Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                         14,441        LOW-HIGH          BASEID Count                            
 
SURVEYYR    SVYRFMT                    Survey Year                                       
                         14,441                    2023  2023                                    
 
VERSION     VERSFMT                    Version Number                                    
                         14,441                       1  Version 1                               
 
H_DOE       MMDDYYn8                   Medicare entitlement start date                   
                         14,441        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT       MMDDYYn8                   Medicare entitlement end date                     
                         13,994                       .  Inapplicable                            
                            447        MMDDYYYY          Date as MMDDYYYY                        
 
H_MEDSTA    $MSCFMT                    Medicare status code as of 12/31                  
                         12,031        10                Aged, no ESRD                           
                             65        11                Aged, ESRD                              
                          2,266        20                Disabled, no ESRD                       
                             55        21                Disabled, ESRD                          
                             24        31                ESRD only                               
 
H_GHPSW     GHPSW                      Some group health participation in year           
                          7,793                       1  Some enrollment                         
                          6,648                       2  No enrollment                           
 
H_ESRBEG    MMDDYYn8                   Beginning date of ESRD period                     
                         14,269                       .  Inapplicable                            
                            172        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND    MMDDYYn8                   Ending date of ESRD period                        
                         14,400                       .  Inapplicable                            
                             41        MMDDYYYY          Date as MMDDYYYY                        
 
H_MACY01                               Buy-in agency - Jan                               
                          2,323        Values/Codes      State Agency code                       
                         12,118        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                               
                          2,347        Values/Codes      State Agency code                       
                         12,094        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                               
                          2,349        Values/Codes      State Agency code                       
                         12,092        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                               
                          2,350        Values/Codes      State Agency code                       
                         12,091        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                               
                          2,343        Values/Codes      State Agency code                       
                         12,098        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                               
                          2,329        Values/Codes      State Agency code                       
                         12,112        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                               
                          2,344        Values/Codes      State Agency code                       
                         12,097        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                               
                          2,333        Values/Codes      State Agency code                       
                         12,108        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                               
                          2,334        Values/Codes      State Agency code                       
                         12,107        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                               
                          2,318        Values/Codes      State Agency code                       
                         12,123        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                               
                          2,311        Values/Codes      State Agency code                       
                         12,130        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                               
                          2,307        Values/Codes      State Agency code                       
                         12,134        N                 Unknown, or no buy-in                   
 
H_MCDE01    $MCDCFMT                   Medicaid eligibility - Jan                        
                             43        A                 State Part A buy-in                     
                            776        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                             60        D                 State Part A and B QMB buy-in           
                         12,089        N                 No buy-in this month                    
                          1,134        Q                 State Part B QMB buy-in                 
                            282        S                 State Part B SLMB buy-in                
 
H_MCDE02    $MCDCFMT                   Medicaid eligibility - Feb                        
                             43        A                 State Part A buy-in                     
                            775        B                 State Part B buy-in                     
                             58        C                 State Part A and B buy-in               
                             60        D                 State Part A and B QMB buy-in           
                         12,065        N                 No buy-in this month                    
                          1,153        Q                 State Part B QMB buy-in                 
                            287        S                 State Part B SLMB buy-in                
 
H_MCDE03    $MCDCFMT                   Medicaid eligibility - Mar                        
                             43        A                 State Part A buy-in                     
                            773        B                 State Part B buy-in                     
                             59        C                 State Part A and B buy-in               
                             59        D                 State Part A and B QMB buy-in           
                         12,061        N                 No buy-in this month                    
                          1,158        Q                 State Part B QMB buy-in                 
                            288        S                 State Part B SLMB buy-in                
 
H_MCDE04    $MCDCFMT                   Medicaid eligibility - Apr                        
                             43        A                 State Part A buy-in                     
                            773        B                 State Part B buy-in                     
                             58        C                 State Part A and B buy-in               
                             59        D                 State Part A and B QMB buy-in           
                         12,060        N                 No buy-in this month                    
                          1,164        Q                 State Part B QMB buy-in                 
                            284        S                 State Part B SLMB buy-in                
 
H_MCDE05    $MCDCFMT                   Medicaid eligibility - May                        
                             43        A                 State Part A buy-in                     
                            769        B                 State Part B buy-in                     
                             59        C                 State Part A and B buy-in               
                             60        D                 State Part A and B QMB buy-in           
                         12,067        N                 No buy-in this month                    
                          1,160        Q                 State Part B QMB buy-in                 
                            283        S                 State Part B SLMB buy-in                
 
H_MCDE06    $MCDCFMT                   Medicaid eligibility - Jun                        
                             43        A                 State Part A buy-in                     
                            763        B                 State Part B buy-in                     
                             59        C                 State Part A and B buy-in               
                             61        D                 State Part A and B QMB buy-in           
                         12,080        N                 No buy-in this month                    
                          1,155        Q                 State Part B QMB buy-in                 
                            280        S                 State Part B SLMB buy-in                
 
H_MCDE07    $MCDCFMT                   Medicaid eligibility - Jul                        
                             43        A                 State Part A buy-in                     
                            765        B                 State Part B buy-in                     
                             60        C                 State Part A and B buy-in               
                             62        D                 State Part A and B QMB buy-in           
                         12,067        N                 No buy-in this month                    
                          1,163        Q                 State Part B QMB buy-in                 
                            281        S                 State Part B SLMB buy-in                
 
H_MCDE08    $MCDCFMT                   Medicaid eligibility - Aug                        
                             43        A                 State Part A buy-in                     
                            760        B                 State Part B buy-in                     
                             59        C                 State Part A and B buy-in               
                             62        D                 State Part A and B QMB buy-in           
                         12,078        N                 No buy-in this month                    
                          1,159        Q                 State Part B QMB buy-in                 
                            280        S                 State Part B SLMB buy-in                
 
