Variable  Format    Q#/Freq           Description/Label
 
BASEID    $BSIDFMT                     Unique SP Identification Number                   
                         15,476        LOW-HIGH          BASEID Count                            
 
SURVEYYR  SVYRFMT                      Survey Year                                       
                         15,476                    2020  2020                                    
 
VERSION   VERSFMT                      Version Number                                    
                         15,476                       2  Version 2                               
 
H_DOE     MMDDYYn8                     Medicare entitlement start date                   
                         15,476        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT     MMDDYYn8                     Medicare entitlement end date                     
                         14,838                       .  Inapplicable                            
                            638        MMDDYYYY          Date as MMDDYYYY                        
 
H_MEDSTA  $MSCFMT                      Medicare status code as of 12/31                  
                         12,818        10                Aged, no ESRD                           
                             79        11                Aged, ESRD                              
                          2,513        20                Disabled, no ESRD                       
                             46        21                Disabled, ESRD                          
                             20        31                ESRD only                               
 
H_GHPSW   GHPSW                        Some group health participation in year           
                          6,723                       1  Some enrollment                         
                          8,753                       2  No enrollment                           
 
H_ESRBEG  MMDDYYn8                     Beginning date of ESRD period                     
                         15,290                       .  Inapplicable                            
                            186        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND  MMDDYYn8                     Ending date of ESRD period                        
                         15,417                       .  Inapplicable                            
                             59        MMDDYYYY          Date as MMDDYYYY                        
 
H_MACY01                               Buy-in agency - Jan                               
                          3,043        Values/Codes      State Agency code                       
                         12,433        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                               
                          3,063        Values/Codes      State Agency code                       
                         12,413        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                               
                          3,091        Values/Codes      State Agency code                       
                         12,385        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                               
                          3,114        Values/Codes      State Agency code                       
                         12,362        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                               
                          3,112        Values/Codes      State Agency code                       
                         12,364        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                               
                          3,115        Values/Codes      State Agency code                       
                         12,361        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                               
                          3,124        Values/Codes      State Agency code                       
                         12,352        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                               
                          3,128        Values/Codes      State Agency code                       
                         12,348        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                               
                          3,131        Values/Codes      State Agency code                       
                         12,345        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                               
                          3,139        Values/Codes      State Agency code                       
                         12,337        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                               
                          3,138        Values/Codes      State Agency code                       
                         12,338        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                               
                          3,140        Values/Codes      State Agency code                       
                         12,336        N                 Unknown, or no buy-in                   
 
H_MCDE01  $MCDCFMT                     Medicaid eligibility - Jan                        
                              3        A                 State Part A buy-in                     
                          1,193        B                 State Part B buy-in                     
                             56        C                 State Part A and B buy-in               
                            111        D                 State Part A and B QMB buy-in           
                         12,433        N                 No buy-in this month                    
                          1,314        Q                 State Part B QMB buy-in                 
                            366        S                 State Part B SLMB buy-in                
 
H_MCDE02  $MCDCFMT                     Medicaid eligibility - Feb                        
                              3        A                 State Part A buy-in                     
                          1,206        B                 State Part B buy-in                     
                             56        C                 State Part A and B buy-in               
                            111        D                 State Part A and B QMB buy-in           
                         12,413        N                 No buy-in this month                    
                          1,324        Q                 State Part B QMB buy-in                 
                            363        S                 State Part B SLMB buy-in                
 
H_MCDE03  $MCDCFMT                     Medicaid eligibility - Mar                        
                              3        A                 State Part A buy-in                     
                          1,220        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           
                         12,385        N                 No buy-in this month                    
                          1,337        Q                 State Part B QMB buy-in                 
                            365        S                 State Part B SLMB buy-in                
 
H_MCDE04  $MCDCFMT                     Medicaid eligibility - Apr                        
                              2        A                 State Part A buy-in                     
                          1,224        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                            110        D                 State Part A and B QMB buy-in           
                         12,362        N                 No buy-in this month                    
                          1,354        Q                 State Part B QMB buy-in                 
                            367        S                 State Part B SLMB buy-in                
 
H_MCDE05  $MCDCFMT                     Medicaid eligibility - May                        
                              3        A                 State Part A buy-in                     
                          1,227        B                 State Part B buy-in                     
                             54        C                 State Part A and B buy-in               
                            106        D                 State Part A and B QMB buy-in           
                         12,364        N                 No buy-in this month                    
                          1,356        Q                 State Part B QMB buy-in                 
                            366        S                 State Part B SLMB buy-in                
 
H_MCDE06  $MCDCFMT                     Medicaid eligibility - Jun                        
                              3        A                 State Part A buy-in                     
                          1,227        B                 State Part B buy-in                     
                             54        C                 State Part A and B buy-in               
                            106        D                 State Part A and B QMB buy-in           
                         12,361        N                 No buy-in this month                    
                          1,356        Q                 State Part B QMB buy-in                 
                            369        S                 State Part B SLMB buy-in                
 
H_MCDE07  $MCDCFMT                     Medicaid eligibility - Jul                        
                              3        A                 State Part A buy-in                     
                          1,231        B                 State Part B buy-in                     
                             54        C                 State Part A and B buy-in               
                            107        D                 State Part A and B QMB buy-in           
                         12,352        N                 No buy-in this month                    
                          1,359        Q                 State Part B QMB buy-in                 
                            370        S                 State Part B SLMB buy-in                
 
H_MCDE08  $MCDCFMT                     Medicaid eligibility - Aug                        
                              2        A                 State Part A buy-in                     
                          1,230        B                 State Part B buy-in                     
                             56        C                 State Part A and B buy-in               
                            106        D                 State Part A and B QMB buy-in           
                         12,348        N                 No buy-in this month                    
                          1,364        Q                 State Part B QMB buy-in                 
                            370        S                 State Part B SLMB buy-in                
 
H_MCDE09  $MCDCFMT                     Medicaid eligibility - Sep                        
                              2        A                 State Part A buy-in                     
                          1,234        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            105        D                 State Part A and B QMB buy-in           
                         12,345        N                 No buy-in this month                    
                          1,365        Q                 State Part B QMB buy-in                 
                            370        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                     
                             57        C                 State Part A and B buy-in               
                            105        D                 State Part A and B QMB buy-in           
                         12,337        N                 No buy-in this month                    
                          1,367        Q                 State Part B QMB buy-in                 
                            372        S                 State Part B SLMB buy-in                
 
