|
1 |
MC_PLAN_ID |
Managed Care Plan Identification Number |
| 2 |
MC_PLAN_NAME |
Managed Care Plan Name |
| 3 |
STATE_CD |
Submitting State Alpha Abbreviation |
| 4 |
SUBMTG_STATE_CD |
Submitting State FIPS Code |
| 5 |
CMS_RGN |
CMS Region for Submitting State |
| 6 |
MC_PLAN_PGM_CD |
Managed Care Plan Program Code |
| 7 |
MC_PLAN_TYPE_CD |
Managed Care Plan Type Code |
| 8 |
MC_PLAN_TYPE_CTGRY_CD |
Managed Care Plan Type Category Code |
| 9 |
MC_PLAN_REIMBRSMT_TYPE_CD |
Managed Care Plan Reimbursement Type Code |
| 10 |
Managed Care Plan Reimbursement Type Category Code |
Managed Care Plan Reimbursement Type Category Code |
| 11 |
MC_PLAN_CNTRCT_START_DT |
Managed Care Plan Contract Start Date |
| 12 |
MC_PLAN_CNTRCT_END_DT |
Managed Care Plan Contract End Date |
| 13 |
MC_PLAN_CNTRCT_ADDTNL_PRD_IND |
Managed Care Plan Contract Additional Period Indicator |
| 14 |
MC_PLAN_SAREA_CD |
Managed Care Plan Service Area Code — Latest in Year |
| 15 |
MC_PLAN_STATEWIDE_IND |
Managed Care Plan Statewide Service Area Indicator — Ever in Calendar Year |
| 16 |
MC_PLAN_CBSA_CD |
Managed Care Plan Core-Based Statistical Area Code for Service Area |
| 17 |
MC_PLAN_ACTV_IND_01 |
Managed Care Plan Active Indicator - January |
| 18 |
MC_PLAN_ACTV_IND_02 |
Managed Care Plan Active Indicator - February |
| 19 |
MC_PLAN_ACTV_IND_03 |
Managed Care Plan Active Indicator - March |
| 20 |
MC_PLAN_ACTV_IND_04 |
Managed Care Plan Active Indicator - April |
| 21 |
MC_PLAN_ACTV_IND_05 |
Managed Care Plan Active Indicator - May |
| 22 |
MC_PLAN_ACTV_IND_06 |
Managed Care Plan Active Indicator - June |
| 23 |
MC_PLAN_ACTV_IND_07 |
Managed Care Plan Active Indicator - July |
| 24 |
MC_PLAN_ACTV_IND_08 |
Managed Care Plan Active Indicator - August |
| 25 |
MC_PLAN_ACTV_IND_09 |
Managed Care Plan Active Indicator - September |
| 26 |
MC_PLAN_ACTV_IND_10 |
Managed Care Plan Active Indicator - October |
| 27 |
MC_PLAN_ACTV_IND_11 |
Managed Care Plan Active Indicator - November |
| 28 |
MC_PLAN_ACTV_IND_12 |
Managed Care Plan Active Indicator - December |
| 29 |
OPRTG_AUTHRTY_1115_DEMO_WVR_IND |
Operating Authority Indicator: 1115 Demo Waiver — Ever in Calendar Year |
| 30 |
OPRTG_AUTHRTY_1915B_WVR_IND |
Operating Authority Indicator: 1915(b) Waiver — Ever in Calendar Year |
| 31 |
OPRTG_AUTHRTY_1932A_SPO_IND |
Operating Authority Indicator: 1932(a) State Plan Option — Ever in Calendar Year |
| 32 |
OPRTG_AUTHRTY_1915A_IND |
Operating Authority Indicator: 1915(a) — Ever in Calendar Year |
| 33 |
OPRTG_AUTHRTY_1915BC_WVR_IND |
Operating Authority Indicator: 1915(b)(c) Waiver — Ever in Calendar Year |
| 34 |
OPRTG_AUTHRTY_1915AC_WVR_IND |
Operating Authority Indicator: 1915(a)(c) Waiver — Ever in Calendar Year |
| 35 |
OPRTG_AUTHRTY_1932A_1915C_IND |
Operating Authority Indicator: 1932(a)-1915(c) Waiver — Ever in Calendar Year |
| 36 |
OPRTG_AUTHRTY_PACE_IND |
