Updated research request forms and data security approval requirement effective 4/24/23
Indicates if the managed care entity is authorized to enroll the medically needy adult/family eligibility groups; ever in the calendar year.
This data element is triggered by a value of “53”–“56” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD.
53 = Medically Needy Pregnant Women
54 = Medically Needy Children under Age 18
55 = Medically Needy Children Age 18 through 20
56 = Medically Needy Parents and Other Caretakers
Source: T-MSIS Annual Managed Care Plan TAF
This data element is triggered by a value of “53”–“56” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD.
53 = Medically Needy Pregnant Women
54 = Medically Needy Children under Age 18
55 = Medically Needy Children Age 18 through 20
56 = Medically Needy Parents and Other Caretakers
Source: T-MSIS Annual Managed Care Plan TAF