H_MCDE11  $MCDCFMT                     Medicaid eligibility - Nov                        
                              2        A                 State Part A buy-in                     
                          1,239        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                            103        D                 State Part A and B QMB buy-in           
                         12,338        N                 No buy-in this month                    
                          1,366        Q                 State Part B QMB buy-in                 
                            371        S                 State Part B SLMB buy-in                
 
H_MCDE12  $MCDCFMT                     Medicaid eligibility - Dec                        
                              2        A                 State Part A buy-in                     
                          1,236        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                            103        D                 State Part A and B QMB buy-in           
                         12,336        N                 No buy-in this month                    
                          1,368        Q                 State Part B QMB buy-in                 
                            374        S                 State Part B SLMB buy-in                
 
H_MCSW    SWFMT                        Some Medicaid eligibility for the year            
                          3,334                       1  Some participation                      
                         12,142                       2  No participation                        
 
H_DUAL01  $DUALMON                     Dual eligibity code - Jan                         
                            213        00                Not enrolled in Medicare for the month  
                            409        01                QMB-only                                
                          1,831        02                QMB & full Medicaid covrge, + Rx drugs  
                            300        03                SLMB-only                               
                            113        04                SLMB & full Medicaid covrge, + Rx drugs 
                            178        06                Qualifying individuals                  
                            595        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,835        NA                Non-Medicaid                            
 
H_DUAL02  $DUALMON                     Dual eligibity code - Feb                         
                            233        00                Not enrolled in Medicare for the month  
                            406        01                QMB-only                                
                          1,833        02                QMB & full Medicaid covrge, + Rx drugs  
                            297        03                SLMB-only                               
                            110        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            176        06                Qualifying individuals                  
                            610        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,808        NA                Non-Medicaid                            
 
H_DUAL03  $DUALMON                     Dual eligibity code - Mar                         
                            252        00                Not enrolled in Medicare for the month  
                            410        01                QMB-only                                
                          1,833        02                QMB & full Medicaid covrge, + Rx drugs  
                            304        03                SLMB-only                               
                            105        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            175        06                Qualifying individuals                  
                            618        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         11,777        NA                Non-Medicaid                            
 
H_DUAL04  $DUALMON                     Dual eligibity code - Apr                         
                            289        00                Not enrolled in Medicare for the month  
                            417        01                QMB-only                                
                          1,846        02                QMB & full Medicaid covrge, + Rx drugs  
                            298        03                SLMB-only                               
                            111        04                SLMB & full Medicaid covrge, + Rx drugs 
                            171        06                Qualifying individuals                  
                            611        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,730        NA                Non-Medicaid                            
 
H_DUAL05  $DUALMON                     Dual eligibity code - May                         
                            334        00                Not enrolled in Medicare for the month  
                            422        01                QMB-only                                
                          1,838        02                QMB & full Medicaid covrge, + Rx drugs  
                            299        03                SLMB-only                               
                            115        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            597        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,700        NA                Non-Medicaid                            
 
H_DUAL06  $DUALMON                     Dual eligibity code - Jun                         
                            349        00                Not enrolled in Medicare for the month  
                            429        01                QMB-only                                
                          1,836        02                QMB & full Medicaid covrge, + Rx drugs  
                            298        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            168        06                Qualifying individuals                  
                            592        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,688        NA                Non-Medicaid                            
 
H_DUAL07  $DUALMON                     Dual eligibity code - Jul                         
                            375        00                Not enrolled in Medicare for the month  
                            432        01                QMB-only                                
                          1,847        02                QMB & full Medicaid covrge, + Rx drugs  
                            296        03                SLMB-only                               
                            116        04                SLMB & full Medicaid covrge, + Rx drugs 
                            171        06                Qualifying individuals                  
                            577        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,660        NA                Non-Medicaid                            
 
H_DUAL08  $DUALMON                     Dual eligibity code - Aug                         
                            393        00                Not enrolled in Medicare for the month  
                            436        01                QMB-only                                
                          1,852        02                QMB & full Medicaid covrge, + Rx drugs  
                            297        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            171        06                Qualifying individuals                  
                            576        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,635        NA                Non-Medicaid                            
 
H_DUAL09  $DUALMON                     Dual eligibity code - Sep                         
                            426        00                Not enrolled in Medicare for the month  
                            439        01                QMB-only                                
                          1,847        02                QMB & full Medicaid covrge, + Rx drugs  
                            295        03                SLMB-only                               
                            117        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            581        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,600        NA                Non-Medicaid                            
 
H_DUAL10  $DUALMON                     Dual eligibity code - Oct                         
                            450        00                Not enrolled in Medicare for the month  
                            441        01                QMB-only                                
                          1,844        02                QMB & full Medicaid covrge, + Rx drugs  
                            296        03                SLMB-only                               
                            117        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            582        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,575        NA                Non-Medicaid                            
 
H_DUAL11  $DUALMON                     Dual eligibity code - Nov                         
                            494        00                Not enrolled in Medicare for the month  
                            443        01                QMB-only                                
                          1,840        02                QMB & full Medicaid covrge, + Rx drugs  
                            295        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            587        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,527        NA                Non-Medicaid                            
 
H_DUAL12  $DUALMON                     Dual eligibity code - Dec                         
                            545        00                Not enrolled in Medicare for the month  
                            445        01                QMB-only                                
                          1,844        02                QMB & full Medicaid covrge, + Rx drugs  
                            300        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            167        06                Qualifying individuals                  
                            576        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         11,477        NA                Non-Medicaid                            
 
