Variable  Format    Q#/Freq           Description/Label
 
BASEID    $BSIDFMT                     Unique SP Identification Number                   
                         13,979        LOW-HIGH          BASEID Count                            
 
SURVEYYR  SVYRFMT                      Survey Year                                       
                         13,979                    2022  2022                                    
 
VERSION   VERSFMT                      Version Number                                    
                         13,979                       2  Version 2                               
 
H_DOE     MMDDYYn8                     Medicare entitlement start date                   
                         13,979        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT     MMDDYYn8                     Medicare entitlement end date                     
                         13,495                       .  Inapplicable                            
                            484        MMDDYYYY          Date as MMDDYYYY                        
 
H_MEDSTA  $MSCFMT                      Medicare status code as of 12/31                  
                         11,633        10                Aged, no ESRD                           
                             64        11                Aged, ESRD                              
                          2,216        20                Disabled, no ESRD                       
                             44        21                Disabled, ESRD                          
                             22        31                ESRD only                               
 
H_GHPSW   GHPSW                        Some group health participation in year           
                          7,122                       1  Some enrollment                         
                          6,857                       2  No enrollment                           
 
H_ESRBEG  MMDDYYn8                     Beginning date of ESRD period                     
                         13,865                       .  Inapplicable                            
                            114        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND  MMDDYYn8                     Ending date of ESRD period                        
                         13,964                       .  Inapplicable                            
                             15        MMDDYYYY          Date as MMDDYYYY                        
 
H_MACY01                               Buy-in agency - Jan                               
                          2,292        Values/Codes      State Agency code                       
                         11,687        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                               
                          2,323        Values/Codes      State Agency code                       
                         11,656        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                               
                          2,365        Values/Codes      State Agency code                       
                         11,614        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                               
                          2,402        Values/Codes      State Agency code                       
                         11,577        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                               
                          2,430        Values/Codes      State Agency code                       
                         11,549        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                               
                          2,444        Values/Codes      State Agency code                       
                         11,535        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                               
                          2,469        Values/Codes      State Agency code                       
                         11,510        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                               
                          2,491        Values/Codes      State Agency code                       
                         11,488        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                               
                          2,516        Values/Codes      State Agency code                       
                         11,463        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                               
                          2,539        Values/Codes      State Agency code                       
                         11,440        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                               
                          2,560        Values/Codes      State Agency code                       
                         11,419        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                               
                          2,584        Values/Codes      State Agency code                       
                         11,395        N                 Unknown, or no buy-in                   
 
H_MCDE01  $MCDCFMT                     Medicaid eligibility - Jan                        
                              4        A                 State Part A buy-in                     
                          1,044        B                 State Part B buy-in                     
                             53        C                 State Part A and B buy-in               
                            103        D                 State Part A and B QMB buy-in           
                         11,127        N                 No buy-in this month                    
                          1,299        Q                 State Part B QMB buy-in                 
                            349        S                 State Part B SLMB buy-in                
 
H_MCDE02  $MCDCFMT                     Medicaid eligibility - Feb                        
                              4        A                 State Part A buy-in                     
                          1,042        B                 State Part B buy-in                     
                             53        C                 State Part A and B buy-in               
                            102        D                 State Part A and B QMB buy-in           
                         11,130        N                 No buy-in this month                    
                          1,299        Q                 State Part B QMB buy-in                 
                            349        S                 State Part B SLMB buy-in                
 
H_MCDE03  $MCDCFMT                     Medicaid eligibility - Mar                        
                              4        A                 State Part A buy-in                     
                          1,045        B                 State Part B buy-in                     
                             53        C                 State Part A and B buy-in               
                            102        D                 State Part A and B QMB buy-in           
                         11,127        N                 No buy-in this month                    
                          1,299        Q                 State Part B QMB buy-in                 
                            349        S                 State Part B SLMB buy-in                
 
H_MCDE04  $MCDCFMT                     Medicaid eligibility - Apr                        
                              4        A                 State Part A buy-in                     
                          1,053        B                 State Part B buy-in                     
                             53        C                 State Part A and B buy-in               
                            103        D                 State Part A and B QMB buy-in           
                         11,122        N                 No buy-in this month                    
                          1,297        Q                 State Part B QMB buy-in                 
                            347        S                 State Part B SLMB buy-in                
 
H_MCDE05  $MCDCFMT                     Medicaid eligibility - May                        
                              4        A                 State Part A buy-in                     
                          1,055        B                 State Part B buy-in                     
                             53        C                 State Part A and B buy-in               
                            103        D                 State Part A and B QMB buy-in           
                         11,113        N                 No buy-in this month                    
                          1,300        Q                 State Part B QMB buy-in                 
                            351        S                 State Part B SLMB buy-in                
 
H_MCDE06  $MCDCFMT                     Medicaid eligibility - Jun                        
                              4        A                 State Part A buy-in                     
                          1,055        B                 State Part B buy-in                     
                             52        C                 State Part A and B buy-in               
                            105        D                 State Part A and B QMB buy-in           
                         11,111        N                 No buy-in this month                    
                          1,301        Q                 State Part B QMB buy-in                 
                            351        S                 State Part B SLMB buy-in                
 
H_MCDE07  $MCDCFMT                     Medicaid eligibility - Jul                        
                              3        A                 State Part A buy-in                     
                          1,058        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            105        D                 State Part A and B QMB buy-in           
                         11,105        N                 No buy-in this month                    
                          1,304        Q                 State Part B QMB buy-in                 
                            349        S                 State Part B SLMB buy-in                
 
H_MCDE08  $MCDCFMT                     Medicaid eligibility - Aug                        
                              3        A                 State Part A buy-in                     
                          1,059        B                 State Part B buy-in                     
                             55        C                 State Part A and B buy-in               
                            105        D                 State Part A and B QMB buy-in           
                         11,094        N                 No buy-in this month                    
                          1,310        Q                 State Part B QMB buy-in                 
                            353        S                 State Part B SLMB buy-in                
 
H_MCDE09  $MCDCFMT                     Medicaid eligibility - Sep                        
                              3        A                 State Part A buy-in                     
                          1,061        B                 State Part B buy-in                     
                             56        C                 State Part A and B buy-in               
                            105        D                 State Part A and B QMB buy-in           
                         11,081        N                 No buy-in this month                    
                          1,316        Q                 State Part B QMB buy-in                 
                            357        S                 State Part B SLMB buy-in                
 
