Updated research request forms and data security approval requirement effective 4/24/23
SAS Name
E_MAX_DUAL_1 - 12
Monthly code indicating if Medicaid enrollee is covered by Medicare. January through December.
Code | Code value |
---|---|
00 | Eligible is not a Medicare Beneficiary |
01 | Eligible is entitled to Medicare - QMB only |
02 | Eligible is entitled to Medicare - QMB and Full Medicaid |
03 | Eligible is entitled to Medicare - SLMB only |
04 | Eligible is entitled to Medicare - SLMB and Full Medicaid |
05 | Eligible is entitled to Medicare - QDWI |
06 | Eligible is entitled to Medicare - Qualifying Individuals |
07 | Eligible is entitled to Medicare - Qualifying Individual |
08 | Eligible is entitled to Medicare - Other Dual Eligible |
09 | Eligible is entitled to Medicare - Dual eligibility category unknown |
50 | Found in Medicare EDB and 01-09 do not apply |
51 | found in EDB and 01 applies |
52 | found in EDB and 02 applies |
53 | found in EDB and 03 applies |
54 | found in EDB and 04 applies |
55 | found in EDB and 05 applies |
56 | found in EDB and 06 applies |
57 | found in EDB and 07 applies |
58 | found in EDB and 08 applies |
59 | found in EDB and 09 applies |
98 | found in EDB and 99 applies |
99 | Eligible Medicare Status is unknown |
Null/missing | No Medicaid coverage during the month |