H_OPMDCD  DUALFMT                      Medicare-Medicaid dual eligibility indic          
                          2,743                       1  FULL-Bene elig. full Medicaid benefits  
                         11,783                       2  NONDUAL-Bene not elig Medicaid benfits  
                            492                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            458                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PDLS01  $DLSFMT                      LIS Indicator - Jan                               
                            213        00                Not Medicare enrolled for the month     
                          1,064        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,480        02                Pt A and/or B +D;elig LIS 100%,low copay
                            963        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            307        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             38        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             31        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
                          8,317        09                Pt A and/or B +D;no prem or cstshare sub
                            388        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,623        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS02  $DLSFMT                      LIS Indicator - Feb                               
                            233        00                Not Medicare enrolled for the month     
                          1,065        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,494        02                Pt A and/or B +D;elig LIS 100%,low copay
                            962        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            304        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             37        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             30        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             34        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,286        09                Pt A and/or B +D;no prem or cstshare sub
                            379        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,633        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS03  $DLSFMT                      LIS Indicator - Mar                               
                            252        00                Not Medicare enrolled for the month     
                          1,070        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,494        02                Pt A and/or B +D;elig LIS 100%,low copay
                            962        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            300        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             36        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             29        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
                          8,264        09                Pt A and/or B +D;no prem or cstshare sub
                            383        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,634        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS04  $DLSFMT                      LIS Indicator - Apr                               
                            289        00                Not Medicare enrolled for the month     
                          1,081        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,495        02                Pt A and/or B +D;elig LIS 100%,low copay
                            959        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
                             20        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             31        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             27        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
                          8,256        09                Pt A and/or B +D;no prem or cstshare sub
                            382        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,608        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS05  $DLSFMT                      LIS Indicator - May                               
                            334        00                Not Medicare enrolled for the month     
                          1,062        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,491        02                Pt A and/or B +D;elig LIS 100%,low copay
                            961        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            298        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             31        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             28        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
                          8,247        09                Pt A and/or B +D;no prem or cstshare sub
                            380        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,591        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS06  $DLSFMT                      LIS Indicator - Jun                               
                            349        00                Not Medicare enrolled for the month     
                          1,051        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,496        02                Pt A and/or B +D;elig LIS 100%,low copay
                            959        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            298        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             31        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             28        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             35        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,250        09                Pt A and/or B +D;no prem or cstshare sub
                            378        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,581        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS07  $DLSFMT                      LIS Indicator - Jul                               
                            375        00                Not Medicare enrolled for the month     
                          1,044        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,499        02                Pt A and/or B +D;elig LIS 100%,low copay
                            960        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            301        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             28        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             28        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             35        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,236        09                Pt A and/or B +D;no prem or cstshare sub
                            375        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,575        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS08  $DLSFMT                      LIS Indicator - Aug                               
                            393        00                Not Medicare enrolled for the month     
                          1,038        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,497        02                Pt A and/or B +D;elig LIS 100%,low copay
                            963        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%copay
                             27        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             28        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             35        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,230        09                Pt A and/or B +D;no prem or cstshare sub
                            376        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,571        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS09  $DLSFMT                      LIS Indicator - Sep                               
                            426        00                Not Medicare enrolled for the month     
                          1,035        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,502        02                Pt A and/or B +D;elig LIS 100%,low copay
                            958        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
                             19        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             28        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             29        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             34        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          8,218        09                Pt A and/or B +D;no prem or cstshare sub
                            375        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,558        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS10  $DLSFMT                      LIS Indicator - Oct                               
                            450        00                Not Medicare enrolled for the month     
                          1,039        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,499        02                Pt A and/or B +D;elig LIS 100%,low copay
                            961        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
                             19        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             30        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             28        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             35        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
                            374        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,536        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS11  $DLSFMT                      LIS Indicator - Nov                               
                            494        00                Not Medicare enrolled for the month     
                          1,038        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,500        02                Pt A and/or B +D;elig LIS 100%,low copay
                            959        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
                             19        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             29        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             28        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
                          8,197        09                Pt A and/or B +D;no prem or cstshare sub
                            373        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,513        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS12  $DLSFMT                      LIS Indicator - Dec                               
                            545        00                Not Medicare enrolled for the month     
                          1,030        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,500        02                Pt A and/or B +D;elig LIS 100%,low copay
                            962        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            290        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             29        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             28        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
                          8,163        09                Pt A and/or B +D;no prem or cstshare sub
                            371        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,506        13                Pt A and/or B,no D;none of above cond   
 
H_PLPY01  MONYFMT                      Medicare capitation payment - Jan                 
                          2,984                       .  Inapplicable/Missing                    
                         12,492        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02  MONYFMT                      Medicare capitation payment - Feb                 
                          3,002                       .  Inapplicable/Missing                    
                         12,474        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03  MONYFMT                      Medicare capitation payment - Mar                 
                          3,029                       .  Inapplicable/Missing                    
                         12,447        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04  MONYFMT                      Medicare capitation payment - Apr                 
                          3,040                       .  Inapplicable/Missing                    
                         12,436        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05  MONYFMT                      Medicare capitation payment - May                 
                          3,068                       .  Inapplicable/Missing                    
                         12,408        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06  MONYFMT                      Medicare capitation payment - Jun                 
                          3,072                       .  Inapplicable/Missing                    
                         12,404        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07  MONYFMT                      Medicare capitation payment - Jul                 
                          3,086                       .  Inapplicable/Missing                    
                         12,390        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08  MONYFMT                      Medicare capitation payment - Aug                 
                          3,101                       .  Inapplicable/Missing                    
                         12,375        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09  MONYFMT                      Medicare capitation payment - Sep                 
                          3,118                       .  Inapplicable/Missing                    
                         12,358        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10  MONYFMT                      Medicare capitation payment - Oct                 
                          3,121                       .  Inapplicable/Missing                    
                         12,355        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11  MONYFMT                      Medicare capitation payment - Nov                 
                          3,143                       .  Inapplicable/Missing                    
                         12,333        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12  MONYFMT                      Medicare capitation payment - Dec                 
                          3,183                       .  Inapplicable/Missing                    
                         12,293        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY01  MONYFMT                      Part D capitation payment - Jan                   
                          2,984                       .  Inapplicable/Missing                    
                         12,492        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02  MONYFMT                      Part D capitation payment - Feb                   
                          3,002                       .  Inapplicable/Missing                    
                         12,474        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03  MONYFMT                      Part D capitation payment - Mar                   
                          3,029                       .  Inapplicable/Missing                    
                         12,447        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04  MONYFMT                      Part D capitation payment - Apr                   
                          3,040                       .  Inapplicable/Missing                    
                         12,436        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05  MONYFMT                      Part D capitation payment - May                   
                          3,068                       .  Inapplicable/Missing                    
                         12,408        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06  MONYFMT                      Part D capitation payment - Jun                   
                          3,072                       .  Inapplicable/Missing                    
                         12,404        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07  MONYFMT                      Part D capitation payment - Jul                   
                          3,086                       .  Inapplicable/Missing                    
                         12,390        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08  MONYFMT                      Part D capitation payment - Aug                   
                          3,101                       .  Inapplicable/Missing                    
                         12,375        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09  MONYFMT                      Part D capitation payment - Sep                   
                          3,118                       .  Inapplicable/Missing                    
                         12,358        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10  MONYFMT                      Part D capitation payment - Oct                   
                          3,121                       .  Inapplicable/Missing                    
                         12,355        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11  MONYFMT                      Part D capitation payment - Nov                   
                          3,143                       .  Inapplicable/Missing                    
                         12,333        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12  MONYFMT                      Part D capitation payment - Dec                   
                          3,183                       .  Inapplicable/Missing                    
                         12,293        Range of values   Amount as $$$$$$.CC                     
 
