Variable  Format    Q#/Freq           Description/Label
 
BASEID    $BSIDFMT                     Unique SP Identification Number                   
                         14,227        LOW-HIGH          BASEID Count                            
 
SURVEYYR  SVYRFMT                      Survey Year                                       
                         14,227                    2021  2021                                    
 
VERSION   VERSFMT                      Version Number                                    
                         14,227                       2  Version 2                               
 
H_DOE     MMDDYYn8                     Medicare entitlement start date                   
                         14,227        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT     MMDDYYn8                     Medicare entitlement end date                     
                         13,709                       .  Inapplicable                            
                            518        MMDDYYYY          Date as MMDDYYYY                        
 
H_MEDSTA  $MSCFMT                      Medicare status code as of 12/31                  
                         11,751        10                Aged, no ESRD                           
                             72        11                Aged, ESRD                              
                          2,333        20                Disabled, no ESRD                       
                             52        21                Disabled, ESRD                          
                             19        31                ESRD only                               
 
H_GHPSW   GHPSW                        Some group health participation in year           
                          6,776                       1  Some enrollment                         
                          7,451                       2  No enrollment                           
 
H_ESRBEG  MMDDYYn8                     Beginning date of ESRD period                     
                         14,055                       .  Inapplicable                            
                            172        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND  MMDDYYn8                     Ending date of ESRD period                        
                         14,181                       .  Inapplicable                            
                             46        MMDDYYYY          Date as MMDDYYYY                        
 
H_MACY01                               Buy-in agency - Jan                               
                          2,839        Values/Codes      State Agency code                       
                         11,388        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                               
                          2,846        Values/Codes      State Agency code                       
                         11,381        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                               
                          2,864        Values/Codes      State Agency code                       
                         11,363        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                               
                          2,877        Values/Codes      State Agency code                       
                         11,350        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                               
                          2,885        Values/Codes      State Agency code                       
                         11,342        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                               
                          2,890        Values/Codes      State Agency code                       
                         11,337        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                               
                          2,891        Values/Codes      State Agency code                       
                         11,336        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                               
                          2,899        Values/Codes      State Agency code                       
                         11,328        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                               
                          2,911        Values/Codes      State Agency code                       
                         11,316        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                               
                          2,915        Values/Codes      State Agency code                       
                         11,312        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                               
                          2,910        Values/Codes      State Agency code                       
                         11,317        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                               
                          2,910        Values/Codes      State Agency code                       
                         11,317        N                 Unknown, or no buy-in                   
 
H_MCDE01  $MCDCFMT                     Medicaid eligibility - Jan                        
                              2        A                 State Part A buy-in                     
                            989        B                 State Part B buy-in                     
                             60        C                 State Part A and B buy-in               
                            101        D                 State Part A and B QMB buy-in           
                         11,380        N                 No buy-in this month                    
                          1,336        Q                 State Part B QMB buy-in                 
                            359        S                 State Part B SLMB buy-in                
 
H_MCDE02  $MCDCFMT                     Medicaid eligibility - Feb                        
                              2        A                 State Part A buy-in                     
                            995        B                 State Part B buy-in                     
                             60        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         11,373        N                 No buy-in this month                    
                          1,340        Q                 State Part B QMB buy-in                 
                            357        S                 State Part B SLMB buy-in                
 
H_MCDE03  $MCDCFMT                     Medicaid eligibility - Mar                        
                              3        A                 State Part A buy-in                     
                            999        B                 State Part B buy-in                     
                             60        C                 State Part A and B buy-in               
                             99        D                 State Part A and B QMB buy-in           
                         11,355        N                 No buy-in this month                    
                          1,353        Q                 State Part B QMB buy-in                 
                            358        S                 State Part B SLMB buy-in                
 
H_MCDE04  $MCDCFMT                     Medicaid eligibility - Apr                        
                              3        A                 State Part A buy-in                     
                          1,006        B                 State Part B buy-in                     
                             60        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         11,342        N                 No buy-in this month                    
                          1,357        Q                 State Part B QMB buy-in                 
                            359        S                 State Part B SLMB buy-in                
 
H_MCDE05  $MCDCFMT                     Medicaid eligibility - May                        
                              2        A                 State Part A buy-in                     
                          1,014        B                 State Part B buy-in                     
                             59        C                 State Part A and B buy-in               
                             99        D                 State Part A and B QMB buy-in           
                         11,334        N                 No buy-in this month                    
                          1,357        Q                 State Part B QMB buy-in                 
                            362        S                 State Part B SLMB buy-in                
 
H_MCDE06  $MCDCFMT                     Medicaid eligibility - Jun                        
                              2        A                 State Part A buy-in                     
                          1,017        B                 State Part B buy-in                     
                             59        C                 State Part A and B buy-in               
                             98        D                 State Part A and B QMB buy-in           
                         11,329        N                 No buy-in this month                    
                          1,359        Q                 State Part B QMB buy-in                 
                            363        S                 State Part B SLMB buy-in                
 
H_MCDE07  $MCDCFMT                     Medicaid eligibility - Jul                        
                              2        A                 State Part A buy-in                     
                          1,015        B                 State Part B buy-in                     
                             59        C                 State Part A and B buy-in               
                             99        D                 State Part A and B QMB buy-in           
                         11,328        N                 No buy-in this month                    
                          1,362        Q                 State Part B QMB buy-in                 
                            362        S                 State Part B SLMB buy-in                
 
H_MCDE08  $MCDCFMT                     Medicaid eligibility - Aug                        
                              1        A                 State Part A buy-in                     
                          1,016        B                 State Part B buy-in                     
                             60        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         11,320        N                 No buy-in this month                    
                          1,367        Q                 State Part B QMB buy-in                 
                            363        S                 State Part B SLMB buy-in                
 
H_MCDE09  $MCDCFMT                     Medicaid eligibility - Sep                        
                          1,024        B                 State Part B buy-in                     
                             62        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         11,308        N                 No buy-in this month                    
                          1,366        Q                 State Part B QMB buy-in                 
                            367        S                 State Part B SLMB buy-in                
 
H_MCDE10  $MCDCFMT                     Medicaid eligibility - Oct                        
                          1,024        B                 State Part B buy-in                     
                             62        C                 State Part A and B buy-in               
                             99        D                 State Part A and B QMB buy-in           
                         11,304        N                 No buy-in this month                    
                          1,370        Q                 State Part B QMB buy-in                 
                            368        S                 State Part B SLMB buy-in                
 
H_MCDE11  $MCDCFMT                     Medicaid eligibility - Nov                        
                          1,027        B                 State Part B buy-in                     
                             61        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         11,309        N                 No buy-in this month                    
                          1,364        Q                 State Part B QMB buy-in                 
                            366        S                 State Part B SLMB buy-in                
 
