Medicare dual code (Nov)

SAS Name
EL_MDCR_DUAL_MO_11

CODE INDICATING THAT THE ELIGIBLE IS COVERED BY MEDICARE (KNOWN AS DUAL OR MEDICARE ELIGIBILITY), ACCORDING TO MEDICAID (MSIS), MEDICARE (EDB) OR BOTH FOR THE RESPECTIVE MONTH.

Comments

USER NOTE: THIS DATA ELEMENT IS EQUAL TO THE MSIS DATA ELEMENT 'DUAL-ELIGIBLE-CODE' (I.E. VALUES 00-09). IF THE PERSON IS ELIGIBLE FOR MEDICAID ANDENROLLED IN THE MEDICARE EDB IN THE SAME MONTH, A '5' IS MOVED TO THE FIRST POSITION (I.E. VALUES 50-59). IF THE PERSON HAS CLAIMS BUT NO ELIGIBILITYRECORD, THE VALUE IS SET TO 99.

NOTE: IN MAX 2005, THIS VARIABLE WAS ADDED TO THE FILE.

NOTE: IN MAX 2006, VALUES 50-59 WERE ADDED TO THE FILE.NOTE: IN MAX 2009, VALUES 10 AND 60 WERE ADDED TO THE FILE.

SOURCE: DERIVED FROM DATA ELEMENT 'DUAL-ELIGIBLE-CODE' IN THE MSIS ELIGIBILITY FILES AND THE MEDICARE EDB.