01 = Comprehensive Managed Care Organization (MCO)
02 = Traditional Primary Care Case Management (PCCM) Provider arrangement
03 = Enhanced PCCM Provider arrangement
04 = Health Insuring Organization (HIO)
05 = Medical-only Prepaid Inpatient Health Plan (PIHP)
(risk or non-risk/noncomprehensive/with inpatient hospital or institutional services)
06 = Medical-only Prepaid Ambulatory Health Plan (PAHP)
(risk or non-risk/noncomprehensive/no inpatient hospital or institutional services)
07 = Long Term Care Services and Supports (LTSS) PIHP
08 = Mental Health (MH) PIHP
09 = Mental Health (MH) PAHP
10 = Substance Use Disorders (SUD) PIHP
11 = Substance Use Disorders (SUD) PAHP
12 = Mental Health (MH) and Substance Use Disorders (SUD) PIHP
13 = Mental Health (MH) and Substance Use Disorders (SUD) PAHP
14 = Dental PAHP
15 = Transportation PAHP
16 = Disease Management PAHP
17 = Program of All-Inclusive Care for the Elderly (PACE)
18 = Pharmacy PAHP
19 = Individual is enrolled in Long-Term Services and Supports (LTSS) and Mental Health (MH) PIHP
20 = Other
60 = Accountable Care Organization (ACO)
70 = Health/Medical Home
80 = Integrated Care for Dual Eligibles
Null/missing = unknown/missing