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This variable is contained in the following files:
SAS Name
MME_TYPE_CD_11
This variable is the monthly indicator of the beneficiary’s Medicare-Medicaid eligibility type code. CCW creates this variable using a hierarchy that gives priority to full benefit dual status over other types of enrollment.
| Code | Code value |
|---|---|
| 1 | Medicaid only— Aged/Blind/or Disabled (A/B/D) (non-dual) |
| 2 | Medicare only (non-dual) |
| 3 | Partial Dual |
| 4 | Full Dual |
| 0 | Not MMLEADS population for the month |
| Null/missing | Not enrolled in the month |
CCW calculates this variable using the MBSF monthly dual status code (note that these source variables are also included in MMLEADS as MDCR_DUAL_STUS_CD_01–12). If the beneficiary has more than one value during the month (i.e., due to being enrolled in Medicaid in more than one state during the month), then CCW uses the maximum value of the monthly MME_TYPE_CD_MM:
If the DUAL_STUS_CD_MM in ('02' '04' '08') then MME_TYPE_CD = 4 (full dual); or else
If DUAL_STUS_CD_MM in ('01' '03' '05' '06') then MME_TYPE_CD = 3 (Partial duals); or else if
If DUAL_STUS_CD_MM = '00' '09' 'N/A' 'NA' '99' and MDCR_BUY_IN in ('1' '2' '3' 'A' 'B' 'C') then MME_TYPE_CD = 2 (Medicare Only); or else if
If the T-MSIS DE File ELIGBLTY_GRP_CD_MM IN ('11' '12' '13' '14' '15' '16' '17' '18' '19' '20' '21' '22' '23' '24' '25' '26' '37' '38' '39' '40' '41' '42' '43' '44' '45' '46' '47' '48' '49' '50' '51' '52' '59' '60' '69') then MME_TYPE_CD = 1
If Medicaid /CHIP enrolled but not Medicaid A/B/D, then MME_TYPE_CD = '0'
If not enrolled in Medicaid/Medicare for the month, then MME_TYPE_CD = '.' (i.e., if the DE CHIP_CD = '.' and ELIGBLTY_GRP_CD = '.' and the MBSF MDCR BUY_IN = '0' 'NA')
Source: MBST/T-MSIS DE file (derived) (derived)