H_PRPY01  $MSPCODE                     Primary Payer                                     
                         15,126                          Medicare is Primary                     
                            153        A                 Working Aged                            
                              3        B                 ESRD                                    
                              2        C                 Condition/Reimbursement Anticipated     
                             12        D                 Automobile No Fault                     
                              2        E                 Workers’ comp                           
                             95        G                 Working Disabled                        
                              3        I                 VA                                      
                             20        L                 Any liability                           
                             57        M                 Override Code                           
                              3        W                 WCMSA                                   
 
H_PRPY02  $MSPCODE                     Primary Payer, 2nd code                           
                         15,415                          Medicare is Primary                     
                             10        A                 Working Aged                            
                              1        B                 ESRD                                    
                             27        C                 Condition/Reimbursement Anticipated     
                              2        D                 Automobile No Fault                     
                              2        E                 Workers’ comp                           
                              3        G                 Working Disabled                        
                              6        L                 Any liability                           
                             10        M                 Override Code                           
 
H_PRPY03  $MSPCODE                     Primary Payer, 3rd code                           
                         15,467                          Medicare is Primary                     
                              3        A                 Working Aged                            
                              1        B                 ESRD                                    
                              2        C                 Condition/Reimbursement Anticipated     
                              1        L                 Any liability                           
                              2        M                 Override Code                           
 
H_MAFF01  $MA2FLAG                     MA flag -  Jan                                    
                          8,853        FF                Original Medicare/FFS                   
                          6,410        MA                MA/Other Medicare Capitated Paymnt Plans
                            213        NO                Not Medicare Enrolled/Month             
 
H_MAFF02  $MA2FLAG                     MA flag -  Feb                                    
                          8,829        FF                Original Medicare/FFS                   
                          6,414        MA                MA/Other Medicare Capitated Paymnt Plans
                            233        NO                Not Medicare Enrolled/Month             
 
H_MAFF03  $MA2FLAG                     MA flag -  Mar                                    
                          8,790        FF                Original Medicare/FFS                   
                          6,434        MA                MA/Other Medicare Capitated Paymnt Plans
                            252        NO                Not Medicare Enrolled/Month             
 
H_MAFF04  $MA2FLAG                     MA flag -  Apr                                    
                          8,744        FF                Original Medicare/FFS                   
                          6,443        MA                MA/Other Medicare Capitated Paymnt Plans
                            289        NO                Not Medicare Enrolled/Month             
 
H_MAFF05  $MA2FLAG                     MA flag -  May                                    
                          8,700        FF                Original Medicare/FFS                   
                          6,442        MA                MA/Other Medicare Capitated Paymnt Plans
                            334        NO                Not Medicare Enrolled/Month             
 
H_MAFF06  $MA2FLAG                     MA flag -  Jun                                    
                          8,678        FF                Original Medicare/FFS                   
                          6,449        MA                MA/Other Medicare Capitated Paymnt Plans
                            349        NO                Not Medicare Enrolled/Month             
 
H_MAFF07  $MA2FLAG                     MA flag -  Jul                                    
                          8,653        FF                Original Medicare/FFS                   
                          6,448        MA                MA/Other Medicare Capitated Paymnt Plans
                            375        NO                Not Medicare Enrolled/Month             
 
H_MAFF08  $MA2FLAG                     MA flag -  Aug                                    
                          8,625        FF                Original Medicare/FFS                   
                          6,458        MA                MA/Other Medicare Capitated Paymnt Plans
                            393        NO                Not Medicare Enrolled/Month             
 
H_MAFF09  $MA2FLAG                     MA flag -  Sep                                    
                          8,595        FF                Original Medicare/FFS                   
                          6,455        MA                MA/Other Medicare Capitated Paymnt Plans
                            426        NO                Not Medicare Enrolled/Month             
 
H_MAFF10  $MA2FLAG                     MA flag -  Oct                                    
                          8,559        FF                Original Medicare/FFS                   
                          6,467        MA                MA/Other Medicare Capitated Paymnt Plans
                            450        NO                Not Medicare Enrolled/Month             
 
H_MAFF11  $MA2FLAG                     MA flag -  Nov                                    
                          8,521        FF                Original Medicare/FFS                   
                          6,461        MA                MA/Other Medicare Capitated Paymnt Plans
                            494        NO                Not Medicare Enrolled/Month             
 
H_MAFF12  $MA2FLAG                     MA flag -  Dec                                    
                          8,489        FF                Original Medicare/FFS                   
                          6,442        MA                MA/Other Medicare Capitated Paymnt Plans
                            545        NO                Not Medicare Enrolled/Month             
 
H_PNUM                                 Number of GHPs in bene area                       
                         15,476        Range of values   Range of values                         
 
H_MANUM                                Number of MA plans in bene area                   
                         15,476        Range of values   Range of values                         
 
H_PFSNUM                               Number of PFFS plans in bene area                 
                         15,476        Range of values   Range of values                         
 
H_CREDSW  CREDFMT                      Creditable Coverage Switch                        
                          2,020                       1  SP had at least 1 month cred. coverage  
                         13,456                       2  SP had no months of cred. coverage      
 
H_PRTC01                               Part C Contract ID - Jan                          
                            213        0                 Not Medicare Enrolled/Month             
                          6,410        Contract/Values   Contract/Segment/Plan ID                
                          8,853        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                          
                            233        0                 Not Medicare Enrolled/Month             
                          6,414        Contract/Values   Contract/Segment/Plan ID                
                          8,829        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                          
                            252        0                 Not Medicare Enrolled/Month             
                          6,434        Contract/Values   Contract/Segment/Plan ID                
                          8,790        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                          
                            289        0                 Not Medicare Enrolled/Month             
                          6,443        Contract/Values   Contract/Segment/Plan ID                
                          8,744        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                          
                            334        0                 Not Medicare Enrolled/Month             
                          6,442        Contract/Values   Contract/Segment/Plan ID                
                          8,700        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                          
                            349        0                 Not Medicare Enrolled/Month             
                          6,449        Contract/Values   Contract/Segment/Plan ID                
                          8,678        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                          
                            375        0                 Not Medicare Enrolled/Month             
                          6,448        Contract/Values   Contract/Segment/Plan ID                
                          8,653        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                          
                            393        0                 Not Medicare Enrolled/Month             
                          6,458        Contract/Values   Contract/Segment/Plan ID                
                          8,625        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                          
                            426        0                 Not Medicare Enrolled/Month             
                          6,455        Contract/Values   Contract/Segment/Plan ID                
                          8,595        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                          
                            450        0                 Not Medicare Enrolled/Month             
                          6,467        Contract/Values   Contract/Segment/Plan ID                
                          8,559        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                          
                            494        0                 Not Medicare Enrolled/Month             
                          6,461        Contract/Values   Contract/Segment/Plan ID                
                          8,521        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                          
                            545        0                 Not Medicare Enrolled/Month             
                          6,442        Contract/Values   Contract/Segment/Plan ID                
                          8,489        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan                 
                          9,092                          Inapplicable/Missing                    
                          6,384        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb                 
                          9,087                          Inapplicable/Missing                    
                          6,389        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar                 
                          9,067                          Inapplicable/Missing                    
                          6,409        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr                 
                          9,058                          Inapplicable/Missing                    
                          6,418        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May                 
                          9,060                          Inapplicable/Missing                    
                          6,416        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun                 
                          9,053                          Inapplicable/Missing                    
                          6,423        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul                 
                          9,054                          Inapplicable/Missing                    
                          6,422        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug                 
                          9,044                          Inapplicable/Missing                    
                          6,432        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep                 
                          9,047                          Inapplicable/Missing                    
                          6,429        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct                 
                          9,035                          Inapplicable/Missing                    
                          6,441        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov                 
                          9,041                          Inapplicable/Missing                    
                          6,435        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec                 
                          9,060                          Inapplicable/Missing                    
                          6,416        Contract/Values   Contract/Segment/Plan ID                
 