H_MCDE12  $MCDCFMT                     Medicaid eligibility - Dec                        
                          1,030        B                 State Part B buy-in                     
                             61        C                 State Part A and B buy-in               
                            101        D                 State Part A and B QMB buy-in           
                         11,308        N                 No buy-in this month                    
                          1,361        Q                 State Part B QMB buy-in                 
                            366        S                 State Part B SLMB buy-in                
 
H_MCSW    SWFMT                        Some Medicaid eligibility for the year            
                          3,049                       1  Some participation                      
                         11,178                       2  No participation                        
 
H_DUAL01  $DUALMON                     Dual eligibility code - Jan                       
                            209        00                Not enrolled in Medicare for the month  
                            427        01                QMB-only                                
                          1,689        02                QMB & full Medicaid covrge, + Rx drugs  
                            267        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            147        06                Qualifying individuals                  
                            607        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         10,761        NA                Non-Medicaid                            
 
H_DUAL02  $DUALMON                     Dual eligibility code - Feb                       
                            243        00                Not enrolled in Medicare for the month  
                            431        01                QMB-only                                
                          1,689        02                QMB & full Medicaid covrge, + Rx drugs  
                            263        03                SLMB-only                               
                            121        04                SLMB & full Medicaid covrge, + Rx drugs 
                            148        06                Qualifying individuals                  
                            608        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,724        NA                Non-Medicaid                            
 
H_DUAL03  $DUALMON                     Dual eligibility code - Mar                       
                            252        00                Not enrolled in Medicare for the month  
                            437        01                QMB-only                                
                          1,697        02                QMB & full Medicaid covrge, + Rx drugs  
                            257        03                SLMB-only                               
                            122        04                SLMB & full Medicaid covrge, + Rx drugs 
                            152        06                Qualifying individuals                  
                            607        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,703        NA                Non-Medicaid                            
 
H_DUAL04  $DUALMON                     Dual eligibility code - Apr                       
                            282        00                Not enrolled in Medicare for the month  
                            442        01                QMB-only                                
                          1,696        02                QMB & full Medicaid covrge, + Rx drugs  
                            258        03                SLMB-only                               
                            120        04                SLMB & full Medicaid covrge, + Rx drugs 
                            148        06                Qualifying individuals                  
                            619        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,662        NA                Non-Medicaid                            
 
H_DUAL05  $DUALMON                     Dual eligibility code - May                       
                            293        00                Not enrolled in Medicare for the month  
                            445        01                QMB-only                                
                          1,693        02                QMB & full Medicaid covrge, + Rx drugs  
                            256        03                SLMB-only                               
                            121        04                SLMB & full Medicaid covrge, + Rx drugs 
                            150        06                Qualifying individuals                  
                            622        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,647        NA                Non-Medicaid                            
 
H_DUAL06  $DUALMON                     Dual eligibility code - Jun                       
                            320        00                Not enrolled in Medicare for the month  
                            448        01                QMB-only                                
                          1,689        02                QMB & full Medicaid covrge, + Rx drugs  
                            255        03                SLMB-only                               
                            125        04                SLMB & full Medicaid covrge, + Rx drugs 
                            148        06                Qualifying individuals                  
                            620        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,622        NA                Non-Medicaid                            
 
H_DUAL07  $DUALMON                     Dual eligibility code - Jul                       
                            325        00                Not enrolled in Medicare for the month  
                            451        01                QMB-only                                
                          1,687        02                QMB & full Medicaid covrge, + Rx drugs  
                            255        03                SLMB-only                               
                            125        04                SLMB & full Medicaid covrge, + Rx drugs 
                            148        06                Qualifying individuals                  
                            618        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,618        NA                Non-Medicaid                            
 
H_DUAL08  $DUALMON                     Dual eligibility code - Aug                       
                            336        00                Not enrolled in Medicare for the month  
                            450        01                QMB-only                                
                          1,692        02                QMB & full Medicaid covrge, + Rx drugs  
                            254        03                SLMB-only                               
                            127        04                SLMB & full Medicaid covrge, + Rx drugs 
                            148        06                Qualifying individuals                  
                            615        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,605        NA                Non-Medicaid                            
 
H_DUAL09  $DUALMON                     Dual eligibility code - Sep                       
                            341        00                Not enrolled in Medicare for the month  
                            452        01                QMB-only                                
                          1,695        02                QMB & full Medicaid covrge, + Rx drugs  
                            258        03                SLMB-only                               
                            124        04                SLMB & full Medicaid covrge, + Rx drugs 
                            148        06                Qualifying individuals                  
                            620        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,589        NA                Non-Medicaid                            
 
H_DUAL10  $DUALMON                     Dual eligibility code - Oct                       
                            377        00                Not enrolled in Medicare for the month  
                            454        01                QMB-only                                
                          1,686        02                QMB & full Medicaid covrge, + Rx drugs  
                            256        03                SLMB-only                               
                            127        04                SLMB & full Medicaid covrge, + Rx drugs 
                            148        06                Qualifying individuals                  
                            619        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,560        NA                Non-Medicaid                            
 
H_DUAL11  $DUALMON                     Dual eligibility code - Nov                       
                            416        00                Not enrolled in Medicare for the month  
                            450        01                QMB-only                                
                          1,685        02                QMB & full Medicaid covrge, + Rx drugs  
                            259        03                SLMB-only                               
                            124        04                SLMB & full Medicaid covrge, + Rx drugs 
                            146        06                Qualifying individuals                  
                            623        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,524        NA                Non-Medicaid                            
 
H_DUAL12  $DUALMON                     Dual eligibility code - Dec                       
                            465        00                Not enrolled in Medicare for the month  
                            446        01                QMB-only                                
                          1,680        02                QMB & full Medicaid covrge, + Rx drugs  
                            258        03                SLMB-only                               
                            125        04                SLMB & full Medicaid covrge, + Rx drugs 
                            147        06                Qualifying individuals                  
                            618        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,488        NA                Non-Medicaid                            
 
