Medicaid — Fee-for-Service Medical Coverage Months

SAS Name
MDCD_FFS_MEDICAL_MOS

This variable is the number of months during the year when the beneficiary had Medicaid FFS Medical Coverage.

Comments

CCW calculates this variable as the count of months where the monthly Medicaid FFS Medical Coverage Indicator is equal to one (MDCD_FFS_MEDICAL_MM = 1).

If the beneficiary has comprehensive managed care or is enrolled in a health insuring organization, they are considered to have comprehensive managed care medical coverage (MDCD_MC_MEDICAL_MOS). If the beneficiary does not have comprehensive managed care medical coverage during the month, then we set the monthly fee-for-service indicator to 1 (MDCD_FFS_MEDICAL_01–12). We count the number of months with FFS coverage (MDCD_FFS_MEDICAL_MOS). These variables are set to null/missing for beneficiaries who are not enrolled in Medicaid during the year.

The sum of these two variables (MDCD_MC_MEDICAL_MOS + MDCD_FFS_MEDICAL_MOS) is equal to the total months of Medicaid coverage during the year. Note that this sum does not always equal the number of months enrolled in Medicaid due to missing data in the source fields (e.g., eligibility group code associated with the beneficiary state).

Values: 0-12, or null/missing (if no Medicaid enrollment or if the plan type code was missing)

Source: T-MSIS DE file (derived)