H_CTYP01  $PTYPFMT                     Part C Plan Type Code: Jan                        
                          9,066                          Inapplicable/Missing                    
                          3,188        01                Health Maintenance Organization (HMO)   
                            495        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,092        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             26        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             21        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            422        31                Regional PPO                            
                            104        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP02  $PTYPFMT                     Part C Plan Type Code: Feb                        
                          9,062                          Inapplicable/Missing                    
                          3,192        01                Health Maintenance Organization (HMO)   
                            495        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,094        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             26        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             22        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            422        31                Regional PPO                            
                            102        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP03  $PTYPFMT                     Part C Plan Type Code: Mar                        
                          9,042                          Inapplicable/Missing                    
                          3,197        01                Health Maintenance Organization (HMO)   
                            496        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,104        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             25        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             22        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            423        31                Regional PPO                            
                            106        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP04  $PTYPFMT                     Part C Plan Type Code: Apr                        
                          9,033                          Inapplicable/Missing                    
                          3,200        01                Health Maintenance Organization (HMO)   
                            495        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,112        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             21        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            421        31                Regional PPO                            
                            109        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP05  $PTYPFMT                     Part C Plan Type Code: May                        
                          9,034                          Inapplicable/Missing                    
                          3,210        01                Health Maintenance Organization (HMO)   
                            496        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,104        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             24        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            418        31                Regional PPO                            
                            108        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP06  $PTYPFMT                     Part C Plan Type Code: Jun                        
                          9,027                          Inapplicable/Missing                    
                          3,221        01                Health Maintenance Organization (HMO)   
                            496        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,108        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             23        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            412        31                Regional PPO                            
                            107        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP07  $PTYPFMT                     Part C Plan Type Code: Jul                        
                          9,028                          Inapplicable/Missing                    
                          3,222        01                Health Maintenance Organization (HMO)   
                            495        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,107        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             23        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            412        31                Regional PPO                            
                            107        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP08  $PTYPFMT                     Part C Plan Type Code: Aug                        
                          9,018                          Inapplicable/Missing                    
                          3,232        01                Health Maintenance Organization (HMO)   
                            500        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,102        04                Local Preferred Provider Org (PPO)      
                             37        09                PFFS                                    
                             22        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            410        31                Regional PPO                            
                            109        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP09  $PTYPFMT                     Part C Plan Type Code: Sep                        
                          9,021                          Inapplicable/Missing                    
                          3,235        01                Health Maintenance Organization (HMO)   
                            502        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,105        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             22        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            405        31                Regional PPO                            
                            106        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP10  $PTYPFMT                     Part C Plan Type Code: Oct                        
                          9,009                          Inapplicable/Missing                    
                          3,243        01                Health Maintenance Organization (HMO)   
                            502        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,108        04                Local Preferred Provider Org (PPO)      
                             34        09                PFFS                                    
                             22        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            406        31                Regional PPO                            
                            107        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP11  $PTYPFMT                     Part C Plan Type Code: Nov                        
                          9,015                          Inapplicable/Missing                    
                          3,241        01                Health Maintenance Organization (HMO)   
                            502        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,108        04                Local Preferred Provider Org (PPO)      
                             32        09                PFFS                                    
                             21        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            405        31                Regional PPO                            
                            107        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP12  $PTYPFMT                     Part C Plan Type Code: Dec                        
                          9,034                          Inapplicable/Missing                    
                          3,231        01                Health Maintenance Organization (HMO)   
                            497        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,106        04                Local Preferred Provider Org (PPO)      
                             32        09                PFFS                                    
                             21        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            405        31                Regional PPO                            
                            105        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_MAPMT   MONYFMT                      Total MA A/B Payment – Annual                     
                          2,674                       .  Inapplicable/Missing                    
                         12,802        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM01  MONYFMT                      Part C Premium - Jan                              
                         10,673                       .  Inapplicable/Missing                    
                          4,803        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02  MONYFMT                      Part C Premium - Feb                              
                         10,660                       .  Inapplicable/Missing                    
                          4,816        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03  MONYFMT                      Part C Premium - Mar                              
                         10,642                       .  Inapplicable/Missing                    
                          4,834        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04  MONYFMT                      Part C Premium - Apr                              
                         10,635                       .  Inapplicable/Missing                    
                          4,841        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05  MONYFMT                      Part C Premium - May                              
                         10,629                       .  Inapplicable/Missing                    
                          4,847        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06  MONYFMT                      Part C Premium - Jun                              
                         10,622                       .  Inapplicable/Missing                    
                          4,854        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07  MONYFMT                      Part C Premium - Jul                              
                         10,623                       .  Inapplicable/Missing                    
                          4,853        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08  MONYFMT                      Part C Premium - Aug                              
                         10,612                       .  Inapplicable/Missing                    
