Current Reason for Entitlement Code

SAS Name

Current reason for Medicare entitlement.


This variable indicates how the beneficiary currently qualifies for Medicare. The current reason for entitlement can differ from the original reason that a beneficiary qualified for Medicare (reference the ENTLMT_RSN_ORIG variable). CMS obtains this information from the Social Security Administration (SSA) and Railroad Retirement Board (RRB) record systems.

Source: CMS Common Medicare Environment (CME)

Code Code value
0 Old Age and Survivors Insurance (OASI)
1 Disability Insurance Benefits (DIB)
2 End-stage Renal Disease (ESRD)
3 Both DIB and ESRD
4 Beneficiary insured due to Part B Immunosuppressive Drug (PBID)