Updated research request forms and data security approval requirement effective 4/24/23
SAS Name
E_MEDICAIDFFS_1 - 12
Monthly Medicaid fee-for-service (FFS) indicator. January through December. A hierarchy is used: If any of the 4 Eligible Pre-Paid Plan (PHP) Group codes for the month equals 01 (medical or comprehensive managed care plan), 05 (LTC managed care plan), 06 (PACE), 07 (PCCM), 02 (dental), 03 (behavioral), 04(prenatal), or 08 (other managed care - only if individual lived in AL, CA, FL, or W). If none of these PHP values applies, then individual is considered FFS for the month.
| Code | Code value |
|---|---|
| 1 | FFS |
| 2 | Long term care |
| 3 | Comprehensive managed care |
| 4 | Primary care case management |
| 5 | Program of all-inclusive care for elderly (PACE) |
| 6 | Dental |
| 7 | Behavioral |
| 8 | Prenatal |
| Null | Other, or no Medicaid coverage during the month |