H_OPMDCD  DUALFMT                      Medicare-Medicaid dual eligibility indic          
                          2,583                       1  FULL-Bene elig. full Medicaid benefits  
                         10,772                       2  NONDUAL-Bene not elig Medicaid benfits  
                            416                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            456                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PDLS01  $DLSFMT                      LIS Indicator - Jan                               
                            209        00                Not Medicare enrolled for the month     
                          1,030        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,314        02                Pt A and/or B +D;elig LIS 100%,low copay
                            903        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            277        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             17        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
                             33        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             30        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,808        09                Pt A and/or B +D;no prem or cstshare sub
                            307        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,270        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS02  $DLSFMT                      LIS Indicator - Feb                               
                            243        00                Not Medicare enrolled for the month     
                          1,028        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,322        02                Pt A and/or B +D;elig LIS 100%,low copay
                            903        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            274        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             17        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
                             36        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             28        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,792        09                Pt A and/or B +D;no prem or cstshare sub
                            308        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,249        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS03  $DLSFMT                      LIS Indicator - Mar                               
                            252        00                Not Medicare enrolled for the month     
                          1,037        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,319        02                Pt A and/or B +D;elig LIS 100%,low copay
                            909        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            270        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             17        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
                             36        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             28        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,780        09                Pt A and/or B +D;no prem or cstshare sub
                            308        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,243        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS04  $DLSFMT                      LIS Indicator - Apr                               
                            282        00                Not Medicare enrolled for the month     
                          1,040        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,326        02                Pt A and/or B +D;elig LIS 100%,low copay
                            905        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            270        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             17        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
                             33        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             23        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,757        09                Pt A and/or B +D;no prem or cstshare sub
                            308        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,239        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS05  $DLSFMT                      LIS Indicator - May                               
                            293        00                Not Medicare enrolled for the month     
                          1,044        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,327        02                Pt A and/or B +D;elig LIS 100%,low copay
                            904        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            267        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             16        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
                             32        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             23        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,751        09                Pt A and/or B +D;no prem or cstshare sub
                            310        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,233        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS06  $DLSFMT                      LIS Indicator - Jun                               
                            320        00                Not Medicare enrolled for the month     
                          1,043        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,332        02                Pt A and/or B +D;elig LIS 100%,low copay
                            903        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            267        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             16        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
                             33        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,735        09                Pt A and/or B +D;no prem or cstshare sub
                            309        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,220        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS07  $DLSFMT                      LIS Indicator - Jul                               
                            325        00                Not Medicare enrolled for the month     
                          1,037        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,336        02                Pt A and/or B +D;elig LIS 100%,low copay
                            899        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            267        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             16        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             26        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             33        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,744        09                Pt A and/or B +D;no prem or cstshare sub
                            307        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,215        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS08  $DLSFMT                      LIS Indicator - Aug                               
                            336        00                Not Medicare enrolled for the month     
                          1,035        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,339        02                Pt A and/or B +D;elig LIS 100%,low copay
                            894        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            266        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             16        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             26        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             33        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             22        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,752        09                Pt A and/or B +D;no prem or cstshare sub
                            306        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,202        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS09  $DLSFMT                      LIS Indicator - Sep                               
                            341        00                Not Medicare enrolled for the month     
                          1,041        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,344        02                Pt A and/or B +D;elig LIS 100%,low copay
                            898        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            264        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             26        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             33        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             24        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,749        09                Pt A and/or B +D;no prem or cstshare sub
                            306        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,186        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS10  $DLSFMT                      LIS Indicator - Oct                               
                            377        00                Not Medicare enrolled for the month     
                          1,038        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,338        02                Pt A and/or B +D;elig LIS 100%,low copay
                            899        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            265        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             26        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             33        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             25        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,729        09                Pt A and/or B +D;no prem or cstshare sub
                            303        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,179        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS11  $DLSFMT                      LIS Indicator - Nov                               
                            416        00                Not Medicare enrolled for the month     
                          1,033        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,341        02                Pt A and/or B +D;elig LIS 100%,low copay
                            895        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            265        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             26        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             33        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             25        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,715        09                Pt A and/or B +D;no prem or cstshare sub
                            302        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,161        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS12  $DLSFMT                      LIS Indicator - Dec                               
                            465        00                Not Medicare enrolled for the month     
                          1,032        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,338        02                Pt A and/or B +D;elig LIS 100%,low copay
                            892        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            267        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             15        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             26        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             34        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             25        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,686        09                Pt A and/or B +D;no prem or cstshare sub
                            300        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,147        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PLPY01  MONYFMT                      Medicare capitation payment - Jan                 
                          2,605                       .  Inapplicable/Missing                    
                         11,622        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02  MONYFMT                      Medicare capitation payment - Feb                 
                          2,621                       .  Inapplicable/Missing                    
                         11,606        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03  MONYFMT                      Medicare capitation payment - Mar                 
                          2,625                       .  Inapplicable/Missing                    
                         11,602        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04  MONYFMT                      Medicare capitation payment - Apr                 
                          2,649                       .  Inapplicable/Missing                    
                         11,578        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05  MONYFMT                      Medicare capitation payment - May                 
                          2,655                       .  Inapplicable/Missing                    
                         11,572        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06  MONYFMT                      Medicare capitation payment - Jun                 
                          2,668                       .  Inapplicable/Missing                    
                         11,559        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07  MONYFMT                      Medicare capitation payment - Jul                 
                          2,666                       .  Inapplicable/Missing                    
                         11,561        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08  MONYFMT                      Medicare capitation payment - Aug                 
                          2,658                       .  Inapplicable/Missing                    
                         11,569        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09  MONYFMT                      Medicare capitation payment - Sep                 
                          2,646                       .  Inapplicable/Missing                    
                         11,581        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10  MONYFMT                      Medicare capitation payment - Oct                 
                          2,670                       .  Inapplicable/Missing                    
                         11,557        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11  MONYFMT                      Medicare capitation payment - Nov                 
                          2,691                       .  Inapplicable/Missing                    
                         11,536        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12  MONYFMT                      Medicare capitation payment - Dec                 
                          2,721                       .  Inapplicable/Missing                    
                         11,506        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY01  MONYFMT                      Part D capitation payment - Jan                   
                          2,605                       .  Inapplicable/Missing                    
                         11,622        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02  MONYFMT                      Part D capitation payment - Feb                   
                          2,621                       .  Inapplicable/Missing                    
                         11,606        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03  MONYFMT                      Part D capitation payment - Mar                   
                          2,625                       .  Inapplicable/Missing                    
                         11,602        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04  MONYFMT                      Part D capitation payment - Apr                   
                          2,649                       .  Inapplicable/Missing                    
                         11,578        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05  MONYFMT                      Part D capitation payment - May                   
                          2,655                       .  Inapplicable/Missing                    
                         11,572        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06  MONYFMT                      Part D capitation payment - Jun                   
                          2,668                       .  Inapplicable/Missing                    
                         11,559        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07  MONYFMT                      Part D capitation payment - Jul                   
                          2,666                       .  Inapplicable/Missing                    
                         11,561        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08  MONYFMT                      Part D capitation payment - Aug                   
                          2,658                       .  Inapplicable/Missing                    
                         11,569        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09  MONYFMT                      Part D capitation payment - Sep                   
                          2,646                       .  Inapplicable/Missing                    
                         11,581        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10  MONYFMT                      Part D capitation payment - Oct                   
                          2,670                       .  Inapplicable/Missing                    
                         11,557        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11  MONYFMT                      Part D capitation payment - Nov                   
                          2,691                       .  Inapplicable/Missing                    
                         11,536        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12  MONYFMT                      Part D capitation payment - Dec                   
                          2,721                       .  Inapplicable/Missing                    
                         11,506        Range of values   Amount as $$$$$$.CC                     
 
