Medicare beneficiary (Jun)

SAS Name
EL_MDCR_BEN_MO_6

CODE INDICATING WHICH MONTHS THE MEDICAID ELIGIBLE WAS A MEDICARE BENEFICIARY BASED ON FINDING A BENEFICIARY RECORD FOR THE ELIGIBLE IN THEMEDICARE ENROLLMENT DATA BASE.

Comments

USER NOTE: IF THE 'ELIGIBLE SOCIAL SECURITY NUMBER' REPORTED BY MEDICAID IS NOT FOUND IN THE MEDICARE EDB OR IS INVALID, THIS DATA ELEMENT WILLHAVE VALUE = 0.

USER NOTE: WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION, THIS DATA ELEMENT IS 0-FILLED.

NOTE: IN MAX 2008, A CLARIFICATION NOTE WAS ADDED ABOUT THE VALUE ASSIGNED WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION.

SOURCE: MEDICARE EDB, CALCULATED USING BENEFICIARY ENTITLEMENT START AND TERMINATION DATES.

Code Code value
0 THERE WAS NO RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB).
1 THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB), FOR MEDICARE PART A (HOSPITAL INSURANCE).
2 THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB), FOR MEDICARE PART B (SUPPLEMENTARY MEDICAL INSURANCE).
3 THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB), FOR BOTH MEDICARE PART A AND PART B (BOTH HOSPITAL AND SUPPLEMENTARY MEDICAL INSURANCE).