Operating Authority Indicator: PACE — Ever in Calendar Year |
| 37 |
OPRTG_AUTHRTY_1905T_PCCM_IND |
Operating Authority Indicator: Voluntary Primary Care Case Management (PCCM) — Ever in Calendar Year |
| 38 |
OPRTG_AUTHRTY_1937_ABP_IND |
Operating Authority Indicator: 1937 Alternative Benefits Plan — Ever in Calendar Year |
| 39 |
OPRTG_AUTHRTY_1902A70_NEMT_IND |
Operating Authority Indicator: 1902(a)(70) Non-Emergency Medical Transport (NEMT) — Ever in Calendar Year |
| 40 |
OPRTG_AUTHRTY_1915BI_IND |
Operating Authority Indicator: 1915(b)(i) — Ever in Calendar Year |
| 41 |
OPRTG_AUTHRTY_1915AI_IND |
Operating Authority Indicator: 1915(a)(i) — Ever in Calendar Year |
| 42 |
OPRTG_AUTHRTY_1932A_1915I_IND |
Operating Authority Indicator: 1932(a)-1915(i) — Ever in Calendar Year |
| 43 |
OPRTG_AUTHRTY_1945_HLTH_HOME_IND |
Operating Authority Indicator: 1945 Health Home — Ever in Calendar Year |
| 44 |
OPRTG_AUTHRTY_1915AJ_IND |
Operating Authority Indicator: 1915(a)(j) — Ever in Calendar Year |
| 45 |
OPRTG_AUTHRTY_1932A_1915J_IND |
Operating Authority Indicator: 1932(a)-1915(j) — Ever in Calendar Year |
| 46 |
OPRTG_AUTHRTY_1915BJ_IND |
Operating Authority Indicator: 1915(b)(j) — Ever in Calendar Year |
| 47 |
OPRTG_AUTHRTY_1115_1915J_IND |
Operating Authority Indicator: 1115 -1915(j)— Ever in Calendar Year |
| 48 |
OPRTG_AUTHRTY_1915AK_IND |
Operating Authority Indicator: 1915(a)(k) — Ever in Calendar Year |
| 49 |
OPRTG_AUTHRTY_1932A_1915K_IND |
Operating Authority Indicator: 1932(a)-1915(k) — Ever in Calendar Year |
| 50 |
OPRTG_AUTHRTY_1915BK_IND |
Operating Authority Indicator: 1915(b)(k) — Ever in Calendar Year |
| 51 |
OPRTG_AUTHRTY_1115_1915K_IND |
Operating Authority Indicator: 1115 -1915(k)— Ever in Calendar Year |
| 52 |
MDCD_MAND_CVRG_ADLT_POP_IND |
Eligible Population Indicator: Medicaid Mandatory Coverage Family-Adult — Ever in Calendar Year |
| 53 |
MDCD_MAND_CVRG_ABD_POP_IND |
Eligible Population Indicator: Medicaid Mandatory Coverage Aged-Blind-Disabled — Ever in Calendar Year |
| 54 |
MDCD_OPTNL_CVRG_ADLT_POP_IND |
Eligible Population Indicator: Medicaid Optional Coverage Adult-Children — Ever in Calendar Year |
| 55 |
MDCD_OPTNL_CVRG_ABD_POP_IND |
Eligible Population Indicator: Medicaid Optional Coverage Aged-Blind-Disabled — Ever in Calendar Year |
| 56 |
MDCD_MDCLY_NDY_CVRG_ADLT_POP_IND |
Eligible Population Indicator: Medicaid Medically Needy Family-Adult — Ever in Calendar Year |
| 57 |
MDCD_MDCLY_NDY_CVRG_ABD_POP_IND |
Eligible Population Indicator: Medicaid Medically Needy Coverage Aged-Blind-Disabled — Ever in Calendar Year |
| 58 |
CHIP_CVRG_CHLDRN_POP_IND |
Eligible Population Indicator: CHIP Coverage Children — Ever in Calendar Year |
| 59 |
CHIP_OPTNS_CVRG_CHLDRN_POP_IND |
Eligible Population Indicator: CHIP Additional Coverage Options for Children — Ever in Calendar Year |
| 60 |
