Eligible Population Indicator: Medicaid Optional Coverage Aged-Blind-Disabled — Ever in Calendar Year

This variable is contained in the following files:

SAS Name

MDCD_OPTNL_CVRG_ABD_POP_IND

Indicates if the managed care entity is authorized to enroll the optional A/B/D eligibility groups; ever in the calendar year.

Comments

This data element is triggered by a value of “37”–“52” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD. These values are:

37 = Aged, Blind or Disabled Individuals Eligible for but Not Receiving Cash Assistance

38 = Individuals Eligible for Cash Assistance except for Institutionalization

39 = Individuals Receiving Home and Community Based Services under Institutional Rules

40 = Optional State Supplement Recipients - 1634 States, and SSI Criteria States with 1616 Agreements

41 = Optional State Supplement Recipients - 209(b) States, and SSI Criteria States without 1616 Agreements

42 = Institutionalized Individuals Eligible under a Special Income Level

43 = Individuals participating in a PACE Program under Institutional Rules

44 = Individuals Receiving Hospice Care

45 = Qualified Disabled Children under Age 19

46 = Poverty Level Aged or Disabled

47 = Work Incentives Eligibility Group

48 = Ticket to Work Basic Group

49 = Ticket to Work Medical Improvements Group

50 = Family Opportunity Act Children with Disabilities

51 = Individuals Eligible for Home and Community-Based Services

52 = Individuals Eligible for Home and Community-Based Services - Special Income Level

Source: T-MSIS Annual Managed Care Plan TAF

Code	Code value
0	No
1	Yes