Coverage Criteria (Part A/B or B only Requirement)

SAS Name

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.


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)

Code Code value
1 Part A/B (no waiver of Part A requirement)
2 Part B only
9 Not Applicable