Premium payment indicator (PCCM)

SAS Name
PREM_PYMT_IND_PCCM

INDICATOR TO SHOW IF ANY PREMIUM PAYMENTS WERE MADE TO A CAPITATED (PREPAID) PLAN FOR THIS ELIGIBLE DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY FOR TOS = 20, 21, 22, AND 23.

Code Code value
0 NO PREMIUM PAYMENTS WERE MADE FOR THIS ELIGIBLE BY MEDICAID
1 PREMIUM PAYMENTS WERE MADE FOR THIS ELIGIBLE BY MEDICAID