H_MCDE09    $MCDCFMT                   Medicaid eligibility - Sep                        
                             44        A                 State Part A buy-in                     
                            759        B                 State Part B buy-in                     
                             58        C                 State Part A and B buy-in               
                             62        D                 State Part A and B QMB buy-in           
                         12,077        N                 No buy-in this month                    
                          1,164        Q                 State Part B QMB buy-in                 
                            277        S                 State Part B SLMB buy-in                
 
H_MCDE10    $MCDCFMT                   Medicaid eligibility - Oct                        
                             44        A                 State Part A buy-in                     
                            749        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                             62        D                 State Part A and B QMB buy-in           
                         12,092        N                 No buy-in this month                    
                          1,160        Q                 State Part B QMB buy-in                 
                            277        S                 State Part B SLMB buy-in                
 
H_MCDE11    $MCDCFMT                   Medicaid eligibility - Nov                        
                             43        A                 State Part A buy-in                     
                            734        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                             62        D                 State Part A and B QMB buy-in           
                         12,100        N                 No buy-in this month                    
                          1,166        Q                 State Part B QMB buy-in                 
                            279        S                 State Part B SLMB buy-in                
 
H_MCDE12    $MCDCFMT                   Medicaid eligibility - Dec                        
                             44        A                 State Part A buy-in                     
                            732        B                 State Part B buy-in                     
                             57        C                 State Part A and B buy-in               
                             61        D                 State Part A and B QMB buy-in           
                         12,104        N                 No buy-in this month                    
                          1,166        Q                 State Part B QMB buy-in                 
                            277        S                 State Part B SLMB buy-in                
 
H_MCSW      SWFMT                      Some Medicaid eligibility for the year            
                          2,558                       1  Some participation                      
                         11,883                       2  No participation                        
 
H_DUAL01    $DUALMON                   Dual eligibility code - Jan                       
                            228        00                Not enrolled in Medicare for the month  
                            470        01                QMB-only                                
                          1,896        02                QMB & full Medicaid covrge, + Rx drugs  
                            294        03                SLMB-only                               
                            139        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            159        06                Qualifying individuals                  
                            754        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         10,498        NA                Non-Medicaid                            
 
H_DUAL02    $DUALMON                   Dual eligibility code - Feb                       
                            249        00                Not enrolled in Medicare for the month  
                            472        01                QMB-only                                
                          1,924        02                QMB & full Medicaid covrge, + Rx drugs  
                            295        03                SLMB-only                               
                            141        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            158        06                Qualifying individuals                  
                            722        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         10,477        NA                Non-Medicaid                            
 
H_DUAL03    $DUALMON                   Dual eligibility code - Mar                       
                            253        00                Not enrolled in Medicare for the month  
                            467        01                QMB-only                                
                          1,926        02                QMB & full Medicaid covrge, + Rx drugs  
                            293        03                SLMB-only                               
                            147        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            158        06                Qualifying individuals                  
                            729        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         10,465        NA                Non-Medicaid                            
 
H_DUAL04    $DUALMON                   Dual eligibility code - Apr                       
                            278        00                Not enrolled in Medicare for the month  
                            472        01                QMB-only                                
                          1,930        02                QMB & full Medicaid covrge, + Rx drugs  
                            291        03                SLMB-only                               
                            147        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            157        06                Qualifying individuals                  
                            726        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         10,437        NA                Non-Medicaid                            
 
H_DUAL05    $DUALMON                   Dual eligibility code - May                       
                            292        00                Not enrolled in Medicare for the month  
                            472        01                QMB-only                                
                          1,933        02                QMB & full Medicaid covrge, + Rx drugs  
                            291        03                SLMB-only                               
                            142        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            160        06                Qualifying individuals                  
                            719        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,431        NA                Non-Medicaid                            
 
H_DUAL06    $DUALMON                   Dual eligibility code - Jun                       
                            300        00                Not enrolled in Medicare for the month  
                            471        01                QMB-only                                
                          1,920        02                QMB & full Medicaid covrge, + Rx drugs  
                            287        03                SLMB-only                               
                            139        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            161        06                Qualifying individuals                  
                            719        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,443        NA                Non-Medicaid                            
 
H_DUAL07    $DUALMON                   Dual eligibility code - Jul                       
                            302        00                Not enrolled in Medicare for the month  
                            462        01                QMB-only                                
                          1,927        02                QMB & full Medicaid covrge, + Rx drugs  
                            288        03                SLMB-only                               
                            143        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            164        06                Qualifying individuals                  
                            708        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,446        NA                Non-Medicaid                            
 
H_DUAL08    $DUALMON                   Dual eligibility code - Aug                       
                            300        00                Not enrolled in Medicare for the month  
                            462        01                QMB-only                                
                          1,911        02                QMB & full Medicaid covrge, + Rx drugs  
                            285        03                SLMB-only                               
                            146        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            167        06                Qualifying individuals                  
                            691        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,478        NA                Non-Medicaid                            
 
H_DUAL09    $DUALMON                   Dual eligibility code - Sep                       
                            317        00                Not enrolled in Medicare for the month  
                            456        01                QMB-only                                
                          1,902        02                QMB & full Medicaid covrge, + Rx drugs  
                            288        03                SLMB-only                               
                            135        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            172        06                Qualifying individuals                  
                            688        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,481        NA                Non-Medicaid                            
 
H_DUAL10    $DUALMON                   Dual eligibility code - Oct                       
                            346        00                Not enrolled in Medicare for the month  
                            448        01                QMB-only                                
                          1,894        02                QMB & full Medicaid covrge, + Rx drugs  
                            288        03                SLMB-only                               
                            134        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            168        06                Qualifying individuals                  
                            681        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,480        NA                Non-Medicaid                            
 
