Medicare — Other Managed Care Months

This variable is contained in the following files:

Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) 3.0

SAS Name

MDCR_MC_OTHER_MOS

This variable is the number of months during the year when the beneficiary had some sort of managed care coverage, but not Medicare Advantage (MA), Program of All-inclusive Care for the Elderly (PACE) or a Medicare-Medicaid Plan (MMP).

Comments

We consider the beneficiary to have other managed care coverage (not through Medicare Advantage, PACE, or MMP plans) if the beneficiary had Medicare enrollment for the month, the monthly beneficiary HMO (Medicare Advantage) indicator code was a value other than '0' (Not a member of an HMO) or '4' (Fee-for-service participant in case or disease management demonstration project) (i.e., BENE_HMO_IND_MM NOT IN ('0' '4'), and the plan type code was for any type of plan other than PACE or MMP (i.e., where PTC_PLAN_TPE_CD_MM NOT IN ('20' '48' '49')).

Values: 0-12, or null/missing (if no Medicare enrollment)

Source: MBSF (derived)