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This variable is contained in the following files:
SAS Name
CTSTRPHC_CVRG_CD
This variable indicates whether the PDE occurred within the catastrophic benefit phase of the Medicare Part D benefit, according to the source PDE.
When the value equals C (above attachment point), then the PDE is in the catastrophic phase. When the value equals A (attachment point), the PDE has caused the beneficiary to move into the catastrophic phase (i.e., this is the “triggering” PDE).
Source: PDE
| Code | Code value |
|---|---|
| A | Attachment point met on this event |
| C | Above attachment point |
| N | Attachment Point met; TrOOP subsequently reduced below the OOP threshold due to payment amounts from non-EGWP other payers reported in PLRO (reported by EGWPs only) |
| Blank | Attachment point not met |
This variable was required for all PDEs through the end of 2010, and became optional starting in 2011.
Note that the value may differ from the more detailed BENEFIT_PHASE variable, which is a CCW-derived field that is available for all years.