Medicare — Fee-for-Service Medical Coverage Indicator — March

SAS Name
MDCR_FFS_MEDICAL_03

This variable is a monthly variable that indicates whether the beneficiary was enrolled in traditional Medicare fee-for-service (FFS), or whether the beneficiary was enrolled in a Medicare advantage (MA) managed care plan.

Comments

CCW creates this variable using the MBSF file. We consider the beneficiary to have FFS Medical coverage if the beneficiary had Medicare enrollment for the month, and the monthly beneficiary HMO (Medicare Advantage) indicator code was either '0' (Not a member of an HMO) or '4' (Fee-for-service participant in case or disease management demonstration project) (i.e., BENE_HMO_IND_MM IN ('0' '4').

Source: MBSF (derived)

Code Code value
0 Not Medicare FFS during month
1 Medicare FFS during the month
Null/missing Not Medicare enrolled for the month