Variable  Format    Q#/Freq           Description/Label
 
BASEID    $BSIDFMT                     Unique SP Identification Number                   
                         15,880        LOW-HIGH          BASEID Count                            
 
SURVEYYR  SVYRFMT                      Survey Year                                       
                         15,880                    2019  2019                                    
 
VERSION   VERSFMT                      Version Number                                    
                         15,880                       2  Version 2                               
 
H_DOE     MMDDYYn8                     Medicare entitlement start date                   
                         15,880        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT     MMDDYYn8                     Medicare entitlement end date                     
                         15,291                       .  Inapplicable                            
                            589        MMDDYYYY          Date as MMDDYYYY                        
 
H_MEDSTA  $MSCFMT                      Medicare status code as of 12/31                  
                         13,065        10                Aged, no ESRD                           
                             85        11                Aged, ESRD                              
                          2,681        20                Disabled, no ESRD                       
                             25        21                Disabled, ESRD                          
                             24        31                ESRD only                               
 
H_GHPSW   GHPSW                        Some group health participation in year           
                          6,634                       1  Some enrollment                         
                          9,246                       2  No enrollment                           
 
H_ESRBEG  MMDDYYn8                     Beginning date of ESRD period                     
                         15,675                       .  Inapplicable                            
                            205        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND  MMDDYYn8                     Ending date of ESRD period                        
                         15,819                       .  Inapplicable                            
                             61        MMDDYYYY          Date as MMDDYYYY                        
 
H_MACY01                               Buy-in agency - Jan                               
                          3,082        Values/Codes      State Agency code                       
                         12,798        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                               
                          3,097        Values/Codes      State Agency code                       
                         12,783        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                               
                          3,102        Values/Codes      State Agency code                       
                         12,778        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                               
                          3,124        Values/Codes      State Agency code                       
                         12,756        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                               
                          3,143        Values/Codes      State Agency code                       
                         12,737        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                               
                          3,161        Values/Codes      State Agency code                       
                         12,719        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                               
                          3,179        Values/Codes      State Agency code                       
                         12,701        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                               
                          3,199        Values/Codes      State Agency code                       
                         12,681        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                               
                          3,225        Values/Codes      State Agency code                       
                         12,655        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                               
                          3,246        Values/Codes      State Agency code                       
                         12,634        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                               
                          3,256        Values/Codes      State Agency code                       
                         12,624        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                               
                          3,252        Values/Codes      State Agency code                       
                         12,628        N                 Unknown, or no buy-in                   
 
H_MCDE01  $MCDCFMT                     Medicaid eligibility - Jan                        
                              1        A                 State Part A buy-in                     
                          1,166        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                            112        D                 State Part A and B QMB buy-in           
                         12,792        N                 No buy-in this month                    
                          1,395        Q                 State Part B QMB buy-in                 
                            357        S                 State Part B SLMB buy-in                
 
H_MCDE02  $MCDCFMT                     Medicaid eligibility - Feb                        
                              1        A                 State Part A buy-in                     
                          1,169        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                            112        D                 State Part A and B QMB buy-in           
                         12,777        N                 No buy-in this month                    
                          1,402        Q                 State Part B QMB buy-in                 
                            362        S                 State Part B SLMB buy-in                
 
H_MCDE03  $MCDCFMT                     Medicaid eligibility - Mar                        
                              1        A                 State Part A buy-in                     
                          1,176        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            112        D                 State Part A and B QMB buy-in           
                         12,772        N                 No buy-in this month                    
                          1,402        Q                 State Part B QMB buy-in                 
                            362        S                 State Part B SLMB buy-in                
 
H_MCDE04  $MCDCFMT                     Medicaid eligibility - Apr                        
                              1        A                 State Part A buy-in                     
                          1,185        B                 State Part B buy-in                     
                             56        C                 State Part A and B buy-in               
                            112        D                 State Part A and B QMB buy-in           
                         12,751        N                 No buy-in this month                    
                          1,411        Q                 State Part B QMB buy-in                 
                            364        S                 State Part B SLMB buy-in                
 
H_MCDE05  $MCDCFMT                     Medicaid eligibility - May                        
                              1        A                 State Part A buy-in                     
                          1,193        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            113        D                 State Part A and B QMB buy-in           
                         12,732        N                 No buy-in this month                    
                          1,417        Q                 State Part B QMB buy-in                 
                            369        S                 State Part B SLMB buy-in                
 
H_MCDE06  $MCDCFMT                     Medicaid eligibility - Jun                        
                              1        A                 State Part A buy-in                     
                          1,200        B                 State Part B buy-in                     
                             56        C                 State Part A and B buy-in               
                            110        D                 State Part A and B QMB buy-in           
                         12,713        N                 No buy-in this month                    
                          1,426        Q                 State Part B QMB buy-in                 
                            374        S                 State Part B SLMB buy-in                
 
H_MCDE07  $MCDCFMT                     Medicaid eligibility - Jul                        
                              2        A                 State Part A buy-in                     
                          1,210        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            110        D                 State Part A and B QMB buy-in           
                         12,695        N                 No buy-in this month                    
                          1,435        Q                 State Part B QMB buy-in                 
                            373        S                 State Part B SLMB buy-in                
 
H_MCDE08  $MCDCFMT                     Medicaid eligibility - Aug                        
                              2        A                 State Part A buy-in                     
                          1,221        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            110        D                 State Part A and B QMB buy-in           
                         12,675        N                 No buy-in this month                    
                          1,441        Q                 State Part B QMB buy-in                 
                            376        S                 State Part B SLMB buy-in                
 
H_MCDE09  $MCDCFMT                     Medicaid eligibility - Sep                        
                              2        A                 State Part A buy-in                     
                          1,231        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            109        D                 State Part A and B QMB buy-in           
                         12,649        N                 No buy-in this month                    
                          1,455        Q                 State Part B QMB buy-in                 
                            379        S                 State Part B SLMB buy-in                
 
H_MCDE10  $MCDCFMT                     Medicaid eligibility - Oct                        
                              2        A                 State Part A buy-in                     
                          1,236        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            107        D                 State Part A and B QMB buy-in           
                         12,627        N                 No buy-in this month                    
                          1,462        Q                 State Part B QMB buy-in                 
                            391        S                 State Part B SLMB buy-in                
 
H_MCDE11  $MCDCFMT                     Medicaid eligibility - Nov                        
                              1        A                 State Part A buy-in                     
                          1,240        B                 State Part B buy-in                     
                             53        C                 State Part A and B buy-in               
                            110        D                 State Part A and B QMB buy-in           
                         12,618        N                 No buy-in this month                    
                          1,465        Q                 State Part B QMB buy-in                 
                            393        S                 State Part B SLMB buy-in                
 
H_MCDE12  $MCDCFMT                     Medicaid eligibility - Dec                        
                              1        A                 State Part A buy-in                     
                          1,235        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                            110        D                 State Part A and B QMB buy-in           
                         12,625        N                 No buy-in this month                    
                          1,464        Q                 State Part B QMB buy-in                 
                            393        S                 State Part B SLMB buy-in                
 
H_MCSW    SWFMT                        Some Medicaid eligibility for the year            
                          3,532                       1  Some participation                      
                         12,348                       2  No participation                        
 
H_DUAL01  $DUALMON                     Dual eligibity code - Jan                         
                            205        00                Not enrolled in Medicare for the month  
                            463        01                QMB-only                                
                          1,991        02                QMB & full Medicaid covrge, + Rx drugs  
                            310        03                SLMB-only                               
                            124        04                SLMB & full Medicaid covrge, + Rx drugs 
                            177        06                Qualifying individuals                  
                            680        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              5        99                Unknown                                 
                         11,925        NA                Non-Medicaid                            
 
H_DUAL02  $DUALMON                     Dual eligibity code - Feb                         
                            235        00                Not enrolled in Medicare for the month  
                            462        01                QMB-only                                
                          1,995        02                QMB & full Medicaid covrge, + Rx drugs  
                            306        03                SLMB-only                               
                            124        04                SLMB & full Medicaid covrge, + Rx drugs 
                            182        06                Qualifying individuals                  
                            673        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,900        NA                Non-Medicaid                            
 
H_DUAL03  $DUALMON                     Dual eligibity code - Mar                         
                            274        00                Not enrolled in Medicare for the month  
                            459        01                QMB-only                                
                          1,986        02                QMB & full Medicaid covrge, + Rx drugs  
                            296        03                SLMB-only                               
                            131        04                SLMB & full Medicaid covrge, + Rx drugs 
                            184        06                Qualifying individuals                  
                            655        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              8        99                Unknown                                 
                         11,887        NA                Non-Medicaid                            
 
H_DUAL04  $DUALMON                     Dual eligibity code - Apr                         
                            290        00                Not enrolled in Medicare for the month  
                            453        01                QMB-only                                
                          1,994        02                QMB & full Medicaid covrge, + Rx drugs  
                            295        03                SLMB-only                               
                            135        04                SLMB & full Medicaid covrge, + Rx drugs 
                            184        06                Qualifying individuals                  
                            645        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              8        99                Unknown                                 
                         11,876        NA                Non-Medicaid                            
 
H_DUAL05  $DUALMON                     Dual eligibity code - May                         
                            299        00                Not enrolled in Medicare for the month  
                            461        01                QMB-only                                
                          1,999        02                QMB & full Medicaid covrge, + Rx drugs  
                            292        03                SLMB-only                               
                            131        04                SLMB & full Medicaid covrge, + Rx drugs 
                            184        06                Qualifying individuals                  
                            644        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              6        99                Unknown                                 
                         11,864        NA                Non-Medicaid                            
 
H_DUAL06  $DUALMON                     Dual eligibity code - Jun                         
                            336        00                Not enrolled in Medicare for the month  
                            463        01                QMB-only                                
                          2,007        02                QMB & full Medicaid covrge, + Rx drugs  
                            301        03                SLMB-only                               
                            124        04                SLMB & full Medicaid covrge, + Rx drugs 
                            187        06                Qualifying individuals                  
                            621        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         11,837        NA                Non-Medicaid                            
 
H_DUAL07  $DUALMON                     Dual eligibity code - Jul                         
                            351        00                Not enrolled in Medicare for the month  
                            466        01                QMB-only                                
                          2,002        02                QMB & full Medicaid covrge, + Rx drugs  
                            301        03                SLMB-only                               
                            117        04                SLMB & full Medicaid covrge, + Rx drugs 
                            196        06                Qualifying individuals                  
                            616        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,828        NA                Non-Medicaid                            
 
H_DUAL08  $DUALMON                     Dual eligibity code - Aug                         
                            375        00                Not enrolled in Medicare for the month  
                            462        01                QMB-only                                
                          2,000        02                QMB & full Medicaid covrge, + Rx drugs  
                            299        03                SLMB-only                               
                            116        04                SLMB & full Medicaid covrge, + Rx drugs 
                            203        06                Qualifying individuals                  
                            607        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,815        NA                Non-Medicaid                            
 
H_DUAL09  $DUALMON                     Dual eligibity code - Sep                         
                            397        00                Not enrolled in Medicare for the month  
                            457        01                QMB-only                                
                          1,993        02                QMB & full Medicaid covrge, + Rx drugs  
                            293        03                SLMB-only                               
                            124        04                SLMB & full Medicaid covrge, + Rx drugs 
                            205        06                Qualifying individuals                  
                            614        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,794        NA                Non-Medicaid                            
 
H_DUAL10  $DUALMON                     Dual eligibity code - Oct                         
                            432        00                Not enrolled in Medicare for the month  
                            453        01                QMB-only                                
                          1,987        02                QMB & full Medicaid covrge, + Rx drugs  
                            302        03                SLMB-only                               
                            124        04                SLMB & full Medicaid covrge, + Rx drugs 
                            204        06                Qualifying individuals                  
                            608        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         11,769        NA                Non-Medicaid                            
 
H_DUAL11  $DUALMON                     Dual eligibity code - Nov                         
                            476        00                Not enrolled in Medicare for the month  
                            449        01                QMB-only                                
                          1,969        02                QMB & full Medicaid covrge, + Rx drugs  
                            301        03                SLMB-only                               
                            126        04                SLMB & full Medicaid covrge, + Rx drugs 
                            199        06                Qualifying individuals                  
                            606        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,751        NA                Non-Medicaid                            
 
H_DUAL12  $DUALMON                     Dual eligibity code - Dec                         
                            527        00                Not enrolled in Medicare for the month  
                            444        01                QMB-only                                
                          1,964        02                QMB & full Medicaid covrge, + Rx drugs  
                            298        03                SLMB-only                               
                            125        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            197        06                Qualifying individuals                  
                            599        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,722        NA                Non-Medicaid                            
 
H_OPMDCD  DUALFMT                      Medicare-Medicaid dual eligibility indic          
                          2,954                       1  FULL-Bene elig. full Medicaid benefits  
                         11,883                       2  NONDUAL-Bene not elig Medicaid benfits  
                            545                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            498                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PDLS01  $DLSFMT                      LIS Indicator - Jan                               
                            205        00                Not Medicare enrolled for the month     
                          1,133        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,693        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,013        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            306        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             22        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             40        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             41        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             30        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,231        09                Pt A and/or B +D;no prem or cstshare sub
                            405        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,761        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS02  $DLSFMT                      LIS Indicator - Feb                               
                            235        00                Not Medicare enrolled for the month     
                          1,139        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,699        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,012        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            309        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             39        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             41        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             31        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,211        09                Pt A and/or B +D;no prem or cstshare sub
                            428        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,717        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS03  $DLSFMT                      LIS Indicator - Mar                               
                            274        00                Not Medicare enrolled for the month     
                          1,128        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,694        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,007        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            310        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             38        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             41        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             31        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,198        09                Pt A and/or B +D;no prem or cstshare sub
                            429        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,711        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS04  $DLSFMT                      LIS Indicator - Apr                               
                            290        00                Not Medicare enrolled for the month     
                          1,133        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,699        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,005        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            297        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             34        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             38        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             32        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,180        09                Pt A and/or B +D;no prem or cstshare sub
                            429        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,724        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS05  $DLSFMT                      LIS Indicator - May                               
                            299        00                Not Medicare enrolled for the month     
                          1,142        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,708        02                Pt A and/or B +D;elig LIS 100%,low copay
                            999        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            299        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             34        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             38        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             32        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,159        09                Pt A and/or B +D;no prem or cstshare sub
                            428        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,723        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS06  $DLSFMT                      LIS Indicator - Jun                               
                            336        00                Not Medicare enrolled for the month     
                          1,140        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,705        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,006        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            296        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             18        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             34        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             39        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             32        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,141        09                Pt A and/or B +D;no prem or cstshare sub
                            427        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,706        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS07  $DLSFMT                      LIS Indicator - Jul                               
                            351        00                Not Medicare enrolled for the month     
                          1,140        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,707        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,013        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            294        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             18        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             36        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             38        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             33        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,131        09                Pt A and/or B +D;no prem or cstshare sub
                            427        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,692        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS08  $DLSFMT                      LIS Indicator - Aug                               
                            375        00                Not Medicare enrolled for the month     
                          1,140        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,713        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,012        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            294        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             18        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             36        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             38        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             33        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,113        09                Pt A and/or B +D;no prem or cstshare sub
                            423        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,685        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS09  $DLSFMT                      LIS Indicator - Sep                               
                            397        00                Not Medicare enrolled for the month     
                          1,148        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,705        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,011        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            293        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             18        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             38        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             32        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,109        09                Pt A and/or B +D;no prem or cstshare sub
                            415        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,677        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS10  $DLSFMT                      LIS Indicator - Oct                               
                            432        00                Not Medicare enrolled for the month     
                          1,137        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,706        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,008        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            293        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             18        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             39        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             33        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,084        09                Pt A and/or B +D;no prem or cstshare sub
                            416        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,677        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS11  $DLSFMT                      LIS Indicator - Nov                               
                            476        00                Not Medicare enrolled for the month     
                          1,130        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,711        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,011        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            287        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             18        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             36        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             39        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             33        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,064        09                Pt A and/or B +D;no prem or cstshare sub
                            416        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,659        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS12  $DLSFMT                      LIS Indicator - Dec                               
                            527        00                Not Medicare enrolled for the month     
                          1,123        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,707        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,009        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            285        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             18        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             36        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             38        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             33        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,038        09                Pt A and/or B +D;no prem or cstshare sub
                            415        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,651        13                Pt A and/or B,no D;none of above cond   
 
H_PLPY01  MONYFMT                      Medicare capitation payment - Jan                 
                          3,191                       .  Inapplicable/Missing                    
                         12,689        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02  MONYFMT                      Medicare capitation payment - Feb                 
                          3,199                       .  Inapplicable/Missing                    
                         12,681        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03  MONYFMT                      Medicare capitation payment - Mar                 
                          3,232                       .  Inapplicable/Missing                    
                         12,648        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04  MONYFMT                      Medicare capitation payment - Apr                 
                          3,261                       .  Inapplicable/Missing                    
                         12,619        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05  MONYFMT                      Medicare capitation payment - May                 
                          3,268                       .  Inapplicable/Missing                    
                         12,612        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06  MONYFMT                      Medicare capitation payment - Jun                 
                          3,289                       .  Inapplicable/Missing                    
                         12,591        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07  MONYFMT                      Medicare capitation payment - Jul                 
                          3,289                       .  Inapplicable/Missing                    
                         12,591        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08  MONYFMT                      Medicare capitation payment - Aug                 
                          3,303                       .  Inapplicable/Missing                    
                         12,577        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09  MONYFMT                      Medicare capitation payment - Sep                 
                          3,309                       .  Inapplicable/Missing                    
                         12,571        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10  MONYFMT                      Medicare capitation payment - Oct                 
                          3,344                       .  Inapplicable/Missing                    
                         12,536        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11  MONYFMT                      Medicare capitation payment - Nov                 
                          3,373                       .  Inapplicable/Missing                    
                         12,507        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12  MONYFMT                      Medicare capitation payment - Dec                 
                          3,406                       .  Inapplicable/Missing                    
                         12,474        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY01  MONYFMT                      Part D capitation payment - Jan                   
                          3,191                       .  Inapplicable/Missing                    
                         12,689        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02  MONYFMT                      Part D capitation payment - Feb                   
                          3,199                       .  Inapplicable/Missing                    
                         12,681        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03  MONYFMT                      Part D capitation payment - Mar                   
                          3,232                       .  Inapplicable/Missing                    
                         12,648        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04  MONYFMT                      Part D capitation payment - Apr                   
                          3,261                       .  Inapplicable/Missing                    
                         12,619        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05  MONYFMT                      Part D capitation payment - May                   
                          3,268                       .  Inapplicable/Missing                    
                         12,612        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06  MONYFMT                      Part D capitation payment - Jun                   
                          3,289                       .  Inapplicable/Missing                    
                         12,591        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07  MONYFMT                      Part D capitation payment - Jul                   
                          3,289                       .  Inapplicable/Missing                    
                         12,591        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08  MONYFMT                      Part D capitation payment - Aug                   
                          3,303                       .  Inapplicable/Missing                    
                         12,577        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09  MONYFMT                      Part D capitation payment - Sep                   
                          3,309                       .  Inapplicable/Missing                    
                         12,571        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10  MONYFMT                      Part D capitation payment - Oct                   
                          3,344                       .  Inapplicable/Missing                    
                         12,536        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11  MONYFMT                      Part D capitation payment - Nov                   
                          3,373                       .  Inapplicable/Missing                    
                         12,507        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12  MONYFMT                      Part D capitation payment - Dec                   
                          3,406                       .  Inapplicable/Missing                    
                         12,474        Range of values   Amount as $$$$$$.CC                     
 
H_PRPY01  $MSPCODE                     Primary Payer                                     
                         15,470                          Medicare is Primary                     
                            174        A                 Working Aged                            
                              3        B                 ESRD                                    
                              9        C                 Condition/Reimbursement Anticipated     
                             26        D                 Automobile No Fault                     
                              3        E                 Workers comp                           
                              2        F                 Public Health/federal                   
                             97        G                 Working Disabled                        
                              2        I                 VA                                      
                             31        L                 Any liability                           
                             62        M                 Override Code                           
                              1        W                 WCMSA                                   
 
H_PRPY02  $MSPCODE                     Primary Payer, 2nd code                           
                         15,816                          Medicare is Primary                     
                             16        A                 Working Aged                            
                             21        C                 Condition/Reimbursement Anticipated     
                              5        D                 Automobile No Fault                     
                              1        E                 Workers comp                           
                              4        G                 Working Disabled                        
                              8        L                 Any liability                           
                              9        M                 Override Code                           
 
H_PRPY03  $MSPCODE                     Primary Payer, 3rd code                           
                         15,868                          Medicare is Primary                     
                              1        A                 Working Aged                            
                              7        C                 Condition/Reimbursement Anticipated     
                              1        D                 Automobile No Fault                     
                              3        L                 Any liability                           
 
H_PRPY04  $MSPCODE                     Primary Payer, 4th code                           
                         15,879                          Medicare is Primary                     
                              1        M                 Override Code                           
 
H_MAFF01  $MA2FLAG                     MA flag -  Jan                                    
                          9,392        FF                Original Medicare/FFS                   
                          6,283        MA                MA/Other Medicare Capitated Paymnt Plans
                            205        NO                Not Medicare Enrolled/Month             
 
H_MAFF02  $MA2FLAG                     MA flag -  Feb                                    
                          9,353        FF                Original Medicare/FFS                   
                          6,292        MA                MA/Other Medicare Capitated Paymnt Plans
                            235        NO                Not Medicare Enrolled/Month             
 
H_MAFF03  $MA2FLAG                     MA flag -  Mar                                    
                          9,310        FF                Original Medicare/FFS                   
                          6,296        MA                MA/Other Medicare Capitated Paymnt Plans
                            274        NO                Not Medicare Enrolled/Month             
 
H_MAFF04  $MA2FLAG                     MA flag -  Apr                                    
                          9,290        FF                Original Medicare/FFS                   
                          6,300        MA                MA/Other Medicare Capitated Paymnt Plans
                            290        NO                Not Medicare Enrolled/Month             
 
H_MAFF05  $MA2FLAG                     MA flag -  May                                    
                          9,265        FF                Original Medicare/FFS                   
                          6,316        MA                MA/Other Medicare Capitated Paymnt Plans
                            299        NO                Not Medicare Enrolled/Month             
 
H_MAFF06  $MA2FLAG                     MA flag -  Jun                                    
                          9,226        FF                Original Medicare/FFS                   
                          6,318        MA                MA/Other Medicare Capitated Paymnt Plans
                            336        NO                Not Medicare Enrolled/Month             
 
H_MAFF07  $MA2FLAG                     MA flag -  Jul                                    
                          9,196        FF                Original Medicare/FFS                   
                          6,333        MA                MA/Other Medicare Capitated Paymnt Plans
                            351        NO                Not Medicare Enrolled/Month             
 
H_MAFF08  $MA2FLAG                     MA flag -  Aug                                    
                          9,173        FF                Original Medicare/FFS                   
                          6,332        MA                MA/Other Medicare Capitated Paymnt Plans
                            375        NO                Not Medicare Enrolled/Month             
 
H_MAFF09  $MA2FLAG                     MA flag -  Sep                                    
                          9,135        FF                Original Medicare/FFS                   
                          6,348        MA                MA/Other Medicare Capitated Paymnt Plans
                            397        NO                Not Medicare Enrolled/Month             
 
H_MAFF10  $MA2FLAG                     MA flag -  Oct                                    
                          9,115        FF                Original Medicare/FFS                   
                          6,333        MA                MA/Other Medicare Capitated Paymnt Plans
                            432        NO                Not Medicare Enrolled/Month             
 
H_MAFF11  $MA2FLAG                     MA flag -  Nov                                    
                          9,080        FF                Original Medicare/FFS                   
                          6,324        MA                MA/Other Medicare Capitated Paymnt Plans
                            476        NO                Not Medicare Enrolled/Month             
 
H_MAFF12  $MA2FLAG                     MA flag -  Dec                                    
                          9,058        FF                Original Medicare/FFS                   
                          6,295        MA                MA/Other Medicare Capitated Paymnt Plans
                            527        NO                Not Medicare Enrolled/Month             
 
H_PNUM                                 Number of GHPs in bene area                       
                         15,880        Range of values   Range of values                         
 
H_MANUM                                Number of MA plans in bene area                   
                         15,880        Range of values   Range of values                         
 
H_PFSNUM                               Number of PFFS plans in bene area                 
                         15,880        Range of values   Range of values                         
 
H_CREDSW  CREDFMT                      Creditable Coverage Switch                        
                          2,086                       1  SP had at least 1 month cred. coverage  
                         13,794                       2  SP had no months of cred. coverage      
 
H_PRTC01                               Part C Contract ID - Jan                          
                            205        0                 Not Medicare Enrolled/Month             
                          6,283        Contract/Values   Contract/Segment/Plan ID                
                          9,392        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                          
                            235        0                 Not Medicare Enrolled/Month             
                          6,292        Contract/Values   Contract/Segment/Plan ID                
                          9,353        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                          
                            274        0                 Not Medicare Enrolled/Month             
                          6,296        Contract/Values   Contract/Segment/Plan ID                
                          9,310        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                          
                            290        0                 Not Medicare Enrolled/Month             
                          6,300        Contract/Values   Contract/Segment/Plan ID                
                          9,290        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                          
                            299        0                 Not Medicare Enrolled/Month             
                          6,316        Contract/Values   Contract/Segment/Plan ID                
                          9,265        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                          
                            336        0                 Not Medicare Enrolled/Month             
                          6,318        Contract/Values   Contract/Segment/Plan ID                
                          9,226        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                          
                            351        0                 Not Medicare Enrolled/Month             
                          6,333        Contract/Values   Contract/Segment/Plan ID                
                          9,196        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                          
                            375        0                 Not Medicare Enrolled/Month             
                          6,332        Contract/Values   Contract/Segment/Plan ID                
                          9,173        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                          
                            397        0                 Not Medicare Enrolled/Month             
                          6,348        Contract/Values   Contract/Segment/Plan ID                
                          9,135        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                          
                            432        0                 Not Medicare Enrolled/Month             
                          6,333        Contract/Values   Contract/Segment/Plan ID                
                          9,115        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                          
                            476        0                 Not Medicare Enrolled/Month             
                          6,324        Contract/Values   Contract/Segment/Plan ID                
                          9,080        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                          
                            527        0                 Not Medicare Enrolled/Month             
                          6,295        Contract/Values   Contract/Segment/Plan ID                
                          9,058        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan                 
                          9,615                          Inapplicable/Missing                    
                          6,265        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb                 
                          9,607                          Inapplicable/Missing                    
                          6,273        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar                 
                          9,603                          Inapplicable/Missing                    
                          6,277        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr                 
                          9,599                          Inapplicable/Missing                    
                          6,281        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May                 
                          9,583                          Inapplicable/Missing                    
                          6,297        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun                 
                          9,581                          Inapplicable/Missing                    
                          6,299        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul                 
                          9,568                          Inapplicable/Missing                    
                          6,312        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug                 
                          9,569                          Inapplicable/Missing                    
                          6,311        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep                 
                          9,553                          Inapplicable/Missing                    
                          6,327        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct                 
                          9,568                          Inapplicable/Missing                    
                          6,312        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov                 
                          9,577                          Inapplicable/Missing                    
                          6,303        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec                 
                          9,606                          Inapplicable/Missing                    
                          6,274        Contract/Values   Contract/Segment/Plan ID                
 
H_CTYP01  $PTYPFMT                     Part C Plan Type Code: Jan                        
                          9,597                          Inapplicable/Missing                    
                          3,366        01                Health Maintenance Organization (HMO)   
                            265        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,938        04                Local Preferred Provider Org (PPO)      
                             43        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             18        19                HCPP - Section 1833 Cost Plan           
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            488        31                Regional PPO                            
                            124        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP02  $PTYPFMT                     Part C Plan Type Code: Feb                        
                          9,588                          Inapplicable/Missing                    
                          3,371        01                Health Maintenance Organization (HMO)   
                            265        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,942        04                Local Preferred Provider Org (PPO)      
                             43        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             19        19                HCPP - Section 1833 Cost Plan           
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            489        31                Regional PPO                            
                            122        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP03  $PTYPFMT                     Part C Plan Type Code: Mar                        
                          9,584                          Inapplicable/Missing                    
                          3,365        01                Health Maintenance Organization (HMO)   
                            262        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,949        04                Local Preferred Provider Org (PPO)      
                             43        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             19        19                HCPP - Section 1833 Cost Plan           
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            493        31                Regional PPO                            
                            124        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP04  $PTYPFMT                     Part C Plan Type Code: Apr                        
                          9,580                          Inapplicable/Missing                    
                          3,377        01                Health Maintenance Organization (HMO)   
                            258        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,957        04                Local Preferred Provider Org (PPO)      
                             43        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             19        19                HCPP - Section 1833 Cost Plan           
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            486        31                Regional PPO                            
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP05  $PTYPFMT                     Part C Plan Type Code: May                        
                          9,564                          Inapplicable/Missing                    
                          3,395        01                Health Maintenance Organization (HMO)   
                            258        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,957        04                Local Preferred Provider Org (PPO)      
                             43        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             19        19                HCPP - Section 1833 Cost Plan           
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            486        31                Regional PPO                            
                            117        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP06  $PTYPFMT                     Part C Plan Type Code: Jun                        
                          9,562                          Inapplicable/Missing                    
                          3,395        01                Health Maintenance Organization (HMO)   
                            257        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,961        04                Local Preferred Provider Org (PPO)      
                             41        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             19        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            490        31                Regional PPO                            
                            113        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP07  $PTYPFMT                     Part C Plan Type Code: Jul                        
                          9,547                          Inapplicable/Missing                    
                          3,397        01                Health Maintenance Organization (HMO)   
                            259        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,962        04                Local Preferred Provider Org (PPO)      
                             40        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            492        31                Regional PPO                            
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP08  $PTYPFMT                     Part C Plan Type Code: Aug                        
                          9,548                          Inapplicable/Missing                    
                          3,399        01                Health Maintenance Organization (HMO)   
                            255        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,964        04                Local Preferred Provider Org (PPO)      
                             39        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            494        31                Regional PPO                            
                            117        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP09  $PTYPFMT                     Part C Plan Type Code: Sep                        
                          9,532                          Inapplicable/Missing                    
                          3,415        01                Health Maintenance Organization (HMO)   
                            256        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,967        04                Local Preferred Provider Org (PPO)      
                             39        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            493        31                Regional PPO                            
                            115        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP10  $PTYPFMT                     Part C Plan Type Code: Oct                        
                          9,547                          Inapplicable/Missing                    
                          3,408        01                Health Maintenance Organization (HMO)   
                            255        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,959        04                Local Preferred Provider Org (PPO)      
                             38        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            496        31                Regional PPO                            
                            112        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP11  $PTYPFMT                     Part C Plan Type Code: Nov                        
                          9,556                          Inapplicable/Missing                    
                          3,404        01                Health Maintenance Organization (HMO)   
                            254        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,956        04                Local Preferred Provider Org (PPO)      
                             38        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            494        31                Regional PPO                            
                            113        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP12  $PTYPFMT                     Part C Plan Type Code: Dec                        
                          9,585                          Inapplicable/Missing                    
                          3,391        01                Health Maintenance Organization (HMO)   
                            254        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,945        04                Local Preferred Provider Org (PPO)      
                             38        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            491        31                Regional PPO                            
                            111        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_MAPMT   MONYFMT                      Total MA A/B Payment  Annual                     
                          2,903                       .  Inapplicable/Missing                    
                         12,977        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM01  MONYFMT                      Part C Premium - Jan                              
                         11,208                       .  Inapplicable/Missing                    
                          4,672        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02  MONYFMT                      Part C Premium - Feb                              
                         11,197                       .  Inapplicable/Missing                    
                          4,683        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03  MONYFMT                      Part C Premium - Mar                              
                         11,194                       .  Inapplicable/Missing                    
                          4,686        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04  MONYFMT                      Part C Premium - Apr                              
                         11,182                       .  Inapplicable/Missing                    
                          4,698        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05  MONYFMT                      Part C Premium - May                              
                         11,158                       .  Inapplicable/Missing                    
                          4,722        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06  MONYFMT                      Part C Premium - Jun                              
                         11,150                       .  Inapplicable/Missing                    
                          4,730        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07  MONYFMT                      Part C Premium - Jul                              
                         11,144                       .  Inapplicable/Missing                    
                          4,736        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08  MONYFMT                      Part C Premium - Aug                              
                         11,141                       .  Inapplicable/Missing                    
                          4,739        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09  MONYFMT                      Part C Premium - Sep                              
                         11,126                       .  Inapplicable/Missing                    
                          4,754        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10  MONYFMT                      Part C Premium - Oct                              
                         11,136                       .  Inapplicable/Missing                    
                          4,744        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11  MONYFMT                      Part C Premium - Nov                              
                         11,143                       .  Inapplicable/Missing                    
                          4,737        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12  MONYFMT                      Part C Premium - Dec                              
                         11,158                       .  Inapplicable/Missing                    
                          4,722        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                          
                              5                          Inapplicable/Missing                    
                            205        0                 Not Medicare Enrolled/Month             
                         12,509        Contract/Values   Contract/Segment/Plan ID                
                          3,161        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                          
                              2                          Inapplicable/Missing                    
                            235        0                 Not Medicare Enrolled/Month             
                         12,500        Contract/Values   Contract/Segment/Plan ID                
                          3,143        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                          
                              4                          Inapplicable/Missing                    
                            274        0                 Not Medicare Enrolled/Month             
                         12,466        Contract/Values   Contract/Segment/Plan ID                
                          3,136        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                          
                              3                          Inapplicable/Missing                    
                            290        0                 Not Medicare Enrolled/Month             
                         12,437        Contract/Values   Contract/Segment/Plan ID                
                          3,150        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                          
                              4                          Inapplicable/Missing                    
                            299        0                 Not Medicare Enrolled/Month             
                         12,430        Contract/Values   Contract/Segment/Plan ID                
                          3,147        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                          
                              2                          Inapplicable/Missing                    
                            336        0                 Not Medicare Enrolled/Month             
                         12,411        Contract/Values   Contract/Segment/Plan ID                
                          3,131        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                          
                              2                          Inapplicable/Missing                    
                            351        0                 Not Medicare Enrolled/Month             
                         12,410        Contract/Values   Contract/Segment/Plan ID                
                          3,117        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                          
                            375        0                 Not Medicare Enrolled/Month             
                         12,397        Contract/Values   Contract/Segment/Plan ID                
                          3,108        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                          
                            397        0                 Not Medicare Enrolled/Month             
                         12,391        Contract/Values   Contract/Segment/Plan ID                
                          3,092        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                          
                            432        0                 Not Medicare Enrolled/Month             
                         12,355        Contract/Values   Contract/Segment/Plan ID                
                          3,093        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                          
                            476        0                 Not Medicare Enrolled/Month             
                         12,329        Contract/Values   Contract/Segment/Plan ID                
                          3,075        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                          
                            527        0                 Not Medicare Enrolled/Month             
                         12,287        Contract/Values   Contract/Segment/Plan ID                
                          3,066        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan                 
                          3,371                          Inapplicable/Missing                    
                         12,509        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb                 
                          3,380                          Inapplicable/Missing                    
                         12,500        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar                 
                          3,414                          Inapplicable/Missing                    
                         12,466        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr                 
                          3,443                          Inapplicable/Missing                    
                         12,437        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May                 
                          3,450                          Inapplicable/Missing                    
                         12,430        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun                 
                          3,469                          Inapplicable/Missing                    
                         12,411        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul                 
                          3,470                          Inapplicable/Missing                    
                         12,410        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug                 
                          3,483                          Inapplicable/Missing                    
                         12,397        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep                 
                          3,489                          Inapplicable/Missing                    
                         12,391        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct                 
                          3,525                          Inapplicable/Missing                    
                         12,355        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov                 
                          3,551                          Inapplicable/Missing                    
                         12,329        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec                 
                          3,593                          Inapplicable/Missing                    
                         12,287        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: Jan                            
                          3,371                          Inapplicable/Missing                    
                         12,509        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: Feb                            
                          3,380                          Inapplicable/Missing                    
                         12,500        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: Mar                            
                          3,414                          Inapplicable/Missing                    
                         12,466        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: Apr                            
                          3,443                          Inapplicable/Missing                    
                         12,437        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                            
                          3,450                          Inapplicable/Missing                    
                         12,430        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: Jun                            
                          3,469                          Inapplicable/Missing                    
                         12,411        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: Jul                            
                          3,470                          Inapplicable/Missing                    
                         12,410        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: Aug                            
                          3,483                          Inapplicable/Missing                    
                         12,397        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: Sep                            
                          3,489                          Inapplicable/Missing                    
                         12,391        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: Oct                            
                          3,525                          Inapplicable/Missing                    
                         12,355        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: Nov                            
                          3,551                          Inapplicable/Missing                    
                         12,329        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: Dec                            
                          3,593                          Inapplicable/Missing                    
                         12,287        Contract/Values   Contract/Segment/Plan ID                
 
H_DTYP01  $PTYPFMT                     Part D Plan Type Code: Jan                        
                          3,371                          Inapplicable/Missing                    
                          3,268        01                Health Maintenance Organization (HMO)   
                            251        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,305        04                Local Preferred Provider Org (PPO)      
                             32        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,991        29                Medicare Prescription Drug Plan (PDP)   
                             27        30                Employer/Union Only Direct Contract PDP 
                            460        31                Regional PPO                            
                             24        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            124        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP02  $PTYPFMT                     Part D Plan Type Code: Feb                        
                          3,380                          Inapplicable/Missing                    
                          3,273        01                Health Maintenance Organization (HMO)   
                            251        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,310        04                Local Preferred Provider Org (PPO)      
                             32        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,973        29                Medicare Prescription Drug Plan (PDP)   
                             27        30                Employer/Union Only Direct Contract PDP 
                            462        31                Regional PPO                            
                             23        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            122        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP03  $PTYPFMT                     Part D Plan Type Code: Mar                        
                          3,414                          Inapplicable/Missing                    
                          3,267        01                Health Maintenance Organization (HMO)   
                            249        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,318        04                Local Preferred Provider Org (PPO)      
                             32        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,936        29                Medicare Prescription Drug Plan (PDP)   
                             27        30                Employer/Union Only Direct Contract PDP 
                            466        31                Regional PPO                            
                             20        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            124        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP04  $PTYPFMT                     Part D Plan Type Code: Apr                        
                          3,443                          Inapplicable/Missing                    
                          3,279        01                Health Maintenance Organization (HMO)   
                            245        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,327        04                Local Preferred Provider Org (PPO)      
                             32        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,901        29                Medicare Prescription Drug Plan (PDP)   
                             27        30                Employer/Union Only Direct Contract PDP 
                            460        31                Regional PPO                            
                             20        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP05  $PTYPFMT                     Part D Plan Type Code: May                        
                          3,450                          Inapplicable/Missing                    
                          3,296        01                Health Maintenance Organization (HMO)   
                            245        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,329        04                Local Preferred Provider Org (PPO)      
                             32        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,875        29                Medicare Prescription Drug Plan (PDP)   
                             28        30                Employer/Union Only Direct Contract PDP 
                            460        31                Regional PPO                            
                             21        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            117        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP06  $PTYPFMT                     Part D Plan Type Code: Jun                        
                          3,469                          Inapplicable/Missing                    
                          3,296        01                Health Maintenance Organization (HMO)   
                            244        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,335        04                Local Preferred Provider Org (PPO)      
                             31        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,855        29                Medicare Prescription Drug Plan (PDP)   
                             28        30                Employer/Union Only Direct Contract PDP 
                            464        31                Regional PPO                            
                             17        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            113        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP07  $PTYPFMT                     Part D Plan Type Code: Jul                        
                          3,470                          Inapplicable/Missing                    
                          3,298        01                Health Maintenance Organization (HMO)   
                            246        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,336        04                Local Preferred Provider Org (PPO)      
                             30        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,836        29                Medicare Prescription Drug Plan (PDP)   
                             28        30                Employer/Union Only Direct Contract PDP 
                            466        31                Regional PPO                            
                             22        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP08  $PTYPFMT                     Part D Plan Type Code: Aug                        
                          3,483                          Inapplicable/Missing                    
                          3,301        01                Health Maintenance Organization (HMO)   
                            242        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,340        04                Local Preferred Provider Org (PPO)      
                             30        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,820        29                Medicare Prescription Drug Plan (PDP)   
                             28        30                Employer/Union Only Direct Contract PDP 
                            468        31                Regional PPO                            
                             22        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            117        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP09  $PTYPFMT                     Part D Plan Type Code: Sep                        
                          3,489                          Inapplicable/Missing                    
                          3,316        01                Health Maintenance Organization (HMO)   
                            243        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,345        04                Local Preferred Provider Org (PPO)      
                             30        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,800        29                Medicare Prescription Drug Plan (PDP)   
                             28        30                Employer/Union Only Direct Contract PDP 
                            467        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            115        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP10  $PTYPFMT                     Part D Plan Type Code: Oct                        
                          3,525                          Inapplicable/Missing                    
                          3,309        01                Health Maintenance Organization (HMO)   
                            242        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,340        04                Local Preferred Provider Org (PPO)      
                             29        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,777        29                Medicare Prescription Drug Plan (PDP)   
                             28        30                Employer/Union Only Direct Contract PDP 
                            469        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            112        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP11  $PTYPFMT                     Part D Plan Type Code: Nov                        
                          3,551                          Inapplicable/Missing                    
                          3,305        01                Health Maintenance Organization (HMO)   
                            242        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,337        04                Local Preferred Provider Org (PPO)      
                             29        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,759        29                Medicare Prescription Drug Plan (PDP)   
                             28        30                Employer/Union Only Direct Contract PDP 
                            467        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            113        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP12  $PTYPFMT                     Part D Plan Type Code: Dec                        
                          3,593                          Inapplicable/Missing                    
                          3,293        01                Health Maintenance Organization (HMO)   
                            242        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,330        04                Local Preferred Provider Org (PPO)      
                             29        09                PFFS                                    
                             10        18                Section 1876 Cost                       
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,743        29                Medicare Prescription Drug Plan (PDP)   
                             28        30                Employer/Union Only Direct Contract PDP 
                            465        31                Regional PPO                            
                             16        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            111        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_PTDAMT  MONYFMT                      Part D Total Payment - Annual                     
                          2,903                       .  Inapplicable/Missing                    
                         12,977        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM01  MONYFMT                      Part D Premium - Jan                              
                          3,396                       .  Inapplicable/Missing                    
                         12,484        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02  MONYFMT                      Part D Premium - Feb                              
                          3,404                       .  Inapplicable/Missing                    
                         12,476        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03  MONYFMT                      Part D Premium - Mar                              
                          3,435                       .  Inapplicable/Missing                    
                         12,445        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04  MONYFMT                      Part D Premium - Apr                              
                          3,464                       .  Inapplicable/Missing                    
                         12,416        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05  MONYFMT                      Part D Premium - May                              
                          3,472                       .  Inapplicable/Missing                    
                         12,408        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06  MONYFMT                      Part D Premium - Jun                              
                          3,487                       .  Inapplicable/Missing                    
                         12,393        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07  MONYFMT                      Part D Premium - Jul                              
                          3,493                       .  Inapplicable/Missing                    
                         12,387        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08  MONYFMT                      Part D Premium - Aug                              
                          3,506                       .  Inapplicable/Missing                    
                         12,374        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09  MONYFMT                      Part D Premium - Sep                              
                          3,509                       .  Inapplicable/Missing                    
                         12,371        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10  MONYFMT                      Part D Premium - Oct                              
                          3,545                       .  Inapplicable/Missing                    
                         12,335        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11  MONYFMT                      Part D Premium - Nov                              
                          3,571                       .  Inapplicable/Missing                    
                         12,309        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12  MONYFMT                      Part D Premium - Dec                              
                          3,610                       .  Inapplicable/Missing                    
                         12,270        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01  MONYFMT                      Part D Deductible - Jan                           
                          5,368                       .  Inapplicable/Missing                    
                         10,512        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02  MONYFMT                      Part D Deductible - Feb                           
                          5,376                       .  Inapplicable/Missing                    
                         10,504        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03  MONYFMT                      Part D Deductible - Mar                           
                          5,404                       .  Inapplicable/Missing                    
                         10,476        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04  MONYFMT                      Part D Deductible - Apr                           
                          5,430                       .  Inapplicable/Missing                    
                         10,450        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05  MONYFMT                      Part D Deductible - May                           
                          5,434                       .  Inapplicable/Missing                    
                         10,446        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06  MONYFMT                      Part D Deductible - Jun                           
                          5,448                       .  Inapplicable/Missing                    
                         10,432        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07  MONYFMT                      Part D Deductible - Jul                           
                          5,456                       .  Inapplicable/Missing                    
                         10,424        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08  MONYFMT                      Part D Deductible - Aug                           
                          5,469                       .  Inapplicable/Missing                    
                         10,411        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09  MONYFMT                      Part D Deductible - Sep                           
                          5,477                       .  Inapplicable/Missing                    
                         10,403        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10  MONYFMT                      Part D Deductible - Oct                           
                          5,512                       .  Inapplicable/Missing                    
                         10,368        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11  MONYFMT                      Part D Deductible - Nov                           
                          5,533                       .  Inapplicable/Missing                    
                         10,347        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12  MONYFMT                      Part D Deductible - Dec                           
                          5,562                       .  Inapplicable/Missing                    
                         10,318        Range of values   Amount as $$$$$$.CC                     
 
H_EGWP01  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jan          
                          3,371                       .  Unknown                                 
                          1,956                       1  Yes                                     
                         10,553                       2  No                                      
 
H_EGWP02  YES8FMT                      PDP Employer Group Waiver Plan Ind - Feb          
                          3,380                       .  Unknown                                 
                          1,956                       1  Yes                                     
                         10,544                       2  No                                      
 
H_EGWP03  YES8FMT                      PDP Employer Group Waiver Plan Ind - Mar          
                          3,414                       .  Unknown                                 
                          1,953                       1  Yes                                     
                         10,513                       2  No                                      
 
H_EGWP04  YES8FMT                      PDP Employer Group Waiver Plan Ind - Apr          
                          3,443                       .  Unknown                                 
                          1,950                       1  Yes                                     
                         10,487                       2  No                                      
 
H_EGWP05  YES8FMT                      PDP Employer Group Waiver Plan Ind - May          
                          3,450                       .  Unknown                                 
                          1,946                       1  Yes                                     
                         10,484                       2  No                                      
 
H_EGWP06  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jun          
                          3,469                       .  Unknown                                 
                          1,944                       1  Yes                                     
                         10,467                       2  No                                      
 
H_EGWP07  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jul          
                          3,470                       .  Unknown                                 
                          1,945                       1  Yes                                     
                         10,465                       2  No                                      
 
H_EGWP08  YES8FMT                      PDP Employer Group Waiver Plan Ind - Aug          
                          3,483                       .  Unknown                                 
                          1,945                       1  Yes                                     
                         10,452                       2  No                                      
 
H_EGWP09  YES8FMT                      PDP Employer Group Waiver Plan Ind - Sep          
                          3,489                       .  Unknown                                 
                          1,951                       1  Yes                                     
                         10,440                       2  No                                      
 
H_EGWP10  YES8FMT                      PDP Employer Group Waiver Plan Ind - Oct          
                          3,525                       .  Unknown                                 
                          1,948                       1  Yes                                     
                         10,407                       2  No                                      
 
H_EGWP11  YES8FMT                      PDP Employer Group Waiver Plan Ind - Nov          
                          3,551                       .  Unknown                                 
                          1,943                       1  Yes                                     
                         10,386                       2  No                                      
 
H_EGWP12  YES8FMT                      PDP Employer Group Waiver Plan Ind - Dec          
                          3,593                       .  Unknown                                 
                          1,933                       1  Yes                                     
                         10,354                       2  No                                      
 
H_PDRS01  DRDSFMT                      RDS Indicator - Jan                               
                            210                       .  Unknown                                 
                            405                       1  Employer subsidized for the beneficiary 
                         15,265                       2  Employer not subsidized for the benefici
 
H_PDRS02  DRDSFMT                      RDS Indicator - Feb                               
                            237                       .  Unknown                                 
                            428                       1  Employer subsidized for the beneficiary 
                         15,215                       2  Employer not subsidized for the benefici
 
H_PDRS03  DRDSFMT                      RDS Indicator - Mar                               
                            278                       .  Unknown                                 
                            429                       1  Employer subsidized for the beneficiary 
                         15,173                       2  Employer not subsidized for the benefici
 
H_PDRS04  DRDSFMT                      RDS Indicator - Apr                               
                            293                       .  Unknown                                 
                            429                       1  Employer subsidized for the beneficiary 
                         15,158                       2  Employer not subsidized for the benefici
 
H_PDRS05  DRDSFMT                      RDS Indicator - May                               
                            303                       .  Unknown                                 
                            428                       1  Employer subsidized for the beneficiary 
                         15,149                       2  Employer not subsidized for the benefici
 
H_PDRS06  DRDSFMT                      RDS Indicator - Jun                               
                            338                       .  Unknown                                 
                            427                       1  Employer subsidized for the beneficiary 
                         15,115                       2  Employer not subsidized for the benefici
 
H_PDRS07  DRDSFMT                      RDS Indicator - Jul                               
                            353                       .  Unknown                                 
                            427                       1  Employer subsidized for the beneficiary 
                         15,100                       2  Employer not subsidized for the benefici
 
H_PDRS08  DRDSFMT                      RDS Indicator - Aug                               
                            375                       .  Unknown                                 
                            423                       1  Employer subsidized for the beneficiary 
                         15,082                       2  Employer not subsidized for the benefici
 
H_PDRS09  DRDSFMT                      RDS Indicator - Sep                               
                            397                       .  Unknown                                 
                            415                       1  Employer subsidized for the beneficiary 
                         15,068                       2  Employer not subsidized for the benefici
 
H_PDRS10  DRDSFMT                      RDS Indicator - Oct                               
                            432                       .  Unknown                                 
                            416                       1  Employer subsidized for the beneficiary 
                         15,032                       2  Employer not subsidized for the benefici
 
H_PDRS11  DRDSFMT                      RDS Indicator - Nov                               
                            476                       .  Unknown                                 
                            416                       1  Employer subsidized for the beneficiary 
                         14,988                       2  Employer not subsidized for the benefici
 
H_PDRS12  DRDSFMT                      RDS Indicator - Dec                               
                            527                       .  Unknown                                 
                            415                       1  Employer subsidized for the beneficiary 
                         14,938                       2  Employer not subsidized for the benefici
 
H_PTAPRM  MONYFMT                      Total Pt. A premium SP paid in CY                 
                         15,880        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM  MONYFMT                      Total Pt. B premium SP paid in CY                 
                         15,880        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM  MONYFMT                      Estimate TotPrem: A+B+C+D+SurveyOnlyPlan          
                         15,880        Range of values   Amount as $$$$$$.CC                     
         Notes:  See Data User Guide FAQ for explanation of this variable.
                 First available in 2015
 
H_PRGID   $PRIDFMT                     CMS Prog ID  Payment Model                       
                         12,313                          Inapplicable/Missing                    
                              2        01                IAH Practice Demonstration - Active     
                          2,627        08                Medicare SSP - Active                   
                             27        11                MMCO Financ Alignment Demo(Duals)-Active
                             28        18                Comprehensive ESRD Care (CEC) - Active  
                            451        21                Next Generation ACO (NGACO) - Active    
                            191        22                CPC+, non-SSP Participants - Active     
                            213        23                CPC+, SSP Participants - Active         
                              2        53                Vermont All-Payer Model (CMMI) - Active 
                             26        56                Maryland TotCostCare:PrimCareProg-Active
 
H_PRGID2  $PRIDFMT                     2nd CMS Prog ID  Payment Model                   
                         15,568                          Inapplicable/Missing                    
                            274        08                Medicare SSP - Active                   
                              4        22                CPC+, non-SSP Participants - Active     
                             21        23                CPC+, SSP Participants - Active         
                             13        56                Maryland TotCostCare:PrimCareProg-Active
 
H_PRGID3  $PRIDFMT                     3rd  CMS Prog ID  Payment Model                  
                         15,874                          Inapplicable/Missing                    
                              1        08                Medicare SSP - Active                   
                              1        22                CPC+, non-SSP Participants - Active     
                              4        23                CPC+, SSP Participants - Active         
 
