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SAS Name
EL_MDCR_BEN_MO_<1-12>
CODE INDICATING WHETHER THE MEDICAID ELIGIBLE WAS COVERED BY MEDICARE DURING THE MONTH (BASED ON FINDING A BENEFICIARY RECORD FOR THE ELIGIBLE ON THE MEDICARE ENROLLMENT DATA BASE FOR THE MONTH).
NOTE: IN MAX 2008, A CLARIFICATION NOTE WAS ADDED ABOUT THE VALUE ASSIGNED WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION.
USER NOTE: IF THE 'ELIGIBLE SOCIAL SECURITY NUMBER' REPORTED BY MEDICAID IS NOT FOUND IN THE MEDICARE ENROLLMENT
DATA BASE (EDB) OR IS INVALID, THIS DATA ELEMENT WILL HAVE VALUE = 0.
USER NOTE: WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION, THIS DATA ELEMENT IS 0-FILLED.
DATA BASE (EDB) OR IS INVALID, THIS DATA ELEMENT WILL HAVE VALUE = 0.
USER NOTE: WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION, THIS DATA ELEMENT IS 0-FILLED.
| Code | Code value |
|---|---|
| 0 | THERE WAS NO RECORD OF ELIGIBILITY FOR THE MONTH FOUND ON THE MEDICARE ENROLLMENT DATA BASE. |
| 1 | THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND ON THE MEDICARE ENROLLMENT DATA BASE, FOR MEDICARE PART A (HOSPITAL INSURANCE). |
| 2 | THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND ON THE MEDICARE ENROLLMENT DATA BASE, FOR MEDICARE PART B (SUPPLEMENTARY MEDICAL INSURANCE). |
| 3 | THERE WAS A RECORD OF ELIGIBILITY FOR THE MONTH FOUND ON THE MEDICARE ENROLLMENT DATA BASE, 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 ENROLLMENT DATA BASE (EDB) OR IS INVALID, THIS DATA ELEMENT WILL HAVE VALUE = 0.
USER NOTE: WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION, THIS DATA ELEMENT IS 0-FILLED.