Eligible Population Indicator: Medicaid Optional Coverage Adult-Children — Ever in Calendar Year

This variable is contained in the following files:

SAS Name

MDCD_OPTNL_CVRG_ADLT_POP_IND

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

Comments

This data element is triggered by a value of “27”-“36” or “76” in any instance of MC_PLAN_ELGBLTY_GRP_POP_CD.

These values are:

27 = Optional Coverage of Parents and Other Caretaker Relatives

28 = Reasonable Classifications of Individuals under Age 21

29 = Children with Non-IV-E Adoption Assistance

30 = Independent Foster Care Adolescents

31 = Optional Targeted Low-Income Children

32 = Individuals Electing COBRA Continuation Coverage

33 = Individuals above 133% FPL under Age 65

34 = Certain Individuals Needing Treatment for Breast or Cervical Cancer

35 = Individuals Eligible for Family Planning Services

36 = Individuals with Tuberculosis

76 = Uninsured Individual eligible for COVID-19 testing

Source: T-MSIS Annual Managed Care Plan TAF

Code	Code value
0	No
1	Yes