Medicare — Disability Insurance Benefit Entitlement to Medicare Justification Code

This variable is contained in the following files:

SAS Name

MDCR_DIB_JSTFCTN_CD

This variable is the disability justification code from the Social Security Administration (SSA).

Comments

CMS obtains information regarding SSA disability benefits and stores it as part of the Common Medicare Environment (CME) database.

Source: CMS SSA tables

Code	Code value
1	Beneficiary is entitled to Medicare coverage due to prior periods of SSA disability entitlement
A	Beneficiary is entitled to Medicare based upon SSA disability and the 24-month waiting period has been waived
H	Beneficiary is entitled to Medicare due to health hazard
Null/missing	No record of SSA disability determination