Part C Plan Type Code - August

SAS Name
PTC_PLAN_TYPE_CD_08

This variable is the type of Medicare Part C plan for the beneficiary for a given month (August).

Comments

If the beneficiary was not enrolled in a managed care plan for a given month, this variable will be null/missing for that month. There are 12 monthly variables - where the 01 through 12 at the end of the variable name correspond with the month (e.g., 01 is January and 12 is December).

Source: CMS Common Medicare Environment (CME)

 

Code Code value
Null/missing Not Enrolled in Medicare Part C
001 Health Maintenance Organization (HMO)
002 HMO point-of-service (HMOPOS)
004 Local Preferred Provider Organization (PPO)
005 PSO (State License)
006 PSO (Federal Waiver of State License)
007 Medical Savings Account (MSA)
008 Religious Fraternal Benefit (RFB) private fee-for-service (PFFS) plan
009 Private fee-for-service (PFFS) plan
010 SHMO
018 Section 1876 Cost Plan
019 HCPP - Section 1833 Cost Plan
020 National Program of All-inclusive Care for the Elderly (PACE)
031 Regional Preferred Provider Organization (PPO)
033 Minnesota (MN) Disability Health Options
034 MN Senior Health Options
035 Wisconsin (WI) Partnership Program
036 Massachusetts (MA) Health Senior Care Options
037 Continuing Care Retirement Community
038 End-Stage Renal Disease - I (ESRD)
039 ESRD II
040 Employer/Union Only Direct Contract PFFS
041 Medical Savings Account (MSA) Demonstration
048 Medicare-Medicaid Plan (MMP) HMO
049 Medicare-Medicaid Plan HMO Point-of-Service (MMP HMOPOS)