Eligible Population Indicator: Medicaid Mandatory Coverage Aged-Blind-Disabled — Ever in Calendar Year

SAS Name
MDCD_MAND_CVRG_ABD_POP_IND

Indicates if the managed care entity is authorized to enroll the mandatory Aged/Blind/Disabled (A/B/D) eligibility groups; ever in the calendar year.

Comments

This data element is triggered by a value of “11”-“26” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD. These values are:

11 = Individuals Receiving SSI

12 = Aged, Blind and Disabled Individuals in 209(b) States

13 = Individuals Receiving Mandatory State Supplements

14 = Individuals Who Are Essential Spouses

15 = Institutionalized Individuals Continuously Eligible Since 1973

16 = Blind or Disabled Individuals Eligible in 1973

17 = Individuals Who Lost Eligibility for SSI/SSP Due to an Increase in OASDI Benefits in 1972

18 = Individuals Who Would be Eligible for SSI/SSP but for OASDI COLA increases since April 1977

19 = Disabled Widows and Widowers Ineligible for SSI due to increase in OASDI

20 = Disabled Widows and Widowers Ineligible for SSI due to Early Receipt of Social Security

21 = Working Disabled under 1619(b)

22 = Disabled Adult Children

23 = Qualified Medicare Beneficiaries

24 = Qualified Disabled and Working Individuals

25 = Specified Low Income Medicare Beneficiaries

26 = Qualifying Individuals

Source: T-MSIS Annual Managed Care Plan TAF

Code Code value
0 No
1 Yes