H_MCDE10  $MCDCFMT                     Medicaid eligibility - Oct                        
                              3        A                 State Part A buy-in                     
                          1,061        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                            104        D                 State Part A and B QMB buy-in           
                         11,081        N                 No buy-in this month                    
                          1,317        Q                 State Part B QMB buy-in                 
                            356        S                 State Part B SLMB buy-in                
 
H_MCDE11  $MCDCFMT                     Medicaid eligibility - Nov                        
                              3        A                 State Part A buy-in                     
                          1,057        B                 State Part B buy-in                     
                             58        C                 State Part A and B buy-in               
                            103        D                 State Part A and B QMB buy-in           
                         11,092        N                 No buy-in this month                    
                          1,310        Q                 State Part B QMB buy-in                 
                            356        S                 State Part B SLMB buy-in                
 
H_MCDE12  $MCDCFMT                     Medicaid eligibility - Dec                        
                              3        A                 State Part A buy-in                     
                          1,058        B                 State Part B buy-in                     
                             58        C                 State Part A and B buy-in               
                            101        D                 State Part A and B QMB buy-in           
                         11,090        N                 No buy-in this month                    
                          1,314        Q                 State Part B QMB buy-in                 
                            355        S                 State Part B SLMB buy-in                
 
H_MCSW    SWFMT                        Some Medicaid eligibility for the year            
                          2,605                       1  Some participation                      
                         11,374                       2  No participation                        
 
H_DUAL01  $DUALMON                     Dual eligibility code - Jan                       
                            204        00                Not enrolled in Medicare for the month  
                            416        01                QMB-only                                
                          1,730        02                QMB & full Medicaid covrge, + Rx drugs  
                            272        03                SLMB-only                               
                            120        04                SLMB & full Medicaid covrge, + Rx drugs 
                            146        06                Qualifying individuals                  
                            663        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,427        NA                Non-Medicaid                            
 
H_DUAL02  $DUALMON                     Dual eligibility code - Feb                       
                            241        00                Not enrolled in Medicare for the month  
                            419        01                QMB-only                                
                          1,719        02                QMB & full Medicaid covrge, + Rx drugs  
                            275        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            144        06                Qualifying individuals                  
                            661        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,401        NA                Non-Medicaid                            
 
H_DUAL03  $DUALMON                     Dual eligibility code - Mar                       
                            264        00                Not enrolled in Medicare for the month  
                            424        01                QMB-only                                
                          1,723        02                QMB & full Medicaid covrge, + Rx drugs  
                            270        03                SLMB-only                               
                            119        04                SLMB & full Medicaid covrge, + Rx drugs 
                            149        06                Qualifying individuals                  
                            668        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,361        NA                Non-Medicaid                            
 
H_DUAL04  $DUALMON                     Dual eligibility code - Apr                       
                            287        00                Not enrolled in Medicare for the month  
                            425        01                QMB-only                                
                          1,717        02                QMB & full Medicaid covrge, + Rx drugs  
                            268        03                SLMB-only                               
                            119        04                SLMB & full Medicaid covrge, + Rx drugs 
                            153        06                Qualifying individuals                  
                            670        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,339        NA                Non-Medicaid                            
 
H_DUAL05  $DUALMON                     Dual eligibility code - May                       
                            302        00                Not enrolled in Medicare for the month  
                            422        01                QMB-only                                
                          1,685        02                QMB & full Medicaid covrge, + Rx drugs  
                            261        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            153        06                Qualifying individuals                  
                            654        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,387        NA                Non-Medicaid                            
 
H_DUAL06  $DUALMON                     Dual eligibility code - Jun                       
                            312        00                Not enrolled in Medicare for the month  
                            429        01                QMB-only                                
                          1,699        02                QMB & full Medicaid covrge, + Rx drugs  
                            271        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            153        06                Qualifying individuals                  
                            687        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,309        NA                Non-Medicaid                            
 
H_DUAL07  $DUALMON                     Dual eligibility code - Jul                       
                            318        00                Not enrolled in Medicare for the month  
                            434        01                QMB-only                                
                          1,709        02                QMB & full Medicaid covrge, + Rx drugs  
                            268        03                SLMB-only                               
                            116        04                SLMB & full Medicaid covrge, + Rx drugs 
                            151        06                Qualifying individuals                  
                            687        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,295        NA                Non-Medicaid                            
 
H_DUAL08  $DUALMON                     Dual eligibility code - Aug                       
                            320        00                Not enrolled in Medicare for the month  
                            435        01                QMB-only                                
                          1,711        02                QMB & full Medicaid covrge, + Rx drugs  
                            269        03                SLMB-only                               
                            117        04                SLMB & full Medicaid covrge, + Rx drugs 
                            154        06                Qualifying individuals                  
                            686        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,286        NA                Non-Medicaid                            
 
H_DUAL09  $DUALMON                     Dual eligibility code - Sep                       
                            322        00                Not enrolled in Medicare for the month  
                            439        01                QMB-only                                
                          1,726        02                QMB & full Medicaid covrge, + Rx drugs  
                            272        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            152        06                Qualifying individuals                  
                            678        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,271        NA                Non-Medicaid                            
 
H_DUAL10  $DUALMON                     Dual eligibility code - Oct                       
                            337        00                Not enrolled in Medicare for the month  
                            440        01                QMB-only                                
                          1,722        02                QMB & full Medicaid covrge, + Rx drugs  
                            275        03                SLMB-only                               
                            119        04                SLMB & full Medicaid covrge, + Rx drugs 
                            156        06                Qualifying individuals                  
                            674        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,255        NA                Non-Medicaid                            
 
H_DUAL11  $DUALMON                     Dual eligibility code - Nov                       
                            377        00                Not enrolled in Medicare for the month  
                            436        01                QMB-only                                
                          1,713        02                QMB & full Medicaid covrge, + Rx drugs  
                            275        03                SLMB-only                               
                            119        04                SLMB & full Medicaid covrge, + Rx drugs 
                            157        06                Qualifying individuals                  
                            667        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,234        NA                Non-Medicaid                            
 
H_DUAL12  $DUALMON                     Dual eligibility code - Dec                       
                            413        00                Not enrolled in Medicare for the month  
                            438        01                QMB-only                                
                          1,719        02                QMB & full Medicaid covrge, + Rx drugs  
                            275        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            156        06                Qualifying individuals                  
                            667        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,192        NA                Non-Medicaid                            
 
