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Indicates if the managed care entity is authorized to enroll the mandatory Aged/Blind/Disabled (A/B/D) eligibility groups; ever in the calendar year.
This data element is triggered by a value of “11”-“26” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD. These values are:
11 = Individuals Receiving SSI
12 = Aged, Blind and Disabled Individuals in 209(b) States
13 = Individuals Receiving Mandatory State Supplements
14 = Individuals Who Are Essential Spouses
15 = Institutionalized Individuals Continuously Eligible Since 1973
16 = Blind or Disabled Individuals Eligible in 1973
17 = Individuals Who Lost Eligibility for SSI/SSP Due to an Increase in OASDI Benefits in 1972
18 = Individuals Who Would be Eligible for SSI/SSP but for OASDI COLA increases since April 1977
19 = Disabled Widows and Widowers Ineligible for SSI due to increase in OASDI
20 = Disabled Widows and Widowers Ineligible for SSI due to Early Receipt of Social Security
21 = Working Disabled under 1619(b)
22 = Disabled Adult Children
23 = Qualified Medicare Beneficiaries
24 = Qualified Disabled and Working Individuals
25 = Specified Low Income Medicare Beneficiaries
26 = Qualifying Individuals
Source: T-MSIS Annual Managed Care Plan TAF
This data element is triggered by a value of “11”-“26” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD. These values are:
11 = Individuals Receiving SSI
12 = Aged, Blind and Disabled Individuals in 209(b) States
13 = Individuals Receiving Mandatory State Supplements
14 = Individuals Who Are Essential Spouses
15 = Institutionalized Individuals Continuously Eligible Since 1973
16 = Blind or Disabled Individuals Eligible in 1973
17 = Individuals Who Lost Eligibility for SSI/SSP Due to an Increase in OASDI Benefits in 1972
18 = Individuals Who Would be Eligible for SSI/SSP but for OASDI COLA increases since April 1977
19 = Disabled Widows and Widowers Ineligible for SSI due to increase in OASDI
20 = Disabled Widows and Widowers Ineligible for SSI due to Early Receipt of Social Security
21 = Working Disabled under 1619(b)
22 = Disabled Adult Children
23 = Qualified Medicare Beneficiaries
24 = Qualified Disabled and Working Individuals
25 = Specified Low Income Medicare Beneficiaries
26 = Qualifying Individuals
Source: T-MSIS Annual Managed Care Plan TAF