CHIP_OPTN_CVRG_PRGNT_WMN_POP_IND |
Eligible Population Indicator: CHIP Additional Coverage Options for Pregnant Women — Ever in Calendar Year |
| 61 |
WVR_1115_EXPNSN_CVRG_POP_IND |
Eligible Population Indicator: 1115 Expansion Groups Coverage Waiver — Ever in Calendar Year |
| 62 |
UNK_ELGBLTY_GRP_POP_IND |
Eligible Population Indicator: Unknown Eligibility Group — Ever in Calendar Year |
| 63 |
MC_ENT_ACRDTN_ORG_CD_1 |
Managed Care Entity — 1st Accrediting Organization |
| 64 |
MC_ENT_ACRDTN_ACHVMT_DT_1 |
Managed Care Entity Accreditation Achievement Date — 1st Accrediting Organization |
| 65 |
MC_ENT_ACRDTN_END_DT_1 |
Managed Care Entity Accreditation End Date — 1st Accrediting Organization |
| 66 |
MC_ENT_ACRDTN_ORG_CD_2 |
Managed Care Entity — 2nd Accrediting Organization |
| 67 |
MC_ENT_ACRDTN_ACHVMT_DT_2 |
Managed Care Entity Accreditation Achievement Date — 2nd Accrediting Organization |
| 68 |
MC_ENT_ACRDTN_END_DT_2 |
Managed Care Entity Accreditation End Date — 2nd Accrediting Organization |
| 69 |
MC_ENT_ACRDTN_ORG_CD_3 |
Managed Care Entity — 3rd Accrediting Organization |
| 70 |
MC_ENT_ACRDTN_ACHVMT_DT_3 |
Managed Care Entity Accreditation Achievement Date — 3rd Accrediting Organization |
| 71 |
MC_ENT_ACRDTN_END_DT_3 |
Managed Care Entity Accreditation End Date — 3rd Accrediting Organization |
| 72 |
MC_ENT_ACRDTN_ORG_CD_4 |
Managed Care Entity — 4th Accrediting Organization |
| 73 |
MC_ENT_ACRDTN_ACHVMT_DT_4 |
Managed Care Entity Accreditation Achievement Date — 4th Accrediting Organization |
| 74 |
MC_ENT_ACRDTN_END_DT_4 |
Managed Care Entity Accreditation End Date — 4th Accrediting Organization |
| 75 |
MC_ENT_ACRDTN_ORG_CD_5 |
Managed Care Entity — 5th Accrediting Organization |
| 76 |
MC_ENT_ACRDTN_ACHVMT_DT_5 |
Managed Care Entity Accreditation Achievement Date — 5th Accrediting Organization |
| 77 |
MC_ENT_ACRDTN_END_DT_5 |
Managed Care Entity Accreditation End Date — 5th Accrediting Organization |
| 78 |
MC_ENT_PRFT_STUS_CD |
Managed Care Entity Profit Status Code — Latest in Year |
| 79 |
MC_ENT_GOVT_PCT |
Managed Care Entity Percent of Revenue from Medicare and Medicaid — Latest in Year |
| 80 |
SPLMTL_SRVC_ADDR_LCTN |
Annual Managed Care Plan Record in Supplemental Service Address Location File |
| 81 |
SPLMTL_SAREA |
Annual Managed Care Plan Record in Supplemental Service Area File |
| 82 |
SPLMTL_POP_ENRLMT |
Annual Managed Care Plan Record in Supplemental Enrolled Population File |
| 83 |
SPLMTL_OPRTG_AUTHRTY |
Annual Managed Care Plan Record in Supplemental Operating Authority File |
| 84 |
CCW_APL_LINK_KEY |
CCW Key to Link APL base Record to Related Supplement Records |
| 85 |
DA_RUN_ID |
TAF Production Run Identifier (unique for each TAF run) |
| 86 |
PL_VRSN |
Plan File Version Representing the Iteration of the File |
| 87 |
RFRNC_YR |
Reference Year (TAF) |
| 88 |
CCW_LD_DT |
CCW Load Date |
