Updated research request forms and data security approval requirement effective 4/24/23
SAS Name
EL_MDCR_BEN_MO_1
CODE INDICATING WHICH MONTHS THE MEDICAID ELIGIBLE WAS A MEDICARE BENEFICIARY BASED ON FINDING A BENEFICIARY RECORD FOR THE ELIGIBLE IN THEMEDICARE ENROLLMENT DATA BASE.
Code | Code value |
---|---|
0 | THERE WAS NO RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB). |
1 | THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB), FOR MEDICARE PART A (HOSPITAL INSURANCE). |
2 | THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB), FOR MEDICARE PART B (SUPPLEMENTARY MEDICAL INSURANCE). |
3 | THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND IN THE MEDICARE ENROLLMENT DATA BASE (EDB), FOR BOTH MEDICARE PART A AND PART B (BOTH HOSPITAL AND SUPPLEMENTARY MEDICAL INSURANCE). |
USER NOTE: IF THE 'ELIGIBLE SOCIAL SECURITY NUMBER' REPORTED BY MEDICAID IS NOT FOUND IN THE MEDICARE EDB OR IS INVALID, THIS DATA ELEMENT WILLHAVE VALUE = 0.
USER NOTE: WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION, THIS DATA ELEMENT IS 0-FILLED.
NOTE: IN MAX 2008, A CLARIFICATION NOTE WAS ADDED ABOUT THE VALUE ASSIGNED WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION.
SOURCE: MEDICARE EDB, CALCULATED USING BENEFICIARY ENTITLEMENT START AND TERMINATION DATES.