Eligible Population Indicator: Medicaid Mandatory Coverage Family-Adult — Ever in Calendar Year

This variable is contained in the following files:

SAS Name

MDCD_MAND_CVRG_ADLT_POP_IND

Indicates if the managed care entity is authorized to enroll the mandatory family/adult eligibility groups; ever in the calendar year.

Comments

This data element is triggered by a value of “01”-“09” or “72”-“75” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD. These values are:

01 = Parents and Other Caretaker Relatives

02 = Transitional Medical Assistance

03 = Extended Medicaid due to Earnings

04 = Extended Medicaid due to Spousal Support Collections

05 = Pregnant Women

06 = Deemed Newborns

07 = Infants and Children under Age 19

08 = Children with Title IV-E Adoption Assistance, Foster Care or Guardianship Care

09 = Former Foster Care Children

72 = Adult Group — Individuals at or below 133% FPL Age 19 through 64 — newly eligible for all states

73 = Adult Group — Individuals at or below 133% FPL Age 19 through 64 — not newly eligible for non 1905z(3) states

74 = Adult Group — Individuals at or below 133% FPL Age 19 through 64 – not newly eligible parent/ caretaker-relative(s) in 1905z(3) states

75 = Adult Group — Individuals at or below 133% FPL Age 19 through 64 — not newly eligible nonparent/caretaker/relative(s) in 1905z(3) states

Source: T-MSIS Annual Managed Care Plan TAF

Code	Code value
1	No
2	Yes