H_DUAL11    $DUALMON                   Dual eligibility code - Nov                       
                            367        00                Not enrolled in Medicare for the month  
                            448        01                QMB-only                                
                          1,875        02                QMB & full Medicaid covrge, + Rx drugs  
                            289        03                SLMB-only                               
                            135        04                SLMB & full Medicaid covrge, + Rx drugs 
                            163        06                Qualifying individuals                  
                            679        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,484        NA                Non-Medicaid                            
 
H_DUAL12    $DUALMON                   Dual eligibility code - Dec                       
                            391        00                Not enrolled in Medicare for the month  
                            446        01                QMB-only                                
                          1,873        02                QMB & full Medicaid covrge, + Rx drugs  
                            289        03                SLMB-only                               
                            129        04                SLMB & full Medicaid covrge, + Rx drugs 
                            157        06                Qualifying individuals                  
                            671        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         10,484        NA                Non-Medicaid                            
 
H_OPMDCD    DUALFMT                    Medicare-Medicaid dual eligibility indic          
                          2,922                       1  FULL-Bene elig. full Medicaid benefits  
                         10,522                       2  NONDUAL-Bene not elig Medicaid benfits  
                            511                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            486                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PDLS01    $DLSFMT                    LIS Indicator - Jan                               
                            228        00                Not Medicare enrolled for the month     
                          1,096        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,554        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,050        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            249        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             11        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
                             26        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
                          7,873        09                Pt A and/or B +D;no prem or cstshare sub
                            264        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,053        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                               
                            249        00                Not Medicare enrolled for the month     
                          1,096        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,555        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,045        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
                             11        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
                             28        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
                          7,876        09                Pt A and/or B +D;no prem or cstshare sub
                            263        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,033        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                               
                            253        00                Not Medicare enrolled for the month     
                          1,098        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,561        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,038        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            247        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             11        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
                             28        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
                          7,882        09                Pt A and/or B +D;no prem or cstshare sub
                            265        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_PDLS04    $DLSFMT                    LIS Indicator - Apr                               
                            278        00                Not Medicare enrolled for the month     
                          1,098        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,564        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,037        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
                             11        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
                             29        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
                          7,874        09                Pt A and/or B +D;no prem or cstshare sub
                            263        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,004        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                               
                            292        00                Not Medicare enrolled for the month     
                          1,101        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,564        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,033        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
                             11        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
                             30        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
                          7,867        09                Pt A and/or B +D;no prem or cstshare sub
                            261        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,001        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                               
                            300        00                Not Medicare enrolled for the month     
                          1,098        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,562        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,031        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            249        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             11        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
                             30        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
                          7,865        09                Pt A and/or B +D;no prem or cstshare sub
                            259        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,003        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                               
                            302        00                Not Medicare enrolled for the month     
                          1,106        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,562        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,026        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            249        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             11        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
                             30        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
                          7,863        09                Pt A and/or B +D;no prem or cstshare sub
                            252        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,007        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                               
                            300        00                Not Medicare enrolled for the month     
                          1,108        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,566        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,029        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
                              9        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
                             30        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
                          7,865        09                Pt A and/or B +D;no prem or cstshare sub
                            254        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,001        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                               
                            317        00                Not Medicare enrolled for the month     
                          1,110        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,565        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,030        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
                             10        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
                             30        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
                          7,857        09                Pt A and/or B +D;no prem or cstshare sub
                            252        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_PDLS10    $DLSFMT                    LIS Indicator - Oct                               
                            346        00                Not Medicare enrolled for the month     
                          1,110        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,569        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,023        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
                             11        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
                             29        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
                          7,848        09                Pt A and/or B +D;no prem or cstshare sub
                            252        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,977        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                               
                            367        00                Not Medicare enrolled for the month     
                          1,126        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,555        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,015        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
                             11        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
                             29        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             15        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,842        09                Pt A and/or B +D;no prem or cstshare sub
                            251        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,972        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                               
                            391        00                Not Medicare enrolled for the month     
                          1,136        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,555        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,008        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            241        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             11        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
                             29        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             15        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,827        09                Pt A and/or B +D;no prem or cstshare sub
                            250        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,962        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                 
                          2,330                       .  Inapplicable/Missing                    
                         12,111        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02    MONYFMT                    Medicare capitation payment - Feb                 
                          2,327                       .  Inapplicable/Missing                    
                         12,114        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03    MONYFMT                    Medicare capitation payment - Mar                 
                          2,326                       .  Inapplicable/Missing                    
                         12,115        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04    MONYFMT                    Medicare capitation payment - Apr                 
                          2,333                       .  Inapplicable/Missing                    
                         12,108        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05    MONYFMT                    Medicare capitation payment - May                 
                          2,341                       .  Inapplicable/Missing                    
                         12,100        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06    MONYFMT                    Medicare capitation payment - Jun                 
                          2,348                       .  Inapplicable/Missing                    
                         12,093        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07    MONYFMT                    Medicare capitation payment - Jul                 
                          2,341                       .  Inapplicable/Missing                    
                         12,100        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08    MONYFMT                    Medicare capitation payment - Aug                 
                          2,333                       .  Inapplicable/Missing                    
                         12,108        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09    MONYFMT                    Medicare capitation payment - Sep                 
                          2,340                       .  Inapplicable/Missing                    
                         12,101        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10    MONYFMT                    Medicare capitation payment - Oct                 
                          2,351                       .  Inapplicable/Missing                    
                         12,090        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11    MONYFMT                    Medicare capitation payment - Nov                 
                          2,372                       .  Inapplicable/Missing                    
                         12,069        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12    MONYFMT                    Medicare capitation payment - Dec                 
                          2,380                       .  Inapplicable/Missing                    
                         12,061        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY01    MONYFMT                    Part D capitation payment - Jan                   
                          2,330                       .  Inapplicable/Missing                    
                         12,111        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02    MONYFMT                    Part D capitation payment - Feb                   
                          2,327                       .  Inapplicable/Missing                    
                         12,114        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03    MONYFMT                    Part D capitation payment - Mar                   
                          2,326                       .  Inapplicable/Missing                    
                         12,115        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04    MONYFMT                    Part D capitation payment - Apr                   
                          2,333                       .  Inapplicable/Missing                    
                         12,108        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05    MONYFMT                    Part D capitation payment - May                   
                          2,341                       .  Inapplicable/Missing                    
                         12,100        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06    MONYFMT                    Part D capitation payment - Jun                   
                          2,348                       .  Inapplicable/Missing                    
                         12,093        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07    MONYFMT                    Part D capitation payment - Jul                   
                          2,341                       .  Inapplicable/Missing                    
                         12,100        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08    MONYFMT                    Part D capitation payment - Aug                   
                          2,333                       .  Inapplicable/Missing                    
                         12,108        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09    MONYFMT                    Part D capitation payment - Sep                   
                          2,340                       .  Inapplicable/Missing                    
                         12,101        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10    MONYFMT                    Part D capitation payment - Oct                   
                          2,351                       .  Inapplicable/Missing                    
                         12,090        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11    MONYFMT                    Part D capitation payment - Nov                   
                          2,372                       .  Inapplicable/Missing                    
                         12,069        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12    MONYFMT                    Part D capitation payment - Dec                   
                          2,380                       .  Inapplicable/Missing                    
                         12,061        Range of values   Amount as $$$$$$.CC                     
 
H_PRPY01    $MSPCODE                   Primary Payer                                     
                         14,106                          Medicare is Primary                     
                            146        A                 Working Aged                            
                              1        B                 ESRD                                    
                              5        C                 Condition/Reimbursement Anticipated     
                             21        D                 Automobile No Fault                     
                             11        E                 Workers  comp                           
                             85        G                 Working Disabled                        
                              2        I                 VA                                      
                             54        L                 Any liability                           
                              2        M                 Override Code M                         
                              8        N                 Override Code N                         
 
H_PRPY02    $MSPCODE                   Primary Payer, 2nd code                           
                         14,391                          Medicare is Primary                     
                              8        A                 Working Aged                            
                              3        B                 ESRD                                    
                             17        C                 Condition/Reimbursement Anticipated     
                              4        D                 Automobile No Fault                     
                              3        E                 Workers  comp                           
                              1        G                 Working Disabled                        
                              6        L                 Any liability                           
                              3        M                 Override Code M                         
                              5        N                 Override Code N                         
 
H_PRPY03    $MSPCODE                   Primary Payer, 3rd code                           
                         14,436                          Medicare is Primary                     
                              2        A                 Working Aged                            
                              1        C                 Condition/Reimbursement Anticipated     
                              1        D                 Automobile No Fault                     
                              1        M                 Override Code M                         
 
H_MAFF01    $MA2FLAG                   MA flag -  Jan                                    
                          6,801        FF                Original Medicare/FFS                   
                          7,412        MA                MA/Other Medicare Capitated Paymnt Plans
                            228        NO                Not Medicare Enrolled/Month             
 
H_MAFF02    $MA2FLAG                   MA flag -  Feb                                    
                          6,773        FF                Original Medicare/FFS                   
                          7,419        MA                MA/Other Medicare Capitated Paymnt Plans
                            249        NO                Not Medicare Enrolled/Month             
 
H_MAFF03    $MA2FLAG                   MA flag -  Mar                                    
                          6,761        FF                Original Medicare/FFS                   
                          7,427        MA                MA/Other Medicare Capitated Paymnt Plans
                            253        NO                Not Medicare Enrolled/Month             
 
H_MAFF04    $MA2FLAG                   MA flag -  Apr                                    
                          6,718        FF                Original Medicare/FFS                   
                          7,445        MA                MA/Other Medicare Capitated Paymnt Plans
                            278        NO                Not Medicare Enrolled/Month             
 
H_MAFF05    $MA2FLAG                   MA flag -  May                                    
                          6,688        FF                Original Medicare/FFS                   
                          7,461        MA                MA/Other Medicare Capitated Paymnt Plans
                            292        NO                Not Medicare Enrolled/Month             
 
H_MAFF06    $MA2FLAG                   MA flag -  Jun                                    
                          6,663        FF                Original Medicare/FFS                   
                          7,478        MA                MA/Other Medicare Capitated Paymnt Plans
                            300        NO                Not Medicare Enrolled/Month             
 
H_MAFF07    $MA2FLAG                   MA flag -  Jul                                    
                          6,641        FF                Original Medicare/FFS                   
                          7,498        MA                MA/Other Medicare Capitated Paymnt Plans
                            302        NO                Not Medicare Enrolled/Month             
 
H_MAFF08    $MA2FLAG                   MA flag -  Aug                                    
                          6,634        FF                Original Medicare/FFS                   
                          7,507        MA                MA/Other Medicare Capitated Paymnt Plans
                            300        NO                Not Medicare Enrolled/Month             
 
H_MAFF09    $MA2FLAG                   MA flag -  Sep                                    
                          6,609        FF                Original Medicare/FFS                   
                          7,515        MA                MA/Other Medicare Capitated Paymnt Plans
                            317        NO                Not Medicare Enrolled/Month             
 
H_MAFF10    $MA2FLAG                   MA flag -  Oct                                    
                          6,596        FF                Original Medicare/FFS                   
                          7,499        MA                MA/Other Medicare Capitated Paymnt Plans
                            346        NO                Not Medicare Enrolled/Month             
 
H_MAFF11    $MA2FLAG                   MA flag -  Nov                                    
                          6,590        FF                Original Medicare/FFS                   
                          7,484        MA                MA/Other Medicare Capitated Paymnt Plans
                            367        NO                Not Medicare Enrolled/Month             
 
H_MAFF12    $MA2FLAG                   MA flag -  Dec                                    
                          6,575        FF                Original Medicare/FFS                   
                          7,475        MA                MA/Other Medicare Capitated Paymnt Plans
                            391        NO                Not Medicare Enrolled/Month             
 
H_PNUM                                 Number of GHPs in bene area                       
                         14,441        Range of values   Range of values                         
 
H_MANUM                                Number of MA plans in bene area                   
                         14,441        Range of values   Range of values                         
 
H_PFSNUM                               Number of PFFS plans in bene area                 
                         14,441        Range of values   Range of values                         
 
H_CREDSW    CREDFMT                    Creditable Coverage Switch                        
                          1,665                       1  SP had at least 1 month cred. coverage  
                         12,776                       2  SP had no months of cred. coverage      
 
H_PRTC01                               Part C Contract ID - Jan                          
                            228        0                 Not Medicare Enrolled/Month             
                          7,412        Contract/Values   Contract/Segment/Plan ID                
                          6,801        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                          
                            249        0                 Not Medicare Enrolled/Month             
                          7,419        Contract/Values   Contract/Segment/Plan ID                
                          6,773        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                          
                            253        0                 Not Medicare Enrolled/Month             
                          7,427        Contract/Values   Contract/Segment/Plan ID                
                          6,761        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                          
                            278        0                 Not Medicare Enrolled/Month             
                          7,445        Contract/Values   Contract/Segment/Plan ID                
                          6,718        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                          
                            292        0                 Not Medicare Enrolled/Month             
                          7,461        Contract/Values   Contract/Segment/Plan ID                
                          6,688        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                          
                            300        0                 Not Medicare Enrolled/Month             
                          7,478        Contract/Values   Contract/Segment/Plan ID                
                          6,663        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                          
                            302        0                 Not Medicare Enrolled/Month             
                          7,498        Contract/Values   Contract/Segment/Plan ID                
                          6,641        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                          
                            300        0                 Not Medicare Enrolled/Month             
                          7,507        Contract/Values   Contract/Segment/Plan ID                
                          6,634        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                          
                            317        0                 Not Medicare Enrolled/Month             
                          7,515        Contract/Values   Contract/Segment/Plan ID                
                          6,609        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                          
                            346        0                 Not Medicare Enrolled/Month             
                          7,499        Contract/Values   Contract/Segment/Plan ID                
                          6,596        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                          
                            367        0                 Not Medicare Enrolled/Month             
                          7,484        Contract/Values   Contract/Segment/Plan ID                
                          6,590        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                          
                            391        0                 Not Medicare Enrolled/Month             
                          7,475        Contract/Values   Contract/Segment/Plan ID                
                          6,575        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan                 
                          7,051                          Inapplicable/Missing                    
                          7,390        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb                 
                          7,044                          Inapplicable/Missing                    
                          7,397        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar                 
                          7,036                          Inapplicable/Missing                    
                          7,405        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr                 
                          7,018                          Inapplicable/Missing                    
                          7,423        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May                 
                          7,002                          Inapplicable/Missing                    
                          7,439        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun                 
                          6,985                          Inapplicable/Missing                    
                          7,456        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul                 
                          6,965                          Inapplicable/Missing                    
                          7,476        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug                 
                          6,956                          Inapplicable/Missing                    
                          7,485        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep                 
                          6,948                          Inapplicable/Missing                    
                          7,493        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct                 
                          6,964                          Inapplicable/Missing                    
                          7,477        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov                 
                          6,978                          Inapplicable/Missing                    
                          7,463        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec                 
                          6,987                          Inapplicable/Missing                    
                          7,454        Contract/Values   Contract/Segment/Plan ID                
 
H_CTYP01    $PTYPFMT                   Part C Plan Type Code: Jan                        
                          7,032                          Inapplicable/Missing                    
                          2,658        01                Health Maintenance Organization (HMO)   
                          1,401        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,053        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              7        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            138        31                Regional PPO                            
                             97        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP02    $PTYPFMT                   Part C Plan Type Code: Feb                        
                          7,022                          Inapplicable/Missing                    
                          2,653        01                Health Maintenance Organization (HMO)   
                          1,408        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,063        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              7        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            134        31                Regional PPO                            
                             98        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP03    $PTYPFMT                   Part C Plan Type Code: Mar                        
                          7,014                          Inapplicable/Missing                    
                          2,651        01                Health Maintenance Organization (HMO)   
                          1,411        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,068        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              7        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            134        31                Regional PPO                            
                            100        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP04    $PTYPFMT                   Part C Plan Type Code: Apr                        
                          6,996                          Inapplicable/Missing                    
                          2,664        01                Health Maintenance Organization (HMO)   
                          1,415        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,073        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              7        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             16        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            132        31                Regional PPO                            
                             96        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP05    $PTYPFMT                   Part C Plan Type Code: May                        
                          6,980                          Inapplicable/Missing                    
                          2,663        01                Health Maintenance Organization (HMO)   
                          1,432        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,072        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              6        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             16        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            133        31                Regional PPO                            
                             97        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP06    $PTYPFMT                   Part C Plan Type Code: Jun                        
                          6,963                          Inapplicable/Missing                    
                          2,686        01                Health Maintenance Organization (HMO)   
                          1,421        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,084        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              5        09                PFFS                                    
                             17        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             15        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            131        31                Regional PPO                            
                             94        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP07    $PTYPFMT                   Part C Plan Type Code: Jul                        
                          6,943                          Inapplicable/Missing                    
                          2,691        01                Health Maintenance Organization (HMO)   
                          1,427        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,091        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              5        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            131        31                Regional PPO                            
                             96        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP08    $PTYPFMT                   Part C Plan Type Code: Aug                        
                          6,934                          Inapplicable/Missing                    
                          2,693        01                Health Maintenance Organization (HMO)   
                          1,434        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,095        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              5        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            129        31                Regional PPO                            
                             95        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP09    $PTYPFMT                   Part C Plan Type Code: Sep                        
                          6,926                          Inapplicable/Missing                    
                          2,676        01                Health Maintenance Organization (HMO)   
                          1,450        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,103        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              5        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            128        31                Regional PPO                            
                             96        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP10    $PTYPFMT                   Part C Plan Type Code: Oct                        
                          6,942                          Inapplicable/Missing                    
                          2,676        01                Health Maintenance Organization (HMO)   
                          1,443        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,093        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              5        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             22        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            126        31                Regional PPO                            
                             99        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP11    $PTYPFMT                   Part C Plan Type Code: Nov                        
                          6,957                          Inapplicable/Missing                    
                          2,669        01                Health Maintenance Organization (HMO)   
                          1,437        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,096        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              5        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            125        31                Regional PPO                            
                             96        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP12    $PTYPFMT                   Part C Plan Type Code: Dec                        
                          6,966                          Inapplicable/Missing                    
                          2,662        01                Health Maintenance Organization (HMO)   
                          1,437        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,092        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              5        09                PFFS                                    
                             18        18                Section 1876 Cost                       
                             21        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            125        31                Regional PPO                            
                             98        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_MAPMT     MONYFMT                    Total MA A/B Payment  Annual                     
                          2,000                       .  Inapplicable/Missing                    
                         12,441        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM01    MONYFMT                    Part C Premium - Jan                              
                          8,630                       .  Inapplicable/Missing                    
                          5,811        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02    MONYFMT                    Part C Premium - Feb                              
                          8,624                       .  Inapplicable/Missing                    
                          5,817        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03    MONYFMT                    Part C Premium - Mar                              
                          8,614                       .  Inapplicable/Missing                    
                          5,827        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04    MONYFMT                    Part C Premium - Apr                              
                          8,589                       .  Inapplicable/Missing                    
                          5,852        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05    MONYFMT                    Part C Premium - May                              
                          8,575                       .  Inapplicable/Missing                    
                          5,866        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06    MONYFMT                    Part C Premium - Jun                              
                          8,555                       .  Inapplicable/Missing                    
                          5,886        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07    MONYFMT                    Part C Premium - Jul                              
                          8,543                       .  Inapplicable/Missing                    
                          5,898        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08    MONYFMT                    Part C Premium - Aug                              
                          8,534                       .  Inapplicable/Missing                    
                          5,907        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09    MONYFMT                    Part C Premium - Sep                              
                          8,518                       .  Inapplicable/Missing                    
                          5,923        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10    MONYFMT                    Part C Premium - Oct                              
                          8,532                       .  Inapplicable/Missing                    
                          5,909        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11    MONYFMT                    Part C Premium - Nov                              
                          8,539                       .  Inapplicable/Missing                    
                          5,902        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12    MONYFMT                    Part C Premium - Dec                              
                          8,546                       .  Inapplicable/Missing                    
                          5,895        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                          
                             13                          Inapplicable/Missing                    
                            228        0                 Not Medicare Enrolled/Month             
                         11,896        Contract/Values   Contract/Segment/Plan ID                
                          2,304        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                          
                             11                          Inapplicable/Missing                    
                            249        0                 Not Medicare Enrolled/Month             
                         11,896        Contract/Values   Contract/Segment/Plan ID                
                          2,285        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                          
                             12                          Inapplicable/Missing                    
                            253        0                 Not Medicare Enrolled/Month             
                         11,900        Contract/Values   Contract/Segment/Plan ID                
                          2,276        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                          
                             12                          Inapplicable/Missing                    
                            278        0                 Not Medicare Enrolled/Month             
                         11,896        Contract/Values   Contract/Segment/Plan ID                
                          2,255        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                          
                             13                          Inapplicable/Missing                    
                            292        0                 Not Medicare Enrolled/Month             
                         11,887        Contract/Values   Contract/Segment/Plan ID                
                          2,249        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                          
                             12                          Inapplicable/Missing                    
                            300        0                 Not Medicare Enrolled/Month             
                         11,879        Contract/Values   Contract/Segment/Plan ID                
                          2,250        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                          
                             10                          Inapplicable/Missing                    
                            302        0                 Not Medicare Enrolled/Month             
                         11,880        Contract/Values   Contract/Segment/Plan ID                
                          2,249        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                          
                              6                          Inapplicable/Missing                    
                            300        0                 Not Medicare Enrolled/Month             
                         11,886        Contract/Values   Contract/Segment/Plan ID                
                          2,249        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                          
                              6                          Inapplicable/Missing                    
                            317        0                 Not Medicare Enrolled/Month             
                         11,879        Contract/Values   Contract/Segment/Plan ID                
                          2,239        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                          
                              6                          Inapplicable/Missing                    
                            346        0                 Not Medicare Enrolled/Month             
                         11,866        Contract/Values   Contract/Segment/Plan ID                
                          2,223        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                          
                              6                          Inapplicable/Missing                    
                            367        0                 Not Medicare Enrolled/Month             
                         11,851        Contract/Values   Contract/Segment/Plan ID                
                          2,217        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                          
                              6                          Inapplicable/Missing                    
                            391        0                 Not Medicare Enrolled/Month             
                         11,838        Contract/Values   Contract/Segment/Plan ID                
                          2,206        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan                 
                          2,545                          Inapplicable/Missing                    
                         11,896        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb                 
                          2,545                          Inapplicable/Missing                    
                         11,896        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar                 
                          2,541                          Inapplicable/Missing                    
                         11,900        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr                 
                          2,545                          Inapplicable/Missing                    
                         11,896        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May                 
                          2,554                          Inapplicable/Missing                    
                         11,887        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun                 
                          2,562                          Inapplicable/Missing                    
                         11,879        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul                 
                          2,561                          Inapplicable/Missing                    
                         11,880        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug                 
                          2,555                          Inapplicable/Missing                    
                         11,886        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep                 
                          2,562                          Inapplicable/Missing                    
                         11,879        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct                 
                          2,575                          Inapplicable/Missing                    
                         11,866        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov                 
                          2,590                          Inapplicable/Missing                    
                         11,851        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec                 
                          2,603                          Inapplicable/Missing                    
                         11,838        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: Jan                            
                          2,545                          Inapplicable/Missing                    
                         11,896        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: Feb                            
                          2,545                          Inapplicable/Missing                    
                         11,896        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: Mar                            
                          2,541                          Inapplicable/Missing                    
                         11,900        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: Apr                            
                          2,545                          Inapplicable/Missing                    
                         11,896        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                            
                          2,554                          Inapplicable/Missing                    
                         11,887        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: Jun                            
                          2,562                          Inapplicable/Missing                    
                         11,879        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: Jul                            
                          2,561                          Inapplicable/Missing                    
                         11,880        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: Aug                            
                          2,555                          Inapplicable/Missing                    
                         11,886        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: Sep                            
                          2,562                          Inapplicable/Missing                    
                         11,879        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: Oct                            
                          2,575                          Inapplicable/Missing                    
                         11,866        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: Nov                            
                          2,590                          Inapplicable/Missing                    
                         11,851        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: Dec                            
                          2,603                          Inapplicable/Missing                    
                         11,838        Contract/Values   Contract/Segment/Plan ID                
 
H_DTYP01    $PTYPFMT                   Part D Plan Type Code: Jan                        
                          2,545                          Inapplicable/Missing                    
                          2,596        01                Health Maintenance Organization (HMO)   
                          1,384        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,529        04                Local Preferred Provider Org (PPO)      
                              7        09                PFFS                                    
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,106        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            124        31                Regional PPO                            
                             15        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             97        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP02    $PTYPFMT                   Part D Plan Type Code: Feb                        
                          2,545                          Inapplicable/Missing                    
                          2,590        01                Health Maintenance Organization (HMO)   
                          1,391        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,541        04                Local Preferred Provider Org (PPO)      
                              7        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,097        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            121        31                Regional PPO                            
                             12        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             98        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP03    $PTYPFMT                   Part D Plan Type Code: Mar                        
                          2,541                          Inapplicable/Missing                    
                          2,589        01                Health Maintenance Organization (HMO)   
                          1,394        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,546        04                Local Preferred Provider Org (PPO)      
                              7        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,086        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            123        31                Regional PPO                            
                             16        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            100        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP04    $PTYPFMT                   Part D Plan Type Code: Apr                        
                          2,545                          Inapplicable/Missing                    
                          2,602        01                Health Maintenance Organization (HMO)   
                          1,398        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,556        04                Local Preferred Provider Org (PPO)      
                              7        09                PFFS                                    
                             16        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,056        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            121        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             96        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP05    $PTYPFMT                   Part D Plan Type Code: May                        
                          2,554                          Inapplicable/Missing                    
                          2,601        01                Health Maintenance Organization (HMO)   
                          1,415        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,553        04                Local Preferred Provider Org (PPO)      
                              6        09                PFFS                                    
                             16        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,029        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            122        31                Regional PPO                            
                             23        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             97        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP06    $PTYPFMT                   Part D Plan Type Code: Jun                        
                          2,562                          Inapplicable/Missing                    
                          2,624        01                Health Maintenance Organization (HMO)   
                          1,404        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,562        04                Local Preferred Provider Org (PPO)      
                              5        09                PFFS                                    
                             15        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,010        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            121        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             94        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP07    $PTYPFMT                   Part D Plan Type Code: Jul                        
                          2,561                          Inapplicable/Missing                    
                          2,628        01                Health Maintenance Organization (HMO)   
                          1,408        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,569        04                Local Preferred Provider Org (PPO)      
                              5        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          4,997        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            120        31                Regional PPO                            
                             19        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             96        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP08    $PTYPFMT                   Part D Plan Type Code: Aug                        
                          2,555                          Inapplicable/Missing                    
                          2,631        01                Health Maintenance Organization (HMO)   
                          1,415        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,569        04                Local Preferred Provider Org (PPO)      
                              5        09                PFFS                                    
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          4,993        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            118        31                Regional PPO                            
                             23        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             95        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP09    $PTYPFMT                   Part D Plan Type Code: Sep                        
                          2,562                          Inapplicable/Missing                    
                          2,614        01                Health Maintenance Organization (HMO)   
                          1,431        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,580        04                Local Preferred Provider Org (PPO)      
                              5        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          4,978        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            117        31                Regional PPO                            
                             20        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             96        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP10    $PTYPFMT                   Part D Plan Type Code: Oct                        
                          2,575                          Inapplicable/Missing                    
                          2,614        01                Health Maintenance Organization (HMO)   
                          1,424        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,573        04                Local Preferred Provider Org (PPO)      
                              5        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          4,970        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            115        31                Regional PPO                            
                             28        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             99        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP11    $PTYPFMT                   Part D Plan Type Code: Nov                        
                          2,590                          Inapplicable/Missing                    
                          2,607        01                Health Maintenance Organization (HMO)   
                          1,419        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,577        04                Local Preferred Provider Org (PPO)      
                              5        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          4,965        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            114        31                Regional PPO                            
                             30        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             96        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP12    $PTYPFMT                   Part D Plan Type Code: Dec                        
                          2,603                          Inapplicable/Missing                    
                          2,601        01                Health Maintenance Organization (HMO)   
                          1,419        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,573        04                Local Preferred Provider Org (PPO)      
                              5        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          4,972        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            114        31                Regional PPO                            
                             18        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             98        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_PTDAMT    MONYFMT                    Part D Total Payment - Annual                     
                          2,000                       .  Inapplicable/Missing                    
                         12,441        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM01    MONYFMT                    Part D Premium - Jan                              
                          2,565                       .  Inapplicable/Missing                    
                         11,876        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02    MONYFMT                    Part D Premium - Feb                              
                          2,563                       .  Inapplicable/Missing                    
                         11,878        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03    MONYFMT                    Part D Premium - Mar                              
                          2,562                       .  Inapplicable/Missing                    
                         11,879        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04    MONYFMT                    Part D Premium - Apr                              
                          2,569                       .  Inapplicable/Missing                    
                         11,872        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05    MONYFMT                    Part D Premium - May                              
                          2,582                       .  Inapplicable/Missing                    
                         11,859        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06    MONYFMT                    Part D Premium - Jun                              
                          2,586                       .  Inapplicable/Missing                    
                         11,855        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07    MONYFMT                    Part D Premium - Jul                              
                          2,584                       .  Inapplicable/Missing                    
                         11,857        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08    MONYFMT                    Part D Premium - Aug                              
                          2,582                       .  Inapplicable/Missing                    
                         11,859        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09    MONYFMT                    Part D Premium - Sep                              
                          2,582                       .  Inapplicable/Missing                    
                         11,859        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10    MONYFMT                    Part D Premium - Oct                              
                          2,603                       .  Inapplicable/Missing                    
                         11,838        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11    MONYFMT                    Part D Premium - Nov                              
                          2,620                       .  Inapplicable/Missing                    
                         11,821        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12    MONYFMT                    Part D Premium - Dec                              
                          2,621                       .  Inapplicable/Missing                    
                         11,820        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01    MONYFMT                    Part D Deductible - Jan                           
                          4,357                       .  Inapplicable/Missing                    
                         10,084        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02    MONYFMT                    Part D Deductible - Feb                           
                          4,350                       .  Inapplicable/Missing                    
                         10,091        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03    MONYFMT                    Part D Deductible - Mar                           
                          4,347                       .  Inapplicable/Missing                    
                         10,094        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04    MONYFMT                    Part D Deductible - Apr                           
                          4,351                       .  Inapplicable/Missing                    
                         10,090        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05    MONYFMT                    Part D Deductible - May                           
                          4,367                       .  Inapplicable/Missing                    
                         10,074        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06    MONYFMT                    Part D Deductible - Jun                           
                          4,371                       .  Inapplicable/Missing                    
                         10,070        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07    MONYFMT                    Part D Deductible - Jul                           
                          4,370                       .  Inapplicable/Missing                    
                         10,071        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08    MONYFMT                    Part D Deductible - Aug                           
                          4,370                       .  Inapplicable/Missing                    
                         10,071        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09    MONYFMT                    Part D Deductible - Sep                           
                          4,369                       .  Inapplicable/Missing                    
                         10,072        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10    MONYFMT                    Part D Deductible - Oct                           
                          4,386                       .  Inapplicable/Missing                    
                         10,055        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11    MONYFMT                    Part D Deductible - Nov                           
                          4,399                       .  Inapplicable/Missing                    
                         10,042        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12    MONYFMT                    Part D Deductible - Dec                           
                          4,395                       .  Inapplicable/Missing                    
                         10,046        Range of values   Amount as $$$$$$.CC                     
 
H_EGWP01    YES8FMT                    PDP Employer Group Waiver Plan Ind - Jan          
                          2,545                       .  Unknown                                 
                          1,784                       1  Yes                                     
                         10,112                       2  No                                      
 
H_EGWP02    YES8FMT                    PDP Employer Group Waiver Plan Ind - Feb          
                          2,545                       .  Unknown                                 
                          1,779                       1  Yes                                     
                         10,117                       2  No                                      
 
H_EGWP03    YES8FMT                    PDP Employer Group Waiver Plan Ind - Mar          
                          2,541                       .  Unknown                                 
                          1,776                       1  Yes                                     
                         10,124                       2  No                                      
 
H_EGWP04    YES8FMT                    PDP Employer Group Waiver Plan Ind - Apr          
                          2,545                       .  Unknown                                 
                          1,771                       1  Yes                                     
                         10,125                       2  No                                      
 
H_EGWP05    YES8FMT                    PDP Employer Group Waiver Plan Ind - May          
                          2,554                       .  Unknown                                 
                          1,774                       1  Yes                                     
                         10,113                       2  No                                      
 
H_EGWP06    YES8FMT                    PDP Employer Group Waiver Plan Ind - Jun          
                          2,562                       .  Unknown                                 
                          1,775                       1  Yes                                     
                         10,104                       2  No                                      
 
H_EGWP07    YES8FMT                    PDP Employer Group Waiver Plan Ind - Jul          
                          2,561                       .  Unknown                                 
                          1,776                       1  Yes                                     
                         10,104                       2  No                                      
 
H_EGWP08    YES8FMT                    PDP Employer Group Waiver Plan Ind - Aug          
                          2,555                       .  Unknown