H_OPMDCD  DUALFMT                      Medicare-Medicaid dual eligibility indic          
                          2,665                       1  FULL-Bene elig. full Medicaid benefits  
                         10,421                       2  NONDUAL-Bene not elig Medicaid benfits  
                            445                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            448                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PDLS01  $DLSFMT                      LIS Indicator - Jan                               
                            204        00                Not Medicare enrolled for the month     
                          1,068        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,363        02                Pt A and/or B +D;elig LIS 100%,low copay
                            910        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            259        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             14        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             18        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             21        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             19        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,741        09                Pt A and/or B +D;no prem or cstshare sub
                            277        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,085        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                               
                            241        00                Not Medicare enrolled for the month     
                          1,063        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,361        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 
                            258        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             14        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             17        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             20        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             19        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,734        09                Pt A and/or B +D;no prem or cstshare sub
                            279        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,064        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                               
                            264        00                Not Medicare enrolled for the month     
                          1,073        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,366        02                Pt A and/or B +D;elig LIS 100%,low copay
                            907        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            257        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             13        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             17        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             20        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             19        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,710        09                Pt A and/or B +D;no prem or cstshare sub
                            279        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,054        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                               
                            287        00                Not Medicare enrolled for the month     
                          1,068        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,364        02                Pt A and/or B +D;elig LIS 100%,low copay
                            906        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            250        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             12        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             16        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             18        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             17        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,719        09                Pt A and/or B +D;no prem or cstshare sub
                            278        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,044        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                               
                            302        00                Not Medicare enrolled for the month     
                          1,070        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,360        02                Pt A and/or B +D;elig LIS 100%,low copay
                            907        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            250        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             12        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             17        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             17        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             16        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
                            277        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,036        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                               
                            312        00                Not Medicare enrolled for the month     
                          1,073        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,359        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 
                            251        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             12        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             17        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             17        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             18        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,709        09                Pt A and/or B +D;no prem or cstshare sub
                            278        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,024        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                               
                            318        00                Not Medicare enrolled for the month     
                          1,072        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,362        02                Pt A and/or B +D;elig LIS 100%,low copay
                            911        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            246        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             12        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             17        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             17        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             17        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,706        09                Pt A and/or B +D;no prem or cstshare sub
                            271        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,030        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                               
                            320        00                Not Medicare enrolled for the month     
                          1,071        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,364        02                Pt A and/or B +D;elig LIS 100%,low copay
                            919        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            242        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             12        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             17        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             17        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             17        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,704        09                Pt A and/or B +D;no prem or cstshare sub
                            273        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,023        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                               
                            322        00                Not Medicare enrolled for the month     
                          1,083        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,359        02                Pt A and/or B +D;elig LIS 100%,low copay
                            918        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            244        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             13        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             17        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             17        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             17        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,701        09                Pt A and/or B +D;no prem or cstshare sub
                            275        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,013        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                               
                            337        00                Not Medicare enrolled for the month     
                          1,080        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,357        02                Pt A and/or B +D;elig LIS 100%,low copay
                            923        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            245        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             13        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             18        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             17        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             17        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,692        09                Pt A and/or B +D;no prem or cstshare sub
                            274        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,006        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                               
                            377        00                Not Medicare enrolled for the month     
                          1,075        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,354        02                Pt A and/or B +D;elig LIS 100%,low copay
                            923        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            248        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             12        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             19        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             17        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             17        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,671        09                Pt A and/or B +D;no prem or cstshare sub
                            270        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,996        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                               
                            413        00                Not Medicare enrolled for the month     
                          1,070        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,358        02                Pt A and/or B +D;elig LIS 100%,low copay
                            918        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            246        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             12        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             20        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             17        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             16        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,647        09                Pt A and/or B +D;no prem or cstshare sub
                            269        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,993        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                 
                          2,364                       .  Inapplicable/Missing                    
                         11,615        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02  MONYFMT                      Medicare capitation payment - Feb                 
                          2,386                       .  Inapplicable/Missing                    
                         11,593        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03  MONYFMT                      Medicare capitation payment - Mar                 
                          2,397                       .  Inapplicable/Missing                    
                         11,582        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04  MONYFMT                      Medicare capitation payment - Apr                 
                          2,413                       .  Inapplicable/Missing                    
                         11,566        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05  MONYFMT                      Medicare capitation payment - May                 
                          2,418                       .  Inapplicable/Missing                    
                         11,561        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06  MONYFMT                      Medicare capitation payment - Jun                 
                          2,416                       .  Inapplicable/Missing                    
                         11,563        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07  MONYFMT                      Medicare capitation payment - Jul                 
                          2,421                       .  Inapplicable/Missing                    
                         11,558        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08  MONYFMT                      Medicare capitation payment - Aug                 
                          2,417                       .  Inapplicable/Missing                    
                         11,562        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09  MONYFMT                      Medicare capitation payment - Sep                 
                          2,410                       .  Inapplicable/Missing                    
                         11,569        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10  MONYFMT                      Medicare capitation payment - Oct                 
                          2,417                       .  Inapplicable/Missing                    
                         11,562        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11  MONYFMT                      Medicare capitation payment - Nov                 
                          2,443                       .  Inapplicable/Missing                    
                         11,536        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12  MONYFMT                      Medicare capitation payment - Dec                 
                          2,465                       .  Inapplicable/Missing                    
                         11,514        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY01  MONYFMT                      Part D capitation payment - Jan                   
                          2,364                       .  Inapplicable/Missing                    
                         11,615        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02  MONYFMT                      Part D capitation payment - Feb                   
                          2,386                       .  Inapplicable/Missing                    
                         11,593        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03  MONYFMT                      Part D capitation payment - Mar                   
                          2,397                       .  Inapplicable/Missing                    
                         11,582        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04  MONYFMT                      Part D capitation payment - Apr                   
                          2,413                       .  Inapplicable/Missing                    
                         11,566        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05  MONYFMT                      Part D capitation payment - May                   
                          2,418                       .  Inapplicable/Missing                    
                         11,561        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06  MONYFMT                      Part D capitation payment - Jun                   
                          2,416                       .  Inapplicable/Missing                    
                         11,563        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07  MONYFMT                      Part D capitation payment - Jul                   
                          2,421                       .  Inapplicable/Missing                    
                         11,558        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08  MONYFMT                      Part D capitation payment - Aug                   
                          2,417                       .  Inapplicable/Missing                    
                         11,562        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09  MONYFMT                      Part D capitation payment - Sep                   
                          2,410                       .  Inapplicable/Missing                    
                         11,569        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10  MONYFMT                      Part D capitation payment - Oct                   
                          2,417                       .  Inapplicable/Missing                    
                         11,562        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11  MONYFMT                      Part D capitation payment - Nov                   
                          2,443                       .  Inapplicable/Missing                    
                         11,536        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12  MONYFMT                      Part D capitation payment - Dec                   
                          2,465                       .  Inapplicable/Missing                    
                         11,514        Range of values   Amount as $$$$$$.CC                     
 
