Eligible Population Indicator: 1115 Expansion Groups Coverage Waiver — Ever in Calendar Year

SAS Name
WVR_1115_EXPNSN_CVRG_POP_IND

Indicates if the managed care entity is authorized to enroll the 1115 expansion eligibility groups; ever in the calendar year.

Comments

This data element is triggered by a value of “69”–“71” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD.

These values are:

69 = Individuals with Mental Health Conditions (expansion group)

70 = Family Planning Participants (expansion group)

71 = Other expansion group

Source: T-MSIS Annual Managed Care Plan TAF

Code Code value
0 No
1 Yes