HL7 Terminology (THO)
5.5.0 - Publication International flag

This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: null - XML Representation

Active as of 2023-08-22

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<NamingSystem xmlns="http://hl7.org/fhir">
  <id value="CDPS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3>Summary</h3><table class="grid"><tr><td>Defining URL</td><td>http://terminology.hl7.org/NamingSystem/CDPS</td></tr><tr><td>Version</td><td>1.0.0</td></tr><tr><td>Name</td><td>CDPS</td></tr><tr><td>Title</td><td>Chronic Illness and Disability Payment System (CDPS)</td></tr><tr><td>Status</td><td>active</td></tr><tr><td>Definition</td><td><div><p>&quot;The Chronic Illness and Disability Payment System (CDPS) is a diagnostic-based risk adjustment model that is widely used to adjust capitated payments for health plans that enroll Medicaid beneficiaries.</p>
<p>CDPS uses International Classification of Disease (ICD) codes to assign CDPS Categories that indicate illness burden related to major body systems (e.g. cardiovascular) or types of chronic disease (e.g. diabetes). Within each major category is a hierarchy reflecting both the clinical severity of the condition and its expected effect on future costs. Each of the hierarchical CDPS Categories is assigned a CDPS weight. CDPS weights are additive across major categories.&quot;</p>
<p>&quot;The CDPS model was developed in 2000 using data from seven Fee-for-Service (FFS) Medicaid programs.  The model received major updates in 2009 (using national FFS Medicaid data from 2002-2005) and in 2014 (using additional national FFS Medicaid data from 2011). CDPS has also received regular annual updates to include the most recent ICD and NDC codes.&quot;</p>
<p>For more information, please visit <a href="https://hwsph.ucsd.edu/research/programs-groups/cdps.html">https://hwsph.ucsd.edu/research/programs-groups/cdps.html</a>.</p>
</div></td></tr><tr><td>Publisher</td><td>UC San Diego</td></tr></table><h3>Identifiers</h3><table class="grid"><tr><td><b>Type</b></td><td><b>Value</b></td><td><b>Preferred</b></td><td><b>Period</b></td></tr><tr><td>URI</td><td>http://terminology.hl7.org/CodeSystem/CDPS</td><td>true</td><td>2023-08-21 --&gt; (ongoing)</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.url">
    <valueUri value="http://terminology.hl7.org/NamingSystem/CDPS"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.version">
    <valueString value="1.0.0"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.title">
    <valueString
                 value="Chronic Illness and Disability Payment System (CDPS)"/>
  </extension>
  <name value="CDPS"/>
  <status value="active"/>
  <kind value="codesystem"/>
  <date value="2023-08-22T00:00:00-00:00"/>
  <publisher value="UC San Diego"/>
  <contact>
    <name value="UC San Diego; 9500 Gilman Dr. La Jolla, CA 92093"/>
    <telecom>
      <system value="phone"/>
      <value value="(858) 534-2230"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="https://ucsd.edu/"/>
    </telecom>
  </contact>
  <description
               value="&quot;The Chronic Illness and Disability Payment System (CDPS) is a diagnostic-based risk adjustment model that is widely used to adjust capitated payments for health plans that enroll Medicaid beneficiaries.

CDPS uses International Classification of Disease (ICD) codes to assign CDPS Categories that indicate illness burden related to major body systems (e.g. cardiovascular) or types of chronic disease (e.g. diabetes). Within each major category is a hierarchy reflecting both the clinical severity of the condition and its expected effect on future costs. Each of the hierarchical CDPS Categories is assigned a CDPS weight. CDPS weights are additive across major categories.&quot;

&quot;The CDPS model was developed in 2000 using data from seven Fee-for-Service (FFS) Medicaid programs.  The model received major updates in 2009 (using national FFS Medicaid data from 2002-2005) and in 2014 (using additional national FFS Medicaid data from 2011). CDPS has also received regular annual updates to include the most recent ICD and NDC codes.&quot;

For more information, please visit [https://hwsph.ucsd.edu/research/programs-groups/cdps.html](https://hwsph.ucsd.edu/research/programs-groups/cdps.html)."/>
  <uniqueId>
    <type value="uri"/>
    <value value="http://terminology.hl7.org/CodeSystem/CDPS"/>
    <preferred value="true"/>
    <period>
      <start value="2023-08-21"/>
    </period>
  </uniqueId>
</NamingSystem>