H_PRPY01  $MSPCODE                     Primary Payer                                     
                         13,673                          Medicare is Primary                     
                            145        A                 Working Aged                            
                              3        B                 ESRD                                    
                              4        C                 Condition/Reimbursement Anticipated     
                             14        D                 Automobile No Fault                     
                              5        E                 Workers’ comp                           
                             66        G                 Working Disabled                        
                              5        I                 VA                                      
                             27        L                 Any liability                           
                              2        M                 Override Code M                         
                             35        N                 Override Code N                         
 
H_PRPY02  $MSPCODE                     Primary Payer, 2nd code                           
                         13,914                          Medicare is Primary                     
                              9        A                 Working Aged                            
                             22        C                 Condition/Reimbursement Anticipated     
                              5        D                 Automobile No Fault                     
                              4        E                 Workers’ comp                           
                              5        G                 Working Disabled                        
                             13        L                 Any liability                           
                              4        M                 Override Code M                         
                              3        N                 Override Code N                         
 
H_PRPY03  $MSPCODE                     Primary Payer, 3rd code                           
                         13,970                          Medicare is Primary                     
                              5        A                 Working Aged                            
                              3        C                 Condition/Reimbursement Anticipated     
                              1        D                 Automobile No Fault                     
 
H_MAFF01  $MA2FLAG                     MA flag -  Jan                                    
                          7,001        FF                Original Medicare/FFS                   
                          6,774        MA                MA/Other Medicare Capitated Paymnt Plans
                            204        NO                Not Medicare Enrolled/Month             
 
H_MAFF02  $MA2FLAG                     MA flag -  Feb                                    
                          6,962        FF                Original Medicare/FFS                   
                          6,776        MA                MA/Other Medicare Capitated Paymnt Plans
                            241        NO                Not Medicare Enrolled/Month             
 
H_MAFF03  $MA2FLAG                     MA flag -  Mar                                    
                          6,937        FF                Original Medicare/FFS                   
                          6,778        MA                MA/Other Medicare Capitated Paymnt Plans
                            264        NO                Not Medicare Enrolled/Month             
 
H_MAFF04  $MA2FLAG                     MA flag -  Apr                                    
                          6,911        FF                Original Medicare/FFS                   
                          6,781        MA                MA/Other Medicare Capitated Paymnt Plans
                            287        NO                Not Medicare Enrolled/Month             
 
H_MAFF05  $MA2FLAG                     MA flag -  May                                    
                          6,882        FF                Original Medicare/FFS                   
                          6,795        MA                MA/Other Medicare Capitated Paymnt Plans
                            302        NO                Not Medicare Enrolled/Month             
 
H_MAFF06  $MA2FLAG                     MA flag -  Jun                                    
                          6,854        FF                Original Medicare/FFS                   
                          6,813        MA                MA/Other Medicare Capitated Paymnt Plans
                            312        NO                Not Medicare Enrolled/Month             
 
H_MAFF07  $MA2FLAG                     MA flag -  Jul                                    
                          6,826        FF                Original Medicare/FFS                   
                          6,835        MA                MA/Other Medicare Capitated Paymnt Plans
                            318        NO                Not Medicare Enrolled/Month             
 
H_MAFF08  $MA2FLAG                     MA flag -  Aug                                    
                          6,811        FF                Original Medicare/FFS                   
                          6,848        MA                MA/Other Medicare Capitated Paymnt Plans
                            320        NO                Not Medicare Enrolled/Month             
 
H_MAFF09  $MA2FLAG                     MA flag -  Sep                                    
                          6,785        FF                Original Medicare/FFS                   
                          6,872        MA                MA/Other Medicare Capitated Paymnt Plans
                            322        NO                Not Medicare Enrolled/Month             
 
H_MAFF10  $MA2FLAG                     MA flag -  Oct                                    
                          6,764        FF                Original Medicare/FFS                   
                          6,878        MA                MA/Other Medicare Capitated Paymnt Plans
                            337        NO                Not Medicare Enrolled/Month             
 
H_MAFF11  $MA2FLAG                     MA flag -  Nov                                    
                          6,728        FF                Original Medicare/FFS                   
                          6,874        MA                MA/Other Medicare Capitated Paymnt Plans
                            377        NO                Not Medicare Enrolled/Month             
 
H_MAFF12  $MA2FLAG                     MA flag -  Dec                                    
                          6,708        FF                Original Medicare/FFS                   
                          6,858        MA                MA/Other Medicare Capitated Paymnt Plans
                            413        NO                Not Medicare Enrolled/Month             
 
H_PNUM                                 Number of GHPs in bene area                       
                         13,979        Range of values   Range of values                         
 
H_MANUM                                Number of MA plans in bene area                   
                         13,979        Range of values   Range of values                         
 
H_PFSNUM                               Number of PFFS plans in bene area                 
                         13,979        Range of values   Range of values                         
 
H_CREDSW  CREDFMT                      Creditable Coverage Switch                        
                          1,651                       1  SP had at least 1 month cred. coverage  
                         12,328                       2  SP had no months of cred. coverage      
 