                          4,864        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09  MONYFMT                      Part C Premium - Sep                              
                         10,611                       .  Inapplicable/Missing                    
                          4,865        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10  MONYFMT                      Part C Premium - Oct                              
                         10,598                       .  Inapplicable/Missing                    
                          4,878        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11  MONYFMT                      Part C Premium - Nov                              
                         10,597                       .  Inapplicable/Missing                    
                          4,879        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12  MONYFMT                      Part C Premium - Dec                              
                         10,610                       .  Inapplicable/Missing                    
                          4,866        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                          
                              4                          Inapplicable/Missing                    
                            213        0                 Not Medicare Enrolled/Month             
                         12,252        Contract/Values   Contract/Segment/Plan ID                
                          3,007        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                          
                              6                          Inapplicable/Missing                    
                            233        0                 Not Medicare Enrolled/Month             
                         12,231        Contract/Values   Contract/Segment/Plan ID                
                          3,006        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                          
                              7                          Inapplicable/Missing                    
                            252        0                 Not Medicare Enrolled/Month             
                         12,207        Contract/Values   Contract/Segment/Plan ID                
                          3,010        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                          
                              7                          Inapplicable/Missing                    
                            289        0                 Not Medicare Enrolled/Month             
                         12,197        Contract/Values   Contract/Segment/Plan ID                
                          2,983        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                          
                              8                          Inapplicable/Missing                    
                            334        0                 Not Medicare Enrolled/Month             
                         12,171        Contract/Values   Contract/Segment/Plan ID                
                          2,963        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                          
                              8                          Inapplicable/Missing                    
                            349        0                 Not Medicare Enrolled/Month             
                         12,168        Contract/Values   Contract/Segment/Plan ID                
                          2,951        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                          
                              8                          Inapplicable/Missing                    
                            375        0                 Not Medicare Enrolled/Month             
                         12,151        Contract/Values   Contract/Segment/Plan ID                
                          2,942        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                          
                              3                          Inapplicable/Missing                    
                            393        0                 Not Medicare Enrolled/Month             
                         12,136        Contract/Values   Contract/Segment/Plan ID                
                          2,944        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                          
                              4                          Inapplicable/Missing                    
                            426        0                 Not Medicare Enrolled/Month             
                         12,117        Contract/Values   Contract/Segment/Plan ID                
                          2,929        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                          
                              4                          Inapplicable/Missing                    
                            450        0                 Not Medicare Enrolled/Month             
                         12,116        Contract/Values   Contract/Segment/Plan ID                
                          2,906        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                          
                              4                          Inapplicable/Missing                    
                            494        0                 Not Medicare Enrolled/Month             
                         12,096        Contract/Values   Contract/Segment/Plan ID                
                          2,882        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                          
                              4                          Inapplicable/Missing                    
                            545        0                 Not Medicare Enrolled/Month             
                         12,054        Contract/Values   Contract/Segment/Plan ID                
                          2,873        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan                 
                          3,224                          Inapplicable/Missing                    
                         12,252        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb                 
                          3,245                          Inapplicable/Missing                    
                         12,231        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar                 
                          3,269                          Inapplicable/Missing                    
                         12,207        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr                 
                          3,279                          Inapplicable/Missing                    
                         12,197        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May                 
                          3,305                          Inapplicable/Missing                    
                         12,171        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun                 
                          3,308                          Inapplicable/Missing                    
                         12,168        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul                 
                          3,325                          Inapplicable/Missing                    
                         12,151        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug                 
                          3,340                          Inapplicable/Missing                    
                         12,136        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep                 
                          3,359                          Inapplicable/Missing                    
                         12,117        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct                 
                          3,360                          Inapplicable/Missing                    
                         12,116        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov                 
                          3,380                          Inapplicable/Missing                    
                         12,096        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec                 
                          3,422                          Inapplicable/Missing                    
                         12,054        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: Jan                            
                          3,224                          Inapplicable/Missing                    
                         12,252        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: Feb                            
                          3,245                          Inapplicable/Missing                    
                         12,231        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: Mar                            
                          3,269                          Inapplicable/Missing                    
                         12,207        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: Apr                            
                          3,279                          Inapplicable/Missing                    
                         12,197        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                            
                          3,305                          Inapplicable/Missing                    
                         12,171        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: Jun                            
                          3,308                          Inapplicable/Missing                    
                         12,168        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: Jul                            
                          3,325                          Inapplicable/Missing                    
                         12,151        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: Aug                            
                          3,340                          Inapplicable/Missing                    
                         12,136        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: Sep                            
                          3,359                          Inapplicable/Missing                    
                         12,117        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: Oct                            
                          3,360                          Inapplicable/Missing                    
                         12,116        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: Nov                            
                          3,380                          Inapplicable/Missing                    
                         12,096        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: Dec                            
                          3,422                          Inapplicable/Missing                    
                         12,054        Contract/Values   Contract/Segment/Plan ID                
 
