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Indicates if the managed care entity is authorized to enroll the 1115 expansion eligibility groups; ever in the calendar year.
This data element is triggered by a value of “69”–“71” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD.
These values are:
69 = Individuals with Mental Health Conditions (expansion group)
70 = Family Planning Participants (expansion group)
71 = Other expansion group
Source: T-MSIS Annual Managed Care Plan TAF
This data element is triggered by a value of “69”–“71” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD.
These values are:
69 = Individuals with Mental Health Conditions (expansion group)
70 = Family Planning Participants (expansion group)
71 = Other expansion group
Source: T-MSIS Annual Managed Care Plan TAF