Search Data Variables

This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage a days supply of the drugs (other than 1 or 3 months) on this tier, using mail order preferred pharmacy (MOPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary copay amount for a 1 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary copay amount for a 3 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary copay amount for a days supply of the drugs (other than 1 or 3 months)on this tier, using mail order preferred pharmacy (MOPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a one month supply of a drug on this tier, when using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in an "other" days supply of the drugs (other than 1 or 3 months) on this tier, when using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

Pre-initial coverage limit: out-of-network pharmacy number of days in 1 month supply.

Pre-initial coverage limit: out-of-network pharmacy number of days in other supply.

This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a for a days supply of the drugs (other than 1 or 3 months) on this tier, using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a 1 month supply of the drugs on this tier, using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit. 1 month supply.

This variable identifies the beneficiary co-payment amount for a days supply of the drugs (other than 1 or 3 months) on this tier, using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit. Other supply.

This variable identifies the number of days in a one month supply of a drug on this tier, when using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 2 month supply of a drug on this tier, when using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 3 month supply of a drug on this tier, when using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a one month supply of a drug on this tier, when using a mail order preferred pharmacy (MOPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 2 month supply of a drug on this tier, when using a mail order preferred pharmacy (MOPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 3 month supply of a drug on this tier, when using a mail order preferred pharmacy (MOPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a one month supply of a drug on this tier, when using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 2 month supply of a drug on this tier, when using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 3 month supply of a drug on this tier, when using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a one month supply of a drug on this tier, when using an in-network non-preferred pharmacy (INNP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 2 month supply of a drug on this tier, when using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 3 month supply of a drug on this tier, when using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a one month supply of a drug on this tier, when using a mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 2 month supply of a drug on this tier, when using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 3 month supply of a drug on this tier, when using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a one month supply of a drug on this tier, when using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 2 month supply of a drug on this tier, when using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the number of days in a 3 month supply of a drug on this tier, when using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

Indicates the patient's preferred language.

RECIPIENT'S TOTAL NUMBER OF PREMIUM PAYMENT CLAIMS FOR THE CALENDAR YEAR, FOR TYPES OF SERVICE = 20-23. (SAS USERS: ZONED DECIMAL - ZD5)

INDICATOR TO SHOW IF ANY PREMIUM PAYMENTS WERE MADE TO A CAPITATED (PREPAID) PLAN FOR THIS ELIGIBLE DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY FOR TOS = 20, 21, 22, AND 23.

INDICATOR TO SHOW IF ANY PREMIUM PAYMENTS WERE MADE TO A CAPITATED (PREPAID) PLAN FOR THIS ELIGIBLE DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY FOR TOS = 20, 21, 22, AND 23.

INDICATOR TO SHOW IF ANY PREMIUM PAYMENTS WERE MADE TO A CAPITATED (PREPAID) PLAN FOR THIS ELIGIBLE DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY FOR TOS = 20, 21, 22, AND 23.

AMOUNT OF MONEY PAID BY MEDICAID (PREMIUM PAYMENTS TO PREPAID PLANS) FOR THE RECIPIENT DURING THE CALENDAR YEAR, FOR TYPES OF SERVICE = 20-23.

(SAS USERS: ZONED DECIMAL - ZD8)

TOTAL NUMBER OF PREMIUM PAYMENTS THAT WERE MADE TO A CAPITATED (PREPAID) PLAN FOR THIS ELIGIBLE DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY FOR TOS = 20, 21, 22, AND 23.

(SAS USERS: ZONED DECIMAL - ZD5)

TOTAL NUMBER OF PREMIUM PAYMENTS THAT WERE MADE TO A CAPITATED (PREPAID) PLAN FOR THIS ELIGIBLE DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY FOR TOS = 20, 21, 22, AND 23.

(SAS USERS: ZONED DECIMAL - ZD5)

TOTAL NUMBER OF PREMIUM PAYMENTS THAT WERE MADE TO A CAPITATED (PREPAID) PLAN FOR THIS ELIGIBLE DURING THE CALENDAR YEAR. THIS DATA ELEMENT IS REPORTED ONLY FOR TOS = 20, 21, 22, AND 23.

(SAS USERS: ZONED DECIMAL - ZD5)

Number of months the beneficiary was enrolled in a Medical-only Prepaid Ambulatory Health Plan (PAHP) Managed Care Plan in the calendar year.

Number of months the beneficiary was enrolled in a Medical-only Prepaid Inpatient Health Plan (PIHP) Managed Care Plan in the calendar year.

THE STATE ASSIGNED MANAGED CARE PLAN IDENTIFICATION NUMBER ASSOCIATED WITH PLAN TYPE-1 IN WHICH THE ELIGIBLE WAS ENROLLED FOR THERESPECTIVE MONTH.

THE STATE ASSIGNED MANAGED CARE PLAN IDENTIFICATION NUMBER ASSOCIATED WITH PLAN TYPE-1 IN WHICH THE ELIGIBLE WAS ENROLLED FOR THERESPECTIVE MONTH.

THE STATE ASSIGNED MANAGED CARE PLAN IDENTIFICATION NUMBER ASSOCIATED WITH PLAN TYPE-1 IN WHICH THE ELIGIBLE WAS ENROLLED FOR THERESPECTIVE MONTH.

THE STATE ASSIGNED MANAGED CARE PLAN IDENTIFICATION NUMBER ASSOCIATED WITH PLAN TYPE-1 IN WHICH THE ELIGIBLE WAS ENROLLED FOR THERESPECTIVE MONTH.

THE STATE ASSIGNED MANAGED CARE PLAN IDENTIFICATION NUMBER ASSOCIATED WITH PLAN TYPE-1 IN WHICH THE ELIGIBLE WAS ENROLLED FOR THERESPECTIVE MONTH.

THE STATE ASSIGNED MANAGED CARE PLAN IDENTIFICATION NUMBER ASSOCIATED WITH PLAN TYPE-1 IN WHICH THE ELIGIBLE WAS ENROLLED FOR THERESPECTIVE MONTH.

THE STATE ASSIGNED MANAGED CARE PLAN IDENTIFICATION NUMBER ASSOCIATED WITH PLAN TYPE-1 IN WHICH THE ELIGIBLE WAS ENROLLED FOR THERESPECTIVE MONTH.