This variable is contained in the following files:
SAS Name
MDCD_RSTRCTD_BNFTS_CD_LTST
This variable indicates the scope of Medicaid or Children’s Health Insurance Program (CHIP) benefits to which a beneficiary is entitled; most recent in the calendar year.
| Code | Code value |
|---|---|
| 0 | Not eligible for Medicaid or (CHIP) during the month |
| 1 | Eligible for Medicaid or CHIP (full scope of benefits) |
| 2 | Eligible for Medicaid or Medicaid-Expansion CHIP (restricted benefits based on alien status) |
| 3 | Eligible for Medicaid (restricted benefits based on Medicare dual-eligibility status; e.g., QMB, SLMB, QDWI, QI) |
| 4 | Eligible for Medicaid or CHIP (restricted benefits - pregnancy) |
| 5 | Eligible for Medicaid or Medicaid-Expansion CHIP (restricted benefits - not 2, 3, or 4); e.g., substance abuse, medically needy or other |
| 6 | Eligible for Medicaid or Medicaid-Expansion CHIP (restricted benefits - family planning) |
| 7 | Eligible for Medicaid (alternative package of benchmark-equivalent coverage, as enacted by the Deficit Reduction Act of 2005) |
| A | Eligible for Medicaid and entitled to benefits under the Psychiatric Residential Treatment Facilities Demonstration Grant Program (PRTF); community alternatives to psychiatric resident treatment facilities for children. |
| D | Eligible for Medicaid - Money Follows the Person (MFP) demo |
| Null/missing | Source value is missing, unknown or not Medicaid enrolled |
CCW obtains this directly from the DE RSTRCTD_BNFTS_CD_LTST variable.
Source: T-MSIS DE file