HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 7.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

Chronic Illness and Disability Payment System (CDPS) Metadata Record

Metadata Record Information Version 20251031
Maintained By HL7 Terminology Services Management Group (TSMG)
Last Updated Date 31 October 2025
Responsible Organizations UC San Diego Roles
  • Code System Owner
  • Code System Maintainer (Steward)
  • Code System Publisher
Website https://ucsd.edu/
Email address
Phone number
Address
Code System Names Formal name Chronic Illness and Disability Payment System (CDPS)
Short name
Code System Technical Identifiers Identification Record
TSMG-endorsed URI http://terminology.hl7.org/CodeSystem/CDPS
TSMG-endorsed OID Not Assigned
Code System Information Links
Description
"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." "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." For more information, please visit [https://hwsph.ucsd.edu/research/programs-groups/cdps.html](https://hwsph.ucsd.edu/research/programs-groups/cdps.html).
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Code System Copyright, Intellectual Property and Licensing Copyright Statement
For licensing CDPS including MRX and CDPS+MRx, please contact Subramanian (Subbu) Venkatraman at: [suvenkatraman@ucsd.edu](mailto:suvenkatraman@ucsd.edu)
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