H_DTYP01  $PTYPFMT                     Part D Plan Type Code: Jan                        
                          3,224                          Inapplicable/Missing                    
                          3,111        01                Health Maintenance Organization (HMO)   
                            485        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,438        04                Local Preferred Provider Org (PPO)      
                             28        09                PFFS                                    
                              7        18                Section 1876 Cost                       
                             21        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,601        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            404        31                Regional PPO                            
                             17        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            104        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP02  $PTYPFMT                     Part D Plan Type Code: Feb                        
                          3,245                          Inapplicable/Missing                    
                          3,115        01                Health Maintenance Organization (HMO)   
                            486        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,439        04                Local Preferred Provider Org (PPO)      
                             28        09                PFFS                                    
                              7        18                Section 1876 Cost                       
                             22        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,571        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            406        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            102        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP03  $PTYPFMT                     Part D Plan Type Code: Mar                        
                          3,269                          Inapplicable/Missing                    
                          3,120        01                Health Maintenance Organization (HMO)   
                            487        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,449        04                Local Preferred Provider Org (PPO)      
                             28        09                PFFS                                    
                              7        18                Section 1876 Cost                       
                             22        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,524        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            407        31                Regional PPO                            
                             21        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            106        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP04  $PTYPFMT                     Part D Plan Type Code: Apr                        
                          3,279                          Inapplicable/Missing                    
                          3,123        01                Health Maintenance Organization (HMO)   
                            486        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,458        04                Local Preferred Provider Org (PPO)      
                             28        09                PFFS                                    
                              6        18                Section 1876 Cost                       
                             21        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,502        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            407        31                Regional PPO                            
                             21        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            109        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP05  $PTYPFMT                     Part D Plan Type Code: May                        
                          3,305                          Inapplicable/Missing                    
                          3,133        01                Health Maintenance Organization (HMO)   
                            487        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,456        04                Local Preferred Provider Org (PPO)      
                             28        09                PFFS                                    
                              6        18                Section 1876 Cost                       
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,476        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            404        31                Regional PPO                            
                             17        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            108        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP06  $PTYPFMT                     Part D Plan Type Code: Jun                        
                          3,308                          Inapplicable/Missing                    
                          3,144        01                Health Maintenance Organization (HMO)   
                            487        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,458        04                Local Preferred Provider Org (PPO)      
                             28        09                PFFS                                    
                              6        18                Section 1876 Cost                       
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,465        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            398        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            107        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP07  $PTYPFMT                     Part D Plan Type Code: Jul                        
                          3,325                          Inapplicable/Missing                    
                          3,144        01                Health Maintenance Organization (HMO)   
                            485        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,457        04                Local Preferred Provider Org (PPO)      
                             28        09                PFFS                                    
                              6        18                Section 1876 Cost                       
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,452        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            397        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            107        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP08  $PTYPFMT                     Part D Plan Type Code: Aug                        
                          3,340                          Inapplicable/Missing                    
                          3,154        01                Health Maintenance Organization (HMO)   
                            490        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,453        04                Local Preferred Provider Org (PPO)      
                             29        09                PFFS                                    
                              5        18                Section 1876 Cost                       
                             20        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,428        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            394        31                Regional PPO                            
                             18        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            109        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP09  $PTYPFMT                     Part D Plan Type Code: Sep                        
                          3,359                          Inapplicable/Missing                    
                          3,158        01                Health Maintenance Organization (HMO)   
                            491        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,456        04                Local Preferred Provider Org (PPO)      
                             28        09                PFFS                                    
                              5        18                Section 1876 Cost                       
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,414        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            389        31                Regional PPO                            
                             15        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            106        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP10  $PTYPFMT                     Part D Plan Type Code: Oct                        
                          3,360                          Inapplicable/Missing                    
                          3,166        01                Health Maintenance Organization (HMO)   
                            491        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,461        04                Local Preferred Provider Org (PPO)      
                             27        09                PFFS                                    
                              5        18                Section 1876 Cost                       
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,397        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            390        31                Regional PPO                            
                             17        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            107        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP11  $PTYPFMT                     Part D Plan Type Code: Nov                        
                          3,380                          Inapplicable/Missing                    
                          3,164        01                Health Maintenance Organization (HMO)   
                            491        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,463        04                Local Preferred Provider Org (PPO)      
                             25        09                PFFS                                    
                              4        18                Section 1876 Cost                       
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,382        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            389        31                Regional PPO                            
                             16        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            107        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP12  $PTYPFMT                     Part D Plan Type Code: Dec                        
                          3,422                          Inapplicable/Missing                    
                          3,154        01                Health Maintenance Organization (HMO)   
                            486        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,463        04                Local Preferred Provider Org (PPO)      
                             25        09                PFFS                                    
                              4        18                Section 1876 Cost                       
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,358        29                Medicare Prescription Drug Plan (PDP)   
                             36        30                Employer/Union Only Direct Contract PDP 
                            390        31                Regional PPO                            
                             14        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            105        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_PTDAMT  MONYFMT                      Part D Total Payment - Annual                     
                          2,674                       .  Inapplicable/Missing                    
                         12,802        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM01  MONYFMT                      Part D Premium - Jan                              
                          3,241                       .  Inapplicable/Missing                    
                         12,235        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02  MONYFMT                      Part D Premium - Feb                              
                          3,264                       .  Inapplicable/Missing                    
                         12,212        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03  MONYFMT                      Part D Premium - Mar                              
                          3,290                       .  Inapplicable/Missing                    
                         12,186        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04  MONYFMT                      Part D Premium - Apr                              
                          3,300                       .  Inapplicable/Missing                    
                         12,176        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05  MONYFMT                      Part D Premium - May                              
                          3,322                       .  Inapplicable/Missing                    
                         12,154        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06  MONYFMT                      Part D Premium - Jun                              
                          3,327                       .  Inapplicable/Missing                    
                         12,149        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07  MONYFMT                      Part D Premium - Jul                              
                          3,344                       .  Inapplicable/Missing                    
                         12,132        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08  MONYFMT                      Part D Premium - Aug                              
                          3,358                       .  Inapplicable/Missing                    
                         12,118        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09  MONYFMT                      Part D Premium - Sep                              
                          3,374                       .  Inapplicable/Missing                    
                         12,102        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10  MONYFMT                      Part D Premium - Oct                              
                          3,377                       .  Inapplicable/Missing                    
                         12,099        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11  MONYFMT                      Part D Premium - Nov                              
                          3,396                       .  Inapplicable/Missing                    
                         12,080        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12  MONYFMT                      Part D Premium - Dec                              
                          3,436                       .  Inapplicable/Missing                    
                         12,040        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01  MONYFMT                      Part D Deductible - Jan                           
                          5,187                       .  Inapplicable/Missing                    
                         10,289        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02  MONYFMT                      Part D Deductible - Feb                           
                          5,202                       .  Inapplicable/Missing                    
                         10,274        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03  MONYFMT                      Part D Deductible - Mar                           
                          5,224                       .  Inapplicable/Missing                    
                         10,252        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04  MONYFMT                      Part D Deductible - Apr                           
                          5,233                       .  Inapplicable/Missing                    
                         10,243        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05  MONYFMT                      Part D Deductible - May                           
                          5,248                       .  Inapplicable/Missing                    
                         10,228        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06  MONYFMT                      Part D Deductible - Jun                           
                          5,256                       .  Inapplicable/Missing                    
                         10,220        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07  MONYFMT                      Part D Deductible - Jul                           
                          5,266                       .  Inapplicable/Missing                    
                         10,210        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08  MONYFMT                      Part D Deductible - Aug                           
                          5,279                       .  Inapplicable/Missing                    
                         10,197        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09  MONYFMT                      Part D Deductible - Sep                           
                          5,291                       .  Inapplicable/Missing                    
                         10,185        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10  MONYFMT                      Part D Deductible - Oct                           
                          5,292                       .  Inapplicable/Missing                    
                         10,184        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11  MONYFMT                      Part D Deductible - Nov                           
                          5,304                       .  Inapplicable/Missing                    
                         10,172        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12  MONYFMT                      Part D Deductible - Dec                           
                          5,340                       .  Inapplicable/Missing                    
                         10,136        Range of values   Amount as $$$$$$.CC                     
 
