Updated research request forms and data security approval requirement effective 4/24/23
SAS Name
PREM_PYMT_IND_PHP
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 |
SOURCE: CREATED FOR EACH OF THE FOUR MAX TYPES OF SERVICE FOR PREMIUM PAYMENTS, USING MSIS CLAIMS FILES, AS NOTED ABOVE.