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This variable is contained in the following files:
SAS Name
COV_CRITERIA
This variable indicates whether the requirement that beneficiaries be entitled to Medicare Part A is waived.
The value will indicate whether beneficiaries with only Part B entitlement may enroll in the plan benefit package.
| Code | Code value |
|---|---|
| 1 | Part A/B (no waiver of Part A requirement) |
| 2 | Part B only |
| 9 | Not Applicable |
The CCW constructs the Plan Characteristics File from information submitted by plan sponsors to CMS’s Health Plan Management System (HPMS).
Source: CMS (HPMS Files)