H_PRPY01  $MSPCODE                     Primary Payer                                     
                         13,886                          Medicare is Primary                     
                            155        A                 Working Aged                            
                              6        B                 ESRD                                    
                              5        C                 Condition/Reimbursement Anticipated     
                             18        D                 Automobile No Fault                     
                              6        E                 Workers’ comp                           
                              4        F                 Public Health/federal                   
                             72        G                 Working Disabled                        
                              1        I                 VA                                      
                             21        L                 Any liability                           
                              6        M                 Override Code M                         
                             46        N                 Override Code N                         
                              1        W                 WCMSA                                   
 
H_PRPY02  $MSPCODE                     Primary Payer, 2nd code                           
                         14,152                          Medicare is Primary                     
                             14        A                 Working Aged                            
                              4        B                 ESRD                                    
                             20        C                 Condition/Reimbursement Anticipated     
                              5        D                 Automobile No Fault                     
                              1        F                 Public Health/federal                   
                              7        G                 Working Disabled                        
                              7        L                 Any liability                           
                              8        M                 Override Code M                         
                              8        N                 Override Code N                         
                              1        W                 WCMSA                                   
 
H_PRPY03  $MSPCODE                     Primary Payer, 3rd code                           
                         14,215                          Medicare is Primary                     
                              2        A                 Working Aged                            
                              3        C                 Condition/Reimbursement Anticipated     
                              2        D                 Automobile No Fault                     
                              1        G                 Working Disabled                        
                              1        L                 Any liability                           
                              3        M                 Override Code M                         
 
H_MAFF01  $MA2FLAG                     MA flag -  Jan                                    
                          7,591        FF                Original Medicare/FFS                   
                          6,427        MA                MA/Other Medicare Capitated Paymnt Plans
                            209        NO                Not Medicare Enrolled/Month             
 
H_MAFF02  $MA2FLAG                     MA flag -  Feb                                    
                          7,537        FF                Original Medicare/FFS                   
                          6,447        MA                MA/Other Medicare Capitated Paymnt Plans
                            243        NO                Not Medicare Enrolled/Month             
 
H_MAFF03  $MA2FLAG                     MA flag -  Mar                                    
                          7,525        FF                Original Medicare/FFS                   
                          6,450        MA                MA/Other Medicare Capitated Paymnt Plans
                            252        NO                Not Medicare Enrolled/Month             
 
H_MAFF04  $MA2FLAG                     MA flag -  Apr                                    
                          7,490        FF                Original Medicare/FFS                   
                          6,455        MA                MA/Other Medicare Capitated Paymnt Plans
                            282        NO                Not Medicare Enrolled/Month             
 
H_MAFF05  $MA2FLAG                     MA flag -  May                                    
                          7,463        FF                Original Medicare/FFS                   
                          6,471        MA                MA/Other Medicare Capitated Paymnt Plans
                            293        NO                Not Medicare Enrolled/Month             
 
H_MAFF06  $MA2FLAG                     MA flag -  Jun                                    
                          7,440        FF                Original Medicare/FFS                   
                          6,467        MA                MA/Other Medicare Capitated Paymnt Plans
                            320        NO                Not Medicare Enrolled/Month             
 
H_MAFF07  $MA2FLAG                     MA flag -  Jul                                    
                          7,420        FF                Original Medicare/FFS                   
                          6,482        MA                MA/Other Medicare Capitated Paymnt Plans
                            325        NO                Not Medicare Enrolled/Month             
 
H_MAFF08  $MA2FLAG                     MA flag -  Aug                                    
                          7,385        FF                Original Medicare/FFS                   
                          6,506        MA                MA/Other Medicare Capitated Paymnt Plans
                            336        NO                Not Medicare Enrolled/Month             
 
H_MAFF09  $MA2FLAG                     MA flag -  Sep                                    
                          7,365        FF                Original Medicare/FFS                   
                          6,521        MA                MA/Other Medicare Capitated Paymnt Plans
                            341        NO                Not Medicare Enrolled/Month             
 
H_MAFF10  $MA2FLAG                     MA flag -  Oct                                    
                          7,328        FF                Original Medicare/FFS                   
                          6,522        MA                MA/Other Medicare Capitated Paymnt Plans
                            377        NO                Not Medicare Enrolled/Month             
 
H_MAFF11  $MA2FLAG                     MA flag -  Nov                                    
                          7,289        FF                Original Medicare/FFS                   
                          6,522        MA                MA/Other Medicare Capitated Paymnt Plans
                            416        NO                Not Medicare Enrolled/Month             
 
H_MAFF12  $MA2FLAG                     MA flag -  Dec                                    
                          7,263        FF                Original Medicare/FFS                   
                          6,499        MA                MA/Other Medicare Capitated Paymnt Plans
                            465        NO                Not Medicare Enrolled/Month             
 
H_PNUM                                 Number of GHPs in bene area                       
                         14,227        Range of values   Range of values                         
 
H_MANUM                                Number of MA plans in bene area                   
                         14,227        Range of values   Range of values                         
 
H_PFSNUM                               Number of PFFS plans in bene area                 
                         14,227        Range of values   Range of values                         
 
H_CREDSW  CREDFMT                      Creditable Coverage Switch                        
                          1,783                       1  SP had at least 1 month cred. coverage  
                         12,444                       2  SP had no months of cred. coverage      
 
H_PRTC01                               Part C Contract ID - Jan                          
                            209        0                 Not Medicare Enrolled/Month             
                          6,427        Contract/Values   Contract/Segment/Plan ID                
                          7,591        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                          
                            243        0                 Not Medicare Enrolled/Month             
                          6,447        Contract/Values   Contract/Segment/Plan ID                
                          7,537        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                          
                            252        0                 Not Medicare Enrolled/Month             
                          6,450        Contract/Values   Contract/Segment/Plan ID                
                          7,525        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                          
                            282        0                 Not Medicare Enrolled/Month             
                          6,455        Contract/Values   Contract/Segment/Plan ID                
                          7,490        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                          
                            293        0                 Not Medicare Enrolled/Month             
                          6,471        Contract/Values   Contract/Segment/Plan ID                
                          7,463        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                          
                            320        0                 Not Medicare Enrolled/Month             
                          6,467        Contract/Values   Contract/Segment/Plan ID                
                          7,440        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                          
                            325        0                 Not Medicare Enrolled/Month             
                          6,482        Contract/Values   Contract/Segment/Plan ID                
                          7,420        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                          
                            336        0                 Not Medicare Enrolled/Month             
                          6,506        Contract/Values   Contract/Segment/Plan ID                
                          7,385        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                          
                            341        0                 Not Medicare Enrolled/Month             
                          6,521        Contract/Values   Contract/Segment/Plan ID                
                          7,365        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                          
                            377        0                 Not Medicare Enrolled/Month             
                          6,522        Contract/Values   Contract/Segment/Plan ID                
                          7,328        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                          
                            416        0                 Not Medicare Enrolled/Month             
                          6,522        Contract/Values   Contract/Segment/Plan ID                
                          7,289        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                          
                            465        0                 Not Medicare Enrolled/Month             
                          6,499        Contract/Values   Contract/Segment/Plan ID                
                          7,263        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan                 
                          7,821                          Inapplicable/Missing                    
                          6,406        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb                 
                          7,801                          Inapplicable/Missing                    
                          6,426        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar                 
                          7,798                          Inapplicable/Missing                    
                          6,429        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr                 
                          7,793                          Inapplicable/Missing                    
                          6,434        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May                 
                          7,777                          Inapplicable/Missing                    
                          6,450        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun                 
                          7,781                          Inapplicable/Missing                    
                          6,446        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul                 
                          7,766                          Inapplicable/Missing                    
                          6,461        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug                 
                          7,742                          Inapplicable/Missing                    
                          6,485        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep                 
                          7,727                          Inapplicable/Missing                    
                          6,500        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct                 
                          7,726                          Inapplicable/Missing                    
                          6,501        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov                 
                          7,726                          Inapplicable/Missing                    
                          6,501        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec                 
                          7,749                          Inapplicable/Missing                    
                          6,478        Contract/Values   Contract/Segment/Plan ID                
 
H_CTYP01  $PTYPFMT                     Part C Plan Type Code: Jan                        
                          7,800                          Inapplicable/Missing                    
                          3,156        01                Health Maintenance Organization (HMO)   
                            488        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,278        04                Local Preferred Provider Org (PPO)      
                             20        09                PFFS                                    
                             19        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            308        31                Regional PPO                            
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP02  $PTYPFMT                     Part C Plan Type Code: Feb                        
                          7,780                          Inapplicable/Missing                    
                          3,173        01                Health Maintenance Organization (HMO)   
                            491        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,284        04                Local Preferred Provider Org (PPO)      
                             18        09                PFFS                                    
                             19        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            306        31                Regional PPO                            
                            117        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP03  $PTYPFMT                     Part C Plan Type Code: Mar                        
                          7,777                          Inapplicable/Missing                    
                          3,185        01                Health Maintenance Organization (HMO)   
                            484        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,292        04                Local Preferred Provider Org (PPO)      
                             17        09                PFFS                                    
                             19        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            297        31                Regional PPO                            
                            117        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP04  $PTYPFMT                     Part C Plan Type Code: Apr                        
                          7,772                          Inapplicable/Missing                    
                          3,183        01                Health Maintenance Organization (HMO)   
                            487        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,297        04                Local Preferred Provider Org (PPO)      
                             18        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            295        31                Regional PPO                            
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP05  $PTYPFMT                     Part C Plan Type Code: May                        
                          7,756                          Inapplicable/Missing                    
                          3,189        01                Health Maintenance Organization (HMO)   
                            484        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,311        04                Local Preferred Provider Org (PPO)      
                             18        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            292        31                Regional PPO                            
                            120        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP06  $PTYPFMT                     Part C Plan Type Code: Jun                        
                          7,760                          Inapplicable/Missing                    
                          3,182        01                Health Maintenance Organization (HMO)   
                            489        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,311        04                Local Preferred Provider Org (PPO)      
                             17        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            292        31                Regional PPO                            
                            120        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP07  $PTYPFMT                     Part C Plan Type Code: Jul                        
                          7,745                          Inapplicable/Missing                    
                          3,187        01                Health Maintenance Organization (HMO)   
                            487        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,323        04                Local Preferred Provider Org (PPO)      
                             17        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            291        31                Regional PPO                            
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP08  $PTYPFMT                     Part C Plan Type Code: Aug                        
                          7,721                          Inapplicable/Missing                    
                          3,198        01                Health Maintenance Organization (HMO)   
                            488        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,331        04                Local Preferred Provider Org (PPO)      
                             16        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            296        31                Regional PPO                            
                            121        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP09  $PTYPFMT                     Part C Plan Type Code: Sep                        
                          7,706                          Inapplicable/Missing                    
                          3,208        01                Health Maintenance Organization (HMO)   
                            487        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,340        04                Local Preferred Provider Org (PPO)      
                             15        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            293        31                Regional PPO                            
                            121        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP10  $PTYPFMT                     Part C Plan Type Code: Oct                        
                          7,705                          Inapplicable/Missing                    
                          3,199        01                Health Maintenance Organization (HMO)   
                            486        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,346        04                Local Preferred Provider Org (PPO)      
                             15        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            293        31                Regional PPO                            
                            127        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP11  $PTYPFMT                     Part C Plan Type Code: Nov                        
                          7,705                          Inapplicable/Missing                    
                          3,202        01                Health Maintenance Organization (HMO)   
                            481        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,344        04                Local Preferred Provider Org (PPO)      
                             15        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            292        31                Regional PPO                            
                            132        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP12  $PTYPFMT                     Part C Plan Type Code: Dec                        
                          7,728                          Inapplicable/Missing                    
                          3,191        01                Health Maintenance Organization (HMO)   
                            480        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,335        04                Local Preferred Provider Org (PPO)      
                             15        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            291        31                Regional PPO                            
                            130        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_MAPMT   MONYFMT                      Total MA A/B Payment – Annual                     
                          2,291                       .  Inapplicable/Missing                    
                         11,936        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM01  MONYFMT                      Part C Premium - Jan                              
                          9,377                       .  Inapplicable/Missing                    
                          4,850        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02  MONYFMT                      Part C Premium - Feb                              
                          9,348                       .  Inapplicable/Missing                    
                          4,879        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03  MONYFMT                      Part C Premium - Mar                              
                          9,344                       .  Inapplicable/Missing                    
                          4,883        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04  MONYFMT                      Part C Premium - Apr                              
                          9,337                       .  Inapplicable/Missing                    
                          4,890        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05  MONYFMT                      Part C Premium - May                              
                          9,322                       .  Inapplicable/Missing                    
                          4,905        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06  MONYFMT                      Part C Premium - Jun                              
                          9,321                       .  Inapplicable/Missing                    
                          4,906        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07  MONYFMT                      Part C Premium - Jul                              
                          9,307                       .  Inapplicable/Missing                    
                          4,920        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08  MONYFMT                      Part C Premium - Aug                              
                          9,284                       .  Inapplicable/Missing                    
                          4,943        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09  MONYFMT                      Part C Premium - Sep                              
                          9,269                       .  Inapplicable/Missing                    
                          4,958        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10  MONYFMT                      Part C Premium - Oct                              
                          9,271                       .  Inapplicable/Missing                    
                          4,956        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11  MONYFMT                      Part C Premium - Nov                              
                          9,270                       .  Inapplicable/Missing                    
                          4,957        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12  MONYFMT                      Part C Premium - Dec                              
                          9,289                       .  Inapplicable/Missing                    
                          4,938        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                          
                              8                          Inapplicable/Missing                    
                            209        0                 Not Medicare Enrolled/Month             
                         11,441        Contract/Values   Contract/Segment/Plan ID                
                          2,569        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                          
                              8                          Inapplicable/Missing                    
                            243        0                 Not Medicare Enrolled/Month             
                         11,427        Contract/Values   Contract/Segment/Plan ID                
                          2,549        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                          
                              9                          Inapplicable/Missing                    
                            252        0                 Not Medicare Enrolled/Month             
                         11,424        Contract/Values   Contract/Segment/Plan ID                
                          2,542        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                          
                             10                          Inapplicable/Missing                    
                            282        0                 Not Medicare Enrolled/Month             
                         11,398        Contract/Values   Contract/Segment/Plan ID                
                          2,537        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                          
                              9                          Inapplicable/Missing                    
                            293        0                 Not Medicare Enrolled/Month             
                         11,391        Contract/Values   Contract/Segment/Plan ID                
                          2,534        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                          
                              8                          Inapplicable/Missing                    
                            320        0                 Not Medicare Enrolled/Month             
                         11,378        Contract/Values   Contract/Segment/Plan ID                
                          2,521        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                          
                              8                          Inapplicable/Missing                    
                            325        0                 Not Medicare Enrolled/Month             
                         11,380        Contract/Values   Contract/Segment/Plan ID                
                          2,514        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                          
                              7                          Inapplicable/Missing                    
                            336        0                 Not Medicare Enrolled/Month             
                         11,383        Contract/Values   Contract/Segment/Plan ID                
                          2,501        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                          
                              7                          Inapplicable/Missing                    
                            341        0                 Not Medicare Enrolled/Month             
                         11,394        Contract/Values   Contract/Segment/Plan ID                
                          2,485        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                          
                              6                          Inapplicable/Missing                    
                            377        0                 Not Medicare Enrolled/Month             
                         11,368        Contract/Values   Contract/Segment/Plan ID                
                          2,476        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                          
                              6                          Inapplicable/Missing                    
                            416        0                 Not Medicare Enrolled/Month             
                         11,348        Contract/Values   Contract/Segment/Plan ID                
                          2,457        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                          
                              6                          Inapplicable/Missing                    
                            465        0                 Not Medicare Enrolled/Month             
                         11,315        Contract/Values   Contract/Segment/Plan ID                
                          2,441        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan                 
                          2,786                          Inapplicable/Missing                    
                         11,441        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb                 
                          2,800                          Inapplicable/Missing                    
                         11,427        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar                 
                          2,803                          Inapplicable/Missing                    
                         11,424        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr                 
                          2,829                          Inapplicable/Missing                    
                         11,398        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May                 
                          2,836                          Inapplicable/Missing                    
                         11,391        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun                 
                          2,849                          Inapplicable/Missing                    
                         11,378        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul                 
                          2,847                          Inapplicable/Missing                    
                         11,380        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug                 
                          2,844                          Inapplicable/Missing                    
                         11,383        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep                 
                          2,833                          Inapplicable/Missing                    
                         11,394        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct                 
                          2,859                          Inapplicable/Missing                    
                         11,368        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov                 
                          2,879                          Inapplicable/Missing                    
                         11,348        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec                 
                          2,912                          Inapplicable/Missing                    
                         11,315        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: Jan                            
                          2,786                          Inapplicable/Missing                    
                         11,441        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: Feb                            
                          2,800                          Inapplicable/Missing                    
                         11,427        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: Mar                            
                          2,803                          Inapplicable/Missing                    
                         11,424        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: Apr                            
                          2,829                          Inapplicable/Missing                    
                         11,398        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                            
                          2,836                          Inapplicable/Missing                    
                         11,391        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: Jun                            
                          2,849                          Inapplicable/Missing                    
                         11,378        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: Jul                            
                          2,847                          Inapplicable/Missing                    
                         11,380        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: Aug                            
                          2,844                          Inapplicable/Missing                    
                         11,383        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: Sep                            
                          2,833                          Inapplicable/Missing                    
                         11,394        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: Oct                            
                          2,859                          Inapplicable/Missing                    
                         11,368        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: Nov                            
                          2,879                          Inapplicable/Missing                    
                         11,348        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: Dec                            
                          2,912                          Inapplicable/Missing                    
                         11,315        Contract/Values   Contract/Segment/Plan ID                
 
H_DTYP01  $PTYPFMT                     Part D Plan Type Code: Jan                        
                          2,786                          Inapplicable/Missing                    
                          3,078        01                Health Maintenance Organization (HMO)   
                            476        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,712        04                Local Preferred Provider Org (PPO)      
                             17        09                PFFS                                    
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,673        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            292        31                Regional PPO                            
                             21        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP02  $PTYPFMT                     Part D Plan Type Code: Feb                        
                          2,800                          Inapplicable/Missing                    
                          3,095        01                Health Maintenance Organization (HMO)   
                            478        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,720        04                Local Preferred Provider Org (PPO)      
                             16        09                PFFS                                    
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,628        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            292        31                Regional PPO                            
                             28        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            117        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP03  $PTYPFMT                     Part D Plan Type Code: Mar                        
                          2,803                          Inapplicable/Missing                    
                          3,107        01                Health Maintenance Organization (HMO)   
                            472        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,727        04                Local Preferred Provider Org (PPO)      
                             16        09                PFFS                                    
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,616        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            283        31                Regional PPO                            
                             33        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            117        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP04  $PTYPFMT                     Part D Plan Type Code: Apr                        
                          2,829                          Inapplicable/Missing                    
                          3,107        01                Health Maintenance Organization (HMO)   
                            475        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,730        04                Local Preferred Provider Org (PPO)      
                             17        09                PFFS                                    
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,593        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            281        31                Regional PPO                            
                             24        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP05  $PTYPFMT                     Part D Plan Type Code: May                        
                          2,836                          Inapplicable/Missing                    
                          3,112        01                Health Maintenance Organization (HMO)   
                            472        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,743        04                Local Preferred Provider Org (PPO)      
                             17        09                PFFS                                    
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,583        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            278        31                Regional PPO                            
                             13        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            120        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP06  $PTYPFMT                     Part D Plan Type Code: Jun                        
                          2,849                          Inapplicable/Missing                    
                          3,105        01                Health Maintenance Organization (HMO)   
                            476        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,743        04                Local Preferred Provider Org (PPO)      
                             16        09                PFFS                                    
                             17        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,574        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            278        31                Regional PPO                            
                             14        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            120        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP07  $PTYPFMT                     Part D Plan Type Code: Jul                        
                          2,847                          Inapplicable/Missing                    
                          3,110        01                Health Maintenance Organization (HMO)   
                            474        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,758        04                Local Preferred Provider Org (PPO)      
                             16        09                PFFS                                    
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,557        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            277        31                Regional PPO                            
                             15        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            119        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP08  $PTYPFMT                     Part D Plan Type Code: Aug                        
                          2,844                          Inapplicable/Missing                    
                          3,120        01                Health Maintenance Organization (HMO)   
                            475        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,764        04                Local Preferred Provider Org (PPO)      
                             16        09                PFFS                                    
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,539        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            282        31                Regional PPO                            
                             13        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            121        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP09  $PTYPFMT                     Part D Plan Type Code: Sep                        
                          2,833                          Inapplicable/Missing                    
                          3,130        01                Health Maintenance Organization (HMO)   
                            474        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,775        04                Local Preferred Provider Org (PPO)      
                             15        09                PFFS                                    
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,532        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            279        31                Regional PPO                            
                             14        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            121        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP10  $PTYPFMT                     Part D Plan Type Code: Oct                        
                          2,859                          Inapplicable/Missing                    
                          3,121        01                Health Maintenance Organization (HMO)   
                            474        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,780        04                Local Preferred Provider Org (PPO)      
                             15        09                PFFS                                    
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,508        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            278        31                Regional PPO                            
                             12        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            127        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP11  $PTYPFMT                     Part D Plan Type Code: Nov                        
                          2,879                          Inapplicable/Missing                    
                          3,124        01                Health Maintenance Organization (HMO)   
                            469        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,783        04                Local Preferred Provider Org (PPO)      
                             15        09                PFFS                                    
                             18        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,484        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            277        31                Regional PPO                            
                             11        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            132        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP12  $PTYPFMT                     Part D Plan Type Code: Dec                        
                          2,912                          Inapplicable/Missing                    
                          3,113        01                Health Maintenance Organization (HMO)   
                            469        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,775        04                Local Preferred Provider Org (PPO)      
                             15        09                PFFS                                    
                             19        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,470        29                Medicare Prescription Drug Plan (PDP)   
                             35        30                Employer/Union Only Direct Contract PDP 
                            276        31                Regional PPO                            
                             13        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            130        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_PTDAMT  MONYFMT                      Part D Total Payment - Annual                     
                          2,291                       .  Inapplicable/Missing                    
                         11,936        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM01  MONYFMT                      Part D Premium - Jan                              
                          2,808                       .  Inapplicable/Missing                    
                         11,419        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02  MONYFMT                      Part D Premium - Feb                              
                          2,832                       .  Inapplicable/Missing                    
                         11,395        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03  MONYFMT                      Part D Premium - Mar                              
                          2,840                       .  Inapplicable/Missing                    
                         11,387        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04  MONYFMT                      Part D Premium - Apr                              
                          2,857                       .  Inapplicable/Missing                    
                         11,370        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05  MONYFMT                      Part D Premium - May                              
                          2,852                       .  Inapplicable/Missing                    
                         11,375        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06  MONYFMT                      Part D Premium - Jun                              
                          2,866                       .  Inapplicable/Missing                    
                         11,361        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07  MONYFMT                      Part D Premium - Jul                              
                          2,865                       .  Inapplicable/Missing                    
                         11,362        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08  MONYFMT                      Part D Premium - Aug                              
                          2,861                       .  Inapplicable/Missing                    
                         11,366        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09  MONYFMT                      Part D Premium - Sep                              
                          2,851                       .  Inapplicable/Missing                    
                         11,376        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10  MONYFMT                      Part D Premium - Oct                              
                          2,875                       .  Inapplicable/Missing                    
                         11,352        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11  MONYFMT                      Part D Premium - Nov                              
                          2,894                       .  Inapplicable/Missing                    
                         11,333        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12  MONYFMT                      Part D Premium - Dec                              
                          2,929                       .  Inapplicable/Missing                    
                         11,298        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01  MONYFMT                      Part D Deductible - Jan                           
                          4,673                       .  Inapplicable/Missing                    
                          9,554        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02  MONYFMT                      Part D Deductible - Feb                           
                          4,682                       .  Inapplicable/Missing                    
                          9,545        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03  MONYFMT                      Part D Deductible - Mar                           
                          4,692                       .  Inapplicable/Missing                    
                          9,535        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04  MONYFMT                      Part D Deductible - Apr                           
                          4,702                       .  Inapplicable/Missing                    
                          9,525        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05  MONYFMT                      Part D Deductible - May                           
                          4,694                       .  Inapplicable/Missing                    
                          9,533        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06  MONYFMT                      Part D Deductible - Jun                           
                          4,702                       .  Inapplicable/Missing                    
                          9,525        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07  MONYFMT                      Part D Deductible - Jul                           
                          4,703                       .  Inapplicable/Missing                    
                          9,524        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08  MONYFMT                      Part D Deductible - Aug                           
                          4,694                       .  Inapplicable/Missing                    
                          9,533        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09  MONYFMT                      Part D Deductible - Sep                           
                          4,682                       .  Inapplicable/Missing                    
                          9,545        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10  MONYFMT                      Part D Deductible - Oct                           
                          4,697                       .  Inapplicable/Missing                    
                          9,530        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11  MONYFMT                      Part D Deductible - Nov                           
                          4,713                       .  Inapplicable/Missing                    
                          9,514        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12  MONYFMT                      Part D Deductible - Dec                           
                          4,745                       .  Inapplicable/Missing                    
                          9,482        Range of values   Amount as $$$$$$.CC                     
 
H_EGWP01  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jan          
                          2,786                       .  Unknown                                 
                          1,848                       1  Yes                                     
                          9,593                       2  No                                      
 
H_EGWP02  YES8FMT                      PDP Employer Group Waiver Plan Ind - Feb          
                          2,800                       .  Unknown                                 
                          1,836                       1  Yes                                     
                          9,591                       2  No                                      
 
H_EGWP03  YES8FMT                      PDP Employer Group Waiver Plan Ind - Mar          
                          2,803                       .  Unknown                                 
                          1,838                       1  Yes                                     
                          9,586                       2  No                                      
 
H_EGWP04  YES8FMT                      PDP Employer Group Waiver Plan Ind - Apr          
                          2,829                       .  Unknown                                 
                          1,832                       1  Yes                                     
                          9,566                       2  No                                      
 
H_EGWP05  YES8FMT                      PDP Employer Group Waiver Plan Ind - May          
                          2,836                       .  Unknown                                 
                          1,827                       1  Yes                                     
                          9,564                       2  No                                      
 
H_EGWP06  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jun          
                          2,849                       .  Unknown                                 
                          1,822                       1  Yes                                     
                          9,556                       2  No                                      
 
H_EGWP07  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jul          
                          2,847                       .  Unknown                                 
                          1,822                       1  Yes                                     
                          9,558                       2  No                                      
 
H_EGWP08  YES8FMT                      PDP Employer Group Waiver Plan Ind - Aug          
                          2,844                       .  Unknown                                 
                          1,819                       1  Yes                                     
                          9,564                       2  No                                      
 
H_EGWP09  YES8FMT                      PDP Employer Group Waiver Plan Ind - Sep          
                          2,833                       .  Unknown                                 
                          1,816                       1  Yes                                     
                          9,578                       2  No                                      
 
H_EGWP10  YES8FMT                      PDP Employer Group Waiver Plan Ind - Oct          
                          2,859                       .  Unknown                                 
                          1,808                       1  Yes                                     
                          9,560                       2  No                                      
 
H_EGWP11  YES8FMT                      PDP Employer Group Waiver Plan Ind - Nov          
                          2,879                       .  Unknown                                 
                          1,805                       1  Yes                                     
                          9,543                       2  No                                      
 
H_EGWP12  YES8FMT                      PDP Employer Group Waiver Plan Ind - Dec          
                          2,912                       .  Unknown                                 
                          1,801                       1  Yes                                     
                          9,514                       2  No                                      
 
H_PDRS01  DRDSFMT                      RDS Indicator - Jan                               
                            217                       .  Unknown                                 
                            307                       1  Employer subsidized for the beneficiary 
                         13,703                       2  Employer not subsidized for the benefici
 
H_PDRS02  DRDSFMT                      RDS Indicator - Feb                               
                            251                       .  Unknown                                 
                            308                       1  Employer subsidized for the beneficiary 
                         13,668                       2  Employer not subsidized for the benefici
 
H_PDRS03  DRDSFMT                      RDS Indicator - Mar                               
                            261                       .  Unknown                                 
                            308                       1  Employer subsidized for the beneficiary 
                         13,658                       2  Employer not subsidized for the benefici
 
H_PDRS04  DRDSFMT                      RDS Indicator - Apr                               
                            292                       .  Unknown                                 
                            308                       1  Employer subsidized for the beneficiary 
                         13,627                       2  Employer not subsidized for the benefici
 
H_PDRS05  DRDSFMT                      RDS Indicator - May                               
                            302                       .  Unknown                                 
                            310                       1  Employer subsidized for the beneficiary 
                         13,615                       2  Employer not subsidized for the benefici
 
H_PDRS06  DRDSFMT                      RDS Indicator - Jun                               
                            328                       .  Unknown                                 
                            309                       1  Employer subsidized for the beneficiary 
                         13,590                       2  Employer not subsidized for the benefici
 
H_PDRS07  DRDSFMT                      RDS Indicator - Jul                               
                            333                       .  Unknown                                 
                            307                       1  Employer subsidized for the beneficiary 
                         13,587                       2  Employer not subsidized for the benefici
 
H_PDRS08  DRDSFMT                      RDS Indicator - Aug                               
                            343                       .  Unknown                                 
                            306                       1  Employer subsidized for the beneficiary 
                         13,578                       2  Employer not subsidized for the benefici
 
H_PDRS09  DRDSFMT                      RDS Indicator - Sep                               
                            348                       .  Unknown                                 
                            306                       1  Employer subsidized for the beneficiary 
                         13,573                       2  Employer not subsidized for the benefici
 
H_PDRS10  DRDSFMT                      RDS Indicator - Oct                               
                            383                       .  Unknown                                 
                            303                       1  Employer subsidized for the beneficiary 
                         13,541                       2  Employer not subsidized for the benefici
 
H_PDRS11  DRDSFMT                      RDS Indicator - Nov                               
                            422                       .  Unknown                                 
                            302                       1  Employer subsidized for the beneficiary 
                         13,503                       2  Employer not subsidized for the benefici
 
H_PDRS12  DRDSFMT                      RDS Indicator - Dec                               
                            471                       .  Unknown                                 
                            300                       1  Employer subsidized for the beneficiary 
                         13,456                       2  Employer not subsidized for the benefici
 
H_PTAPRM  MONYFMT                      Total Pt. A premium SP paid in CY                 
                         14,227        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM  MONYFMT                      Total Pt. B premium SP paid in CY                 
                         14,227        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM  MONYFMT                      Estimate TotPrem: A+B+C+D+SurveyOnlyPlan          
                         14,227        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                       
                         11,180                          Inapplicable/Missing                    
                              3        01                IAH Practice Demonstration              
                          2,104        08                Medicare Shared Savings Program (SSP)   
                             13        11                MMCO Financ Alignment Demo(Duals)       
                             20        18                Comprehensive ESRD Care (CEC)           
                            297        21                Next Generation ACO (NGACO)             
                            142        22                CPC+, non-SSP Participants              
                            186        23                CPC+, SSP Participants                  
                              2        53                Vermont All-Payer Model (CMMI)          
                             67        56                Maryland TotCostCare:PrimCareProg (CMMI)
                             93        57                Primary Care First (PCF)                
                            100        63                Direct Contracting (DC)                 
                             20        64                ESRD Treatment Choices Model (ETC)      
 
H_PRGID2  $PRIDFMT                     2nd CMS Prog ID – Payment Model                   
                         13,973                          Inapplicable/Missing                    
                            184        08                Medicare Shared Savings Program (SSP)   
                             29        23                CPC+, SSP Participants                  
                              9        56                Maryland TotCostCare:PrimCareProg (CMMI)
                              5        57                Primary Care First (PCF)                
                              4        63                Direct Contracting (DC)                 
                             23        64                ESRD Treatment Choices Model (ETC)      
 
H_PRGID3  $PRIDFMT                     3rd  CMS Prog ID – Payment Model                  
                         14,223                          Inapplicable/Missing                    
                              2        23                CPC+, SSP Participants                  
                              2        56                Maryland TotCostCare:PrimCareProg (CMMI)
 