H_EGWP01  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jan          
                          3,224                       .  Unknown                                 
                          1,925                       1  Yes                                     
                         10,327                       2  No                                      
 
H_EGWP02  YES8FMT                      PDP Employer Group Waiver Plan Ind - Feb          
                          3,245                       .  Unknown                                 
                          1,916                       1  Yes                                     
                         10,315                       2  No                                      
 
H_EGWP03  YES8FMT                      PDP Employer Group Waiver Plan Ind - Mar          
                          3,269                       .  Unknown                                 
                          1,912                       1  Yes                                     
                         10,295                       2  No                                      
 
H_EGWP04  YES8FMT                      PDP Employer Group Waiver Plan Ind - Apr          
                          3,279                       .  Unknown                                 
                          1,912                       1  Yes                                     
                         10,285                       2  No                                      
 
H_EGWP05  YES8FMT                      PDP Employer Group Waiver Plan Ind - May          
                          3,305                       .  Unknown                                 
                          1,906                       1  Yes                                     
                         10,265                       2  No                                      
 
H_EGWP06  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jun          
                          3,308                       .  Unknown                                 
                          1,909                       1  Yes                                     
                         10,259                       2  No                                      
 
H_EGWP07  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jul          
                          3,325                       .  Unknown                                 
                          1,902                       1  Yes                                     
                         10,249                       2  No                                      
 
H_EGWP08  YES8FMT                      PDP Employer Group Waiver Plan Ind - Aug          
                          3,340                       .  Unknown                                 
                          1,901                       1  Yes                                     
                         10,235                       2  No                                      
 
H_EGWP09  YES8FMT                      PDP Employer Group Waiver Plan Ind - Sep          
                          3,359                       .  Unknown                                 
                          1,898                       1  Yes                                     
                         10,219                       2  No                                      
 
H_EGWP10  YES8FMT                      PDP Employer Group Waiver Plan Ind - Oct          
                          3,360                       .  Unknown                                 
                          1,896                       1  Yes                                     
                         10,220                       2  No                                      
 
H_EGWP11  YES8FMT                      PDP Employer Group Waiver Plan Ind - Nov          
                          3,380                       .  Unknown                                 
                          1,889                       1  Yes                                     
                         10,207                       2  No                                      
 
H_EGWP12  YES8FMT                      PDP Employer Group Waiver Plan Ind - Dec          
                          3,422                       .  Unknown                                 
                          1,885                       1  Yes                                     
                         10,169                       2  No                                      
 
H_PDRS01  DRDSFMT                      RDS Indicator - Jan                               
                            217                       .  Unknown                                 
                            388                       1  Employer subsidized for the beneficiary 
                         14,871                       2  Employer not subsidized for the benefici
 
H_PDRS02  DRDSFMT                      RDS Indicator - Feb                               
                            239                       .  Unknown                                 
                            379                       1  Employer subsidized for the beneficiary 
                         14,858                       2  Employer not subsidized for the benefici
 
H_PDRS03  DRDSFMT                      RDS Indicator - Mar                               
                            259                       .  Unknown                                 
                            383                       1  Employer subsidized for the beneficiary 
                         14,834                       2  Employer not subsidized for the benefici
 
H_PDRS04  DRDSFMT                      RDS Indicator - Apr                               
                            296                       .  Unknown                                 
                            382                       1  Employer subsidized for the beneficiary 
                         14,798                       2  Employer not subsidized for the benefici
 
H_PDRS05  DRDSFMT                      RDS Indicator - May                               
                            342                       .  Unknown                                 
                            380                       1  Employer subsidized for the beneficiary 
                         14,754                       2  Employer not subsidized for the benefici
 
H_PDRS06  DRDSFMT                      RDS Indicator - Jun                               
                            357                       .  Unknown                                 
                            378                       1  Employer subsidized for the beneficiary 
                         14,741                       2  Employer not subsidized for the benefici
 
H_PDRS07  DRDSFMT                      RDS Indicator - Jul                               
                            383                       .  Unknown                                 
                            375                       1  Employer subsidized for the beneficiary 
                         14,718                       2  Employer not subsidized for the benefici
 
H_PDRS08  DRDSFMT                      RDS Indicator - Aug                               
                            396                       .  Unknown                                 
                            376                       1  Employer subsidized for the beneficiary 
                         14,704                       2  Employer not subsidized for the benefici
 
H_PDRS09  DRDSFMT                      RDS Indicator - Sep                               
                            430                       .  Unknown                                 
                            375                       1  Employer subsidized for the beneficiary 
                         14,671                       2  Employer not subsidized for the benefici
 
H_PDRS10  DRDSFMT                      RDS Indicator - Oct                               
                            454                       .  Unknown                                 
                            374                       1  Employer subsidized for the beneficiary 
                         14,648                       2  Employer not subsidized for the benefici
 
H_PDRS11  DRDSFMT                      RDS Indicator - Nov                               
                            498                       .  Unknown                                 
                            373                       1  Employer subsidized for the beneficiary 
                         14,605                       2  Employer not subsidized for the benefici
 
H_PDRS12  DRDSFMT                      RDS Indicator - Dec                               
                            549                       .  Unknown                                 
                            371                       1  Employer subsidized for the beneficiary 
                         14,556                       2  Employer not subsidized for the benefici
 
H_PTAPRM  MONYFMT                      Total Pt. A premium SP paid in CY                 
                         15,476        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM  MONYFMT                      Total Pt. B premium SP paid in CY                 
                         15,476        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM  MONYFMT                      Estimate TotPrem: A+B+C+D+SurveyOnlyPlan          
                         15,476        Range of values   Amount as $$$$$$.CC                     
         Notes:  See Data User Guide FAQ for explanation of this variable.
 
H_PRGID   $PRIDFMT                     CMS Prog ID – Payment Model                       
                         12,069                          Inapplicable/Missing                    
                              3        01                IAH Practice Demonstration - Active     
                          2,595        08                Medicare SSP - Active                   
                             21        11                MMCO Financ Alignment Demo(Duals)-Active
                             23        18                Comprehensive ESRD Care (CEC) - Active  
                            313        21                Next Generation ACO (NGACO) - Active    
                            171        22                CPC+, non-SSP Participants - Active     
                            217        23                CPC+, SSP Participants - Active         
                             64        56                Maryland TotCostCare:PrimCareProg–Active
 
H_PRGID2  $PRIDFMT                     2nd CMS Prog ID – Payment Model                   
                         15,280                          Inapplicable/Missing                    
                            167        08                Medicare SSP - Active                   
                              1        18                Comprehensive ESRD Care (CEC) - Active  
                              3        22                CPC+, non-SSP Participants - Active     
                             16        23                CPC+, SSP Participants - Active         
                              9        56                Maryland TotCostCare:PrimCareProg–Active
 
H_PRGID3  $PRIDFMT                     3rd  CMS Prog ID – Payment Model                  
                         15,471                          Inapplicable/Missing                    
                              3        23                CPC+, SSP Participants - Active         
                              2        56                Maryland TotCostCare:PrimCareProg–Active
 
