Medicaid — Managed Care Medicaid Coverage Months

SAS Name
MDCD_MC_MEDICAL_MOS

This variable is the number of months during the year when the beneficiary had Medicaid managed care medical coverage.

Comments

CCW calculates this variable using the DE file. We consider the beneficiary to have Managed Care Medical coverage during the month If the beneficiary had Medicaid or CHIP enrollment for the month, and the monthly managed care plan type code was for a comprehensive managed care plan or a health insuring organization (i.e., where MC_PLAN_TYPE_CD_MM is ('01' '04').

We set this variable to null/missing for beneficiaries who are not enrolled in Medicaid during the year.

The sum of MDCD_MC_MEDICAL_MOS + MDCD_FFS_MEDICAL_MOS is equal to the total months of Medicaid coverage during the year. Note that this does not always equal the number of months enrolled in Medicaid due to missing data in the source fields (e.g., eligibility group code associated with the beneficiary state).

Values: 0-12, or null/missing (if no Medicaid enrollment)

T-MSIS DE file (derived)