ResDAC is currently experiencing a high volume of requests, which may delay response and processing times. We are working to address the backlog as quickly as possible and appreciate your patience.
ResDAC is currently experiencing a high volume of requests, which may delay response and processing times. We are working to address the backlog as quickly as possible and appreciate your patience.
This data element is triggered by a value of “37”–“52” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD. These values are:
37 = Aged, Blind or Disabled Individuals Eligible for but Not Receiving Cash Assistance
38 = Individuals Eligible for Cash Assistance except for Institutionalization
39 = Individuals Receiving Home and Community Based Services under Institutional Rules
40 = Optional State Supplement Recipients - 1634 States, and SSI Criteria States with 1616 Agreements
41 = Optional State Supplement Recipients - 209(b) States, and SSI Criteria States without 1616 Agreements
42 = Institutionalized Individuals Eligible under a Special Income Level
43 = Individuals participating in a PACE Program under Institutional Rules
44 = Individuals Receiving Hospice Care
45 = Qualified Disabled Children under Age 19
46 = Poverty Level Aged or Disabled
47 = Work Incentives Eligibility Group
48 = Ticket to Work Basic Group
49 = Ticket to Work Medical Improvements Group
50 = Family Opportunity Act Children with Disabilities
51 = Individuals Eligible for Home and Community-Based Services
52 = Individuals Eligible for Home and Community-Based Services - Special Income Level
Source: T-MSIS Annual Managed Care Plan TAF