H_PRTC01                               Part C Contract ID - Jan                          
                            204        0                 Not Medicare Enrolled/Month             
                          6,774        Contract/Values   Contract/Segment/Plan ID                
                          7,001        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                          
                            241        0                 Not Medicare Enrolled/Month             
                          6,776        Contract/Values   Contract/Segment/Plan ID                
                          6,962        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                          
                            264        0                 Not Medicare Enrolled/Month             
                          6,778        Contract/Values   Contract/Segment/Plan ID                
                          6,937        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                          
                            287        0                 Not Medicare Enrolled/Month             
                          6,781        Contract/Values   Contract/Segment/Plan ID                
                          6,911        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                          
                            302        0                 Not Medicare Enrolled/Month             
                          6,795        Contract/Values   Contract/Segment/Plan ID                
                          6,882        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                          
                            312        0                 Not Medicare Enrolled/Month             
                          6,813        Contract/Values   Contract/Segment/Plan ID                
                          6,854        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                          
                            318        0                 Not Medicare Enrolled/Month             
                          6,835        Contract/Values   Contract/Segment/Plan ID                
                          6,826        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                          
                            320        0                 Not Medicare Enrolled/Month             
                          6,848        Contract/Values   Contract/Segment/Plan ID                
                          6,811        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                          
                            322        0                 Not Medicare Enrolled/Month             
                          6,872        Contract/Values   Contract/Segment/Plan ID                
                          6,785        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                          
                            337        0                 Not Medicare Enrolled/Month             
                          6,878        Contract/Values   Contract/Segment/Plan ID                
                          6,764        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                          
                            377        0                 Not Medicare Enrolled/Month             
                          6,874        Contract/Values   Contract/Segment/Plan ID                
                          6,728        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                          
                            413        0                 Not Medicare Enrolled/Month             
                          6,858        Contract/Values   Contract/Segment/Plan ID                
                          6,708        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan                 
                          7,228                          Inapplicable/Missing                    
                          6,751        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb                 
                          7,226                          Inapplicable/Missing                    
                          6,753        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar                 
                          7,224                          Inapplicable/Missing                    
                          6,755        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr                 
                          7,221                          Inapplicable/Missing                    
                          6,758        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May                 
                          7,207                          Inapplicable/Missing                    
                          6,772        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun                 
                          7,189                          Inapplicable/Missing                    
                          6,790        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul                 
                          7,167                          Inapplicable/Missing                    
                          6,812        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug                 
                          7,154                          Inapplicable/Missing                    
                          6,825        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep                 
                          7,130                          Inapplicable/Missing                    
                          6,849        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct                 
                          7,124                          Inapplicable/Missing                    
                          6,855        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov                 
                          7,127                          Inapplicable/Missing                    
                          6,852        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec                 
                          7,142                          Inapplicable/Missing                    
                          6,837        Contract/Values   Contract/Segment/Plan ID                
 
H_CTYP01  $PTYPFMT                     Part C Plan Type Code: Jan                        
                          7,205                          Inapplicable/Missing                    
                          3,208        01                Health Maintenance Organization (HMO)   
                            554        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,575        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             14        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             12        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            241        31                Regional PPO                            
                            129        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP02  $PTYPFMT                     Part C Plan Type Code: Feb                        
                          7,203                          Inapplicable/Missing                    
                          3,209        01                Health Maintenance Organization (HMO)   
                            553        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,584        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             14        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            234        31                Regional PPO                            
                            130        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP03  $PTYPFMT                     Part C Plan Type Code: Mar                        
                          7,201                          Inapplicable/Missing                    
                          3,208        01                Health Maintenance Organization (HMO)   
                            551        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,593        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            234        31                Regional PPO                            
                            127        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP04  $PTYPFMT                     Part C Plan Type Code: Apr                        
                          7,198                          Inapplicable/Missing                    
                          3,199        01                Health Maintenance Organization (HMO)   
                            549        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,606        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            232        31                Regional PPO                            
                            130        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP05  $PTYPFMT                     Part C Plan Type Code: May                        
                          7,184                          Inapplicable/Missing                    
                          3,210        01                Health Maintenance Organization (HMO)   
                            548        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,611        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             12        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            232        31                Regional PPO                            
                            128        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP06  $PTYPFMT                     Part C Plan Type Code: Jun                        
                          7,166                          Inapplicable/Missing                    
                          3,218        01                Health Maintenance Organization (HMO)   
                            547        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,630        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             12        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            229        31                Regional PPO                            
                            123        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP07  $PTYPFMT                     Part C Plan Type Code: Jul                        
                          7,144                          Inapplicable/Missing                    
                          3,232        01                Health Maintenance Organization (HMO)   
                            546        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,637        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            226        31                Regional PPO                            
                            126        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP08  $PTYPFMT                     Part C Plan Type Code: Aug                        
                          7,131                          Inapplicable/Missing                    
                          3,237        01                Health Maintenance Organization (HMO)   
                            548        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,641        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            228        31                Regional PPO                            
                            126        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP09  $PTYPFMT                     Part C Plan Type Code: Sep                        
                          7,107                          Inapplicable/Missing                    
                          3,251        01                Health Maintenance Organization (HMO)   
                            540        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,660        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            227        31                Regional PPO                            
                            126        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP10  $PTYPFMT                     Part C Plan Type Code: Oct                        
                          7,101                          Inapplicable/Missing                    
                          3,256        01                Health Maintenance Organization (HMO)   
                            541        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,660        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             23        19                HCPP - Section 1833 Cost Plan           
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            226        31                Regional PPO                            
                            128        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP11  $PTYPFMT                     Part C Plan Type Code: Nov                        
                          7,105                          Inapplicable/Missing                    
                          3,257        01                Health Maintenance Organization (HMO)   
                            542        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,656        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            225        31                Regional PPO                            
                            128        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP12  $PTYPFMT                     Part C Plan Type Code: Dec                        
                          7,121                          Inapplicable/Missing                    
                          3,247        01                Health Maintenance Organization (HMO)   
                            541        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,647        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             13        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            230        31                Regional PPO                            
                            127        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_MAPMT   MONYFMT                      Total MA A/B Payment – Annual                     
                          2,073                       .  Inapplicable/Missing                    
                         11,906        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM01  MONYFMT                      Part C Premium - Jan                              
                          8,763                       .  Inapplicable/Missing                    
                          5,216        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02  MONYFMT                      Part C Premium - Feb                              
                          8,750                       .  Inapplicable/Missing                    
                          5,229        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03  MONYFMT                      Part C Premium - Mar                              
                          8,743                       .  Inapplicable/Missing                    
                          5,236        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04  MONYFMT                      Part C Premium - Apr                              
                          8,741                       .  Inapplicable/Missing                    
                          5,238        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05  MONYFMT                      Part C Premium - May                              
                          8,730                       .  Inapplicable/Missing                    
                          5,249        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06  MONYFMT                      Part C Premium - Jun                              
                          8,712                       .  Inapplicable/Missing                    
                          5,267        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07  MONYFMT                      Part C Premium - Jul                              
                          8,698                       .  Inapplicable/Missing                    
                          5,281        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08  MONYFMT                      Part C Premium - Aug                              
                          8,684                       .  Inapplicable/Missing                    
                          5,295        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09  MONYFMT                      Part C Premium - Sep                              
                          8,658                       .  Inapplicable/Missing                    
                          5,321        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10  MONYFMT                      Part C Premium - Oct                              
                          8,652                       .  Inapplicable/Missing                    
                          5,327        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11  MONYFMT                      Part C Premium - Nov                              
                          8,657                       .  Inapplicable/Missing                    
                          5,322        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12  MONYFMT                      Part C Premium - Dec                              
                          8,668                       .  Inapplicable/Missing                    
                          5,311        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                          
                             10                          Inapplicable/Missing                    
                            204        0                 Not Medicare Enrolled/Month             
                         11,413        Contract/Values   Contract/Segment/Plan ID                
                          2,352        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                          
                              8                          Inapplicable/Missing                    
                            241        0                 Not Medicare Enrolled/Month             
                         11,395        Contract/Values   Contract/Segment/Plan ID                
                          2,335        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                          
                              8                          Inapplicable/Missing                    
                            264        0                 Not Medicare Enrolled/Month             
                         11,382        Contract/Values   Contract/Segment/Plan ID                
                          2,325        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                          
                              8                          Inapplicable/Missing                    
                            287        0                 Not Medicare Enrolled/Month             
                         11,370        Contract/Values   Contract/Segment/Plan ID                
                          2,314        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                          
                              7                          Inapplicable/Missing                    
                            302        0                 Not Medicare Enrolled/Month             
                         11,364        Contract/Values   Contract/Segment/Plan ID                
                          2,306        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                          
                              6                          Inapplicable/Missing                    
                            312        0                 Not Medicare Enrolled/Month             
                         11,365        Contract/Values   Contract/Segment/Plan ID                
                          2,296        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                          
                              6                          Inapplicable/Missing                    
                            318        0                 Not Medicare Enrolled/Month             
                         11,360        Contract/Values   Contract/Segment/Plan ID                
                          2,295        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                          
                              6                          Inapplicable/Missing                    
                            320        0                 Not Medicare Enrolled/Month             
                         11,363        Contract/Values   Contract/Segment/Plan ID                
                          2,290        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                          
                              6                          Inapplicable/Missing                    
                            322        0                 Not Medicare Enrolled/Month             
                         11,369        Contract/Values   Contract/Segment/Plan ID                
                          2,282        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                          
                              6                          Inapplicable/Missing                    
                            337        0                 Not Medicare Enrolled/Month             
                         11,362        Contract/Values   Contract/Segment/Plan ID                
                          2,274        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                          
                              6                          Inapplicable/Missing                    
                            377        0                 Not Medicare Enrolled/Month             
                         11,336        Contract/Values   Contract/Segment/Plan ID                
                          2,260        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                          
                              6                          Inapplicable/Missing                    
                            413        0                 Not Medicare Enrolled/Month             
                         11,304        Contract/Values   Contract/Segment/Plan ID                
                          2,256        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan                 
                          2,566                          Inapplicable/Missing                    
                         11,413        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb                 
                          2,584                          Inapplicable/Missing                    
                         11,395        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar                 
                          2,597                          Inapplicable/Missing                    
                         11,382        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr                 
                          2,609                          Inapplicable/Missing                    
                         11,370        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May                 
                          2,615                          Inapplicable/Missing                    
                         11,364        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun                 
                          2,614                          Inapplicable/Missing                    
                         11,365        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul                 
                          2,619                          Inapplicable/Missing                    
                         11,360        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug                 
                          2,616                          Inapplicable/Missing                    
                         11,363        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep                 
                          2,610                          Inapplicable/Missing                    
                         11,369        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct                 
                          2,617                          Inapplicable/Missing                    
                         11,362        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov                 
                          2,643                          Inapplicable/Missing                    
                         11,336        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec                 
                          2,675                          Inapplicable/Missing                    
                         11,304        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: Jan                            
                          2,566                          Inapplicable/Missing                    
                         11,413        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: Feb                            
                          2,584                          Inapplicable/Missing                    
                         11,395        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: Mar                            
                          2,597                          Inapplicable/Missing                    
                         11,382        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: Apr                            
                          2,609                          Inapplicable/Missing                    
                         11,370        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                            
                          2,615                          Inapplicable/Missing                    
                         11,364        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: Jun                            
                          2,614                          Inapplicable/Missing                    
                         11,365        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: Jul                            
                          2,619                          Inapplicable/Missing                    
                         11,360        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: Aug                            
                          2,616                          Inapplicable/Missing                    
                         11,363        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: Sep                            
                          2,610                          Inapplicable/Missing                    
                         11,369        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: Oct                            
                          2,617                          Inapplicable/Missing                    
                         11,362        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: Nov                            
                          2,643                          Inapplicable/Missing                    
                         11,336        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: Dec                            
                          2,675                          Inapplicable/Missing                    
                         11,304        Contract/Values   Contract/Segment/Plan ID                
 
