SCHIP eligibility (Sep)

SAS Name
EL_CHIP_FLAG_9

CODE INDICATING WHETHER THE INDIVIDUAL WAS ELIGIBLE FOR THE CHILD HEALTH INSURANCE PROGRAM (CHIP) IN THE RESPECTIVE MONTH.

Comments

USER NOTE: WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION, THIS DATA ELEMENT IS 9-FILLED.
NOTE: IN MAX 2008, A CLARIFICATION NOTE WAS ADDED ABOUT THE VALUE ASSIGNED WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION.

SOURCE: MSIS ELIGIBILITY FILES: 'CHIP-CODE'.

Code Code value
0 INDIVIDUAL WAS NOT A MEDICAID ELIGIBLE AND NOT ELIGIBLE FOR CHIP DURING THE MONTH.
1 INDIVIDUAL WAS A MEDICAID ELIGIBLE, BUT WAS NOT INCLUDED IN EITHER A MEDICAID EXPANSION CHIP OR A SEPARATE TITLE XXI CHIP PROGRAM DURING THE MONTH.
2 INDIVIDUAL WAS ENROLLED IN THE MEDICAID EXPANSION CHIP PROGRAM (M-CHIP) AND SUBJECT TO ENHANCED FEDERAL MATCHING FUNDS DURING THE MONTH.
3 INDIVIDUAL WAS NOT A MEDICAID ELIGIBLE, BUT WAS INCLUDED IN A NON-MEDICAID EXPANSION TITLE XXI CHIP PROGRAM DURING THE MONTH (S-CHIP). REPORTING OF MSIS ELIGIBILITY RECORDS FOR THESE NON-MEDICAID CHIP INDIVIDUALS IS OPTIONAL FOR STATES.
9 CHIP STATUS IS UNKNOWN