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This variable is contained in the following files:
SAS Name
MDCR_DUAL_STUS_CD_11
This variable is the monthly Medicare and Medicaid dual enrollment status variable. There are separate variables for each of the 12 months during the year.
| Code | Code value |
|---|---|
| 00 | Medicare beneficiary not enrolled in Medicare for the month |
| 01 | Qualified Medicare Beneficiary (QMB)-only |
| 02 | QMB and full Medicaid coverage, including prescription drugs |
| 03 | Specified Low-Income Medicare Beneficiary (SLMB)-only |
| 04 | SLMB and full Medicaid coverage, including prescription drugs |
| 05 | Qualified Disabled Working Individual (QDWI) |
| 06 | Qualifying individuals (QI) |
| 08 | Other dual eligible (not QMB, SLMB, QWDI, or QI) with full Medicaid coverage, including prescription drugs |
| 09 | Other dual eligible, but without Medicaid coverage |
| 99 | Unknown |
| NA | Medicare enrolled — non-Medicaid (i.e., no dual status) |
| Null/missing | Not Medicare enrolled |
CCW obtains this directly from the MBSF DUAL_STUS_CD_01–12 variables.
The original source for this variable is the State Medicare Modernization Act (MMA) files that states submit to CMS. Those files are considered the “gold standard” for identifying dual eligibles because the information in them is used to determine the level of Medicare Part D low-income subsidies.
Source: Medicare MBSF