Updated research request forms and data security approval requirement effective 4/24/23
This variable is contained in the following files:
SAS Name
PGM_TYPE_CD
Code indicating special Medicaid program under which the service was provided.
| Code | Code value |
|---|---|
| 00 | No Special Program |
| 01 | Early and periodic screening and diagnosis and treatment (EPSDT) |
| 02 | Family Planning |
| 03 | Rural Health Clinic (RHC) |
| 04 | Federally Qualified Health Centers (FQHC) |
| 05 | Indian Health Services (IHS) |
| 07 | Home and Community Based Care Waiver Services (HCBS) |
| 08 | Money Follows the Person (MFP) |
| 10 | Balancing Incentive Payment (BIP) |
| 11 | Community First Choice (1915(k)) |
| 12 | Medicaid Emergency Psychiatric Demonstration |
| 13 | Home and Community Based Services (HCBS) State Plan Option (1915(i)) |
| 14 | State Plan Children’s Health Insurance Program (CHIP) |
| 15 | Psychiatric Residential Treatment Facilities Demonstration Grant Program (PRTF) |
| 16 | 1915(j) (Self- directed personal assistance services/personal care under State Plan or 1915(c) waiver) |
| 17 | COVID-19 Testing Services (1905(a)(3) and 2103(c)) |
| Null/missing | source value is missing or unknown |
Source: T-MSIS Analytic File (TAF) Claims