healthy Michigan Plan" : "Medicaid" + "HMIP" : "Medicaid" }, "MN" : { - "Minnesota Medical Assistance" : "Medicaid", - "MNsure" : "Marketplace" + "MNMA" : "Medicaid", + "MNSURE" : "Marketplace" }, "MS" : { - "Mississippi Division of Medicaid" : "Medicaid", - "MississippiCAN" : "Medicaid" + "MSCAN" : "Medicaid" }, "MO" : { - "MO HealthNet" : "Medicaid" + "MOHN" : "Medicaid" }, "MT" : { - "Montana Medicaid Expansion" : "Medicaid" + }, "NE" : { - "Heritage Health" : "Medicaid" + "HHNE" : "Medicaid" }, "NV" : { - "Nevada Medicaid" : "Medicaid", - "Nevada Health Link" : "Marketplace", - "Silver State Health Insurance Exchange" : "Marketplace" + "NVHL" : "Marketplace" }, "NH" : { - "New Hampshire Medicaid" : "Medicaid", - "NH Health Families" : "Marketplace" + "NHHF" : "Marketplace" }, "NJ" : { - "NJ FamilyCare" : "Medicaid", - "Get Covered NJ" : "Marketplace" + "NJFC" : "Medicaid", + "GCNJ" : "Marketplace" }, "NM" : { - "Centennial Care" : "Medicaid", - "WellNM" : "Marketplace" + "CCNM" : "Medicaid", + "WELLNM" : "Marketplace" }, "NY" : { - "New York State Medicaid" : "Medicaid", - "NY State of Health" : "Marketplace" + "NYSOH" : "Marketplace" }, "NC" : { - "North Carolina Medicaid" : "Medicaid" + }, "ND" : { - "North Dakota Medicaid" : "Medicaid" + }, "OH" : { - "Ohio Medicaid" : "Medicaid" + }, "OK" : { - "SoonerCare" : "Medicaid" + "SOONER" : "Medicaid" }, "OR" : { - "Oregon Health Plan" : "Medicaid", - "OregonHealthCare" : "Marketplace" + "ORHP" : "Medicaid", + "ORHC" : "Marketplace" }, "PA" : { - "Pennsylvania Medical Assistance" : "Medicaid", - "Pennie" : "Marketplace" + "PENNIE" : "Marketplace", + "PAMA" : "Medicaid" }, "RI" : { - "Rhode Island Medicaid" : "Medicaid", - "HealthSource RI" : "Marketplace" + "HSRI" : "Marketplace" }, "SC" : { - "Healthy Connections" : "Medicaid" + }, "SD" : { - "South Dakota Medicaid" : "Medicaid" + }, "TN" : { - "TennCare" : "Medicaid" + "TENNCARE" : "Medicaid" }, "TX" : { "STAR" : "Medicaid", @@ -204,29 +190,27 @@ "STAR Kids" : "Medicaid" }, "UT" : { - "Healthy U" : "Medicaid" + "HEALTHYU" : "Medicaid" }, "VT" : { - "Green Mountain Care" : "Medicaid", - "Vermont Health Connect" : "Marketplace" + "GMCARE" : "Medicaid" }, "VA" : { - "Cardinal Care" : "Medicaid", - "Cover Virginia" : "Marketplace", - "CoverVA" : "Marketplace" + "CCVA" : "Medicaid", + "COVERVA" : "Marketplace" }, "WA" : { - "Apple Health" : "Medicaid", - "Washington Healthplanfinder" : "Marketplace" + "AHWA" : "Medicaid", + "WAHPF" : "Marketplace" }, "WV" : { - "West Virginia Medicaid" : "Medicaid" + }, "WI" : { - "BadgerCare Plus" : "Medicaid" + "BADGER" : "Medicaid" }, "WY" : { - "EqualityCare" : "Medicaid" + "EQCAREWY" : "Medicaid" } } } \ No newline at end of file