BCDA supplements ACOs' insight into their assigned beneficiary populations with Medicare claims data.
BCDA enables ACOs to make claims data requests more often - once a week.
BCDA offers Medicare claims data in a format that is aligned with a healthcare interoperability standard and the CMS interoperability rule.
Frequently Asked Questions
1. Are Claim and Claim Line Feed (CCLF) files going away?
2. Can my ACO use BCDA?
- Currently, all Medicare Shared Savings Program ACOs are able to use BCDA. Please generate BCDA credentials using the ACO Management System (ACO-MS).
- BCDA is evaluating support for models developed by the Center for Medicare and Medicaid Innovation. If your ACO is interested in using BCDA, please contact your respective model. As additional ACO models are able to use the API, we will share information on this website and in BCDA's Google Group.
- You don't need credentials to use the sandbox environment. All ACOs and their vendor partners are encouraged to try the API in the sandbox environment with synthetic data.
3. How can I share my feedback?
The Latest & Greatest from BCDA!
The production API is undergoing a change that will affect your use of BCDA in the remainder of December 2020 and throughout January 2021.
Why the change?
Between December and January, ACOs go through a change in their participant lists and related beneficiary assignment as part of the transition between performance years. BCDA has a delay in receiving the updated beneficiary list in January, so BCDA has been working to ensure that we only return appropriate claims data. Last year, BCDA had to be turned off to address this delay; this year, BCDA is releasing new capabilities to maintain its uptime year-round.
BCDA is introducing a new identifier in the /Group endpoint, called `runout`. Between December 2020 and mid-January 2021, this identifier will only return claims with a service date before December 31, 2020. Until BCDA receives January 2021 attribution information, the only way to retrieve claims is to use the group ID `runout` with the /Group endpoint; requests to /Patient or /Group with other group IDs will fail. After BCDA receives January 2021 attribution information, this same `runout` identifier will also be available for ACOs to receive claims runout information from 2020.
Full details about how to implement these changes are available in the End of Year Requests section on the Building Your API page.