H_DTYP01  $PTYPFMT                     Part D Plan Type Code: Jan                        
                          2,566                          Inapplicable/Missing                    
                          3,141        01                Health Maintenance Organization (HMO)   
                            538        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,012        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             12        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,298        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            227        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            129        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP02  $PTYPFMT                     Part D Plan Type Code: Feb                        
                          2,584                          Inapplicable/Missing                    
                          3,141        01                Health Maintenance Organization (HMO)   
                            538        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,028        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,263        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            221        31                Regional PPO                            
                             26        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            130        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP03  $PTYPFMT                     Part D Plan Type Code: Mar                        
                          2,597                          Inapplicable/Missing                    
                          3,140        01                Health Maintenance Organization (HMO)   
                            536        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,038        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,249        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            220        31                Regional PPO                            
                             24        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            127        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP04  $PTYPFMT                     Part D Plan Type Code: Apr                        
                          2,609                          Inapplicable/Missing                    
                          3,132        01                Health Maintenance Organization (HMO)   
                            534        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,053        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,233        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            218        31                Regional PPO                            
                             22        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            130        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP05  $PTYPFMT                     Part D Plan Type Code: May                        
                          2,615                          Inapplicable/Missing                    
                          3,143        01                Health Maintenance Organization (HMO)   
                            533        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,058        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             12        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,211        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                            218        31                Regional PPO                            
                             25        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            128        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP06  $PTYPFMT                     Part D Plan Type Code: Jun                        
                          2,614                          Inapplicable/Missing                    
                          3,151        01                Health Maintenance Organization (HMO)   
                            531        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,077        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             12        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,199        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                            215        31                Regional PPO                            
                             21        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            123        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP07  $PTYPFMT                     Part D Plan Type Code: Jul                        
                          2,619                          Inapplicable/Missing                    
                          3,164        01                Health Maintenance Organization (HMO)   
                            530        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,085        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,176        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                            212        31                Regional PPO                            
                             17        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            126        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP08  $PTYPFMT                     Part D Plan Type Code: Aug                        
                          2,616                          Inapplicable/Missing                    
                          3,169        01                Health Maintenance Organization (HMO)   
                            531        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,089        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,165        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                            214        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            126        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP09  $PTYPFMT                     Part D Plan Type Code: Sep                        
                          2,610                          Inapplicable/Missing                    
                          3,183        01                Health Maintenance Organization (HMO)   
                            525        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,106        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,152        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                            212        31                Regional PPO                            
                             15        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            126        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP10  $PTYPFMT                     Part D Plan Type Code: Oct                        
                          2,617                          Inapplicable/Missing                    
                          3,188        01                Health Maintenance Organization (HMO)   
                            526        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,106        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,144        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                            211        31                Regional PPO                            
                             10        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            128        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP11  $PTYPFMT                     Part D Plan Type Code: Nov                        
                          2,643                          Inapplicable/Missing                    
                          3,188        01                Health Maintenance Organization (HMO)   
                            527        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,103        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,117        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                            210        31                Regional PPO                            
                             14        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            128        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP12  $PTYPFMT                     Part D Plan Type Code: Dec                        
                          2,675                          Inapplicable/Missing                    
                          3,178        01                Health Maintenance Organization (HMO)   
                            526        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,096        04                Local Preferred Provider Org (PPO)      
                             13        09                PFFS                                    
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,099        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                            214        31                Regional PPO                            
                             15        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            127        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_PTDAMT  MONYFMT                      Part D Total Payment - Annual                     
                          2,073                       .  Inapplicable/Missing                    
                         11,906        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM01  MONYFMT                      Part D Premium - Jan                              
                          2,588                       .  Inapplicable/Missing                    
                         11,391        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02  MONYFMT                      Part D Premium - Feb                              
                          2,614                       .  Inapplicable/Missing                    
                         11,365        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03  MONYFMT                      Part D Premium - Mar                              
                          2,625                       .  Inapplicable/Missing                    
                         11,354        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04  MONYFMT                      Part D Premium - Apr                              
                          2,636                       .  Inapplicable/Missing                    
                         11,343        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05  MONYFMT                      Part D Premium - May                              
                          2,645                       .  Inapplicable/Missing                    
                         11,334        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06  MONYFMT                      Part D Premium - Jun                              
                          2,641                       .  Inapplicable/Missing                    
                         11,338        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07  MONYFMT                      Part D Premium - Jul                              
                          2,642                       .  Inapplicable/Missing                    
                         11,337        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08  MONYFMT                      Part D Premium - Aug                              
                          2,641                       .  Inapplicable/Missing                    
                         11,338        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09  MONYFMT                      Part D Premium - Sep                              
                          2,631                       .  Inapplicable/Missing                    
                         11,348        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10  MONYFMT                      Part D Premium - Oct                              
                          2,632                       .  Inapplicable/Missing                    
                         11,347        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11  MONYFMT                      Part D Premium - Nov                              
                          2,663                       .  Inapplicable/Missing                    
                         11,316        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12  MONYFMT                      Part D Premium - Dec                              
                          2,696                       .  Inapplicable/Missing                    
                         11,283        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01  MONYFMT                      Part D Deductible - Jan                           
                          4,344                       .  Inapplicable/Missing                    
                          9,635        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02  MONYFMT                      Part D Deductible - Feb                           
                          4,358                       .  Inapplicable/Missing                    
                          9,621        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03  MONYFMT                      Part D Deductible - Mar                           
                          4,366                       .  Inapplicable/Missing                    
                          9,613        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04  MONYFMT                      Part D Deductible - Apr                           
                          4,373                       .  Inapplicable/Missing                    
                          9,606        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05  MONYFMT                      Part D Deductible - May                           
                          4,384                       .  Inapplicable/Missing                    
                          9,595        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06  MONYFMT                      Part D Deductible - Jun                           
                          4,382                       .  Inapplicable/Missing                    
                          9,597        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07  MONYFMT                      Part D Deductible - Jul                           
                          4,383                       .  Inapplicable/Missing                    
                          9,596        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08  MONYFMT                      Part D Deductible - Aug                           
                          4,380                       .  Inapplicable/Missing                    
                          9,599        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09  MONYFMT                      Part D Deductible - Sep                           
                          4,367                       .  Inapplicable/Missing                    
                          9,612        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10  MONYFMT                      Part D Deductible - Oct                           
                          4,366                       .  Inapplicable/Missing                    
                          9,613        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11  MONYFMT                      Part D Deductible - Nov                           
                          4,394                       .  Inapplicable/Missing                    
                          9,585        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12  MONYFMT                      Part D Deductible - Dec                           
                          4,419                       .  Inapplicable/Missing                    
                          9,560        Range of values   Amount as $$$$$$.CC                     
 
H_EGWP01  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jan          
                          2,566                       .  Unknown                                 
                          1,747                       1  Yes                                     
                          9,666                       2  No                                      
 
H_EGWP02  YES8FMT                      PDP Employer Group Waiver Plan Ind - Feb          
                          2,584                       .  Unknown                                 
                          1,737                       1  Yes                                     
                          9,658                       2  No                                      
 
H_EGWP03  YES8FMT                      PDP Employer Group Waiver Plan Ind - Mar          
                          2,597                       .  Unknown                                 
                          1,734                       1  Yes                                     
                          9,648                       2  No                                      
 
H_EGWP04  YES8FMT                      PDP Employer Group Waiver Plan Ind - Apr          
                          2,609                       .  Unknown                                 
                          1,731                       1  Yes                                     
                          9,639                       2  No                                      
 
H_EGWP05  YES8FMT                      PDP Employer Group Waiver Plan Ind - May          
                          2,615                       .  Unknown                                 
                          1,732                       1  Yes                                     
                          9,632                       2  No                                      
 
H_EGWP06  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jun          
                          2,614                       .  Unknown                                 
                          1,735                       1  Yes                                     
                          9,630                       2  No                                      
 
H_EGWP07  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jul          
                          2,619                       .  Unknown                                 
                          1,733                       1  Yes                                     
                          9,627                       2  No                                      
 
H_EGWP08  YES8FMT                      PDP Employer Group Waiver Plan Ind - Aug          
                          2,616                       .  Unknown                                 
                          1,731                       1  Yes                                     
                          9,632                       2  No                                      
 
H_EGWP09  YES8FMT                      PDP Employer Group Waiver Plan Ind - Sep          
                          2,610                       .  Unknown                                 
                          1,728                       1  Yes                                     
                          9,641                       2  No                                      
 
H_EGWP10  YES8FMT                      PDP Employer Group Waiver Plan Ind - Oct          
                          2,617                       .  Unknown                                 
                          1,726                       1  Yes                                     
                          9,636                       2  No                                      
 
H_EGWP11  YES8FMT                      PDP Employer Group Waiver Plan Ind - Nov          
                          2,643                       .  Unknown                                 
                          1,724                       1  Yes                                     
                          9,612                       2  No                                      
 
H_EGWP12  YES8FMT                      PDP Employer Group Waiver Plan Ind - Dec          
                          2,675                       .  Unknown                                 
                          1,716                       1  Yes                                     
                          9,588                       2  No                                      
 
H_PDRS01  DRDSFMT                      RDS Indicator - Jan                               
                            214                       .  Unknown                                 
                            277                       1  Employer subsidized for the beneficiary 
                         13,488                       2  Employer not subsidized for the benefici
 
H_PDRS02  DRDSFMT                      RDS Indicator - Feb                               
                            249                       .  Unknown                                 
                            279                       1  Employer subsidized for the beneficiary 
                         13,451                       2  Employer not subsidized for the benefici
 
H_PDRS03  DRDSFMT                      RDS Indicator - Mar                               
                            272                       .  Unknown                                 
                            279                       1  Employer subsidized for the beneficiary 
                         13,428                       2  Employer not subsidized for the benefici
 
H_PDRS04  DRDSFMT                      RDS Indicator - Apr                               
                            295                       .  Unknown                                 
                            278                       1  Employer subsidized for the beneficiary 
                         13,406                       2  Employer not subsidized for the benefici
 
H_PDRS05  DRDSFMT                      RDS Indicator - May                               
                            309                       .  Unknown                                 
                            277                       1  Employer subsidized for the beneficiary 
                         13,393                       2  Employer not subsidized for the benefici
 
H_PDRS06  DRDSFMT                      RDS Indicator - Jun                               
                            318                       .  Unknown                                 
                            278                       1  Employer subsidized for the beneficiary 
                         13,383                       2  Employer not subsidized for the benefici
 
H_PDRS07  DRDSFMT                      RDS Indicator - Jul                               
                            324                       .  Unknown                                 
                            271                       1  Employer subsidized for the beneficiary 
                         13,384                       2  Employer not subsidized for the benefici
 
H_PDRS08  DRDSFMT                      RDS Indicator - Aug                               
                            326                       .  Unknown                                 
                            273                       1  Employer subsidized for the beneficiary 
                         13,380                       2  Employer not subsidized for the benefici
 
H_PDRS09  DRDSFMT                      RDS Indicator - Sep                               
                            328                       .  Unknown                                 
                            275                       1  Employer subsidized for the beneficiary 
                         13,376                       2  Employer not subsidized for the benefici
 
H_PDRS10  DRDSFMT                      RDS Indicator - Oct                               
                            343                       .  Unknown                                 
                            274                       1  Employer subsidized for the beneficiary 
                         13,362                       2  Employer not subsidized for the benefici
 
H_PDRS11  DRDSFMT                      RDS Indicator - Nov                               
                            383                       .  Unknown                                 
                            270                       1  Employer subsidized for the beneficiary 
                         13,326                       2  Employer not subsidized for the benefici
 
H_PDRS12  DRDSFMT                      RDS Indicator - Dec                               
                            419                       .  Unknown                                 
                            269                       1  Employer subsidized for the beneficiary 
                         13,291                       2  Employer not subsidized for the benefici
 
H_PTAPRM  MONYFMT                      Total Pt. A premium SP paid in CY                 
                         13,979        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM  MONYFMT                      Total Pt. B premium SP paid in CY                 
                         13,979        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM  MONYFMT                      Estimate TotPrem: A+B+C+D+SurveyOnlyPlan          
                         13,979        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                       
                         10,869                          Inapplicable/Missing                    
                              2        01                IAH Practice Demonstration              
                          2,220        08                Medicare Shared Savings Program (SSP)   
                              6        11                MMCO Financ Alignment Demo(Duals)       
                              4        53                Vermont All-Payer Model (CMMI)          
                             53        56                Maryland TotCostCare:PrimCareProg (CMMI)
                            323        57                Primary Care First (PCF)                
                            439        63                Direct Contracting (DC)                 
                             35        64                ESRD Treatment Choices Model (ETC)      
                             27        66                Kidney Care Choices Model (KCC)         
                              1        71                71                                      
 
H_PRGID2  $PRIDFMT                     2nd CMS Prog ID – Payment Model                   
                         13,769                          Inapplicable/Missing                    
                            175        08                Medicare Shared Savings Program (SSP)   
                              4        56                Maryland TotCostCare:PrimCareProg (CMMI)
                             15        57                Primary Care First (PCF)                
                              1        63                Direct Contracting (DC)                 
                              3        64                ESRD Treatment Choices Model (ETC)      
                             12        66                Kidney Care Choices Model (KCC)         
 
H_PRGID3  $PRIDFMT                     3rd  CMS Prog ID – Payment Model                  
                         13,975                          Inapplicable/Missing                    
                              4        57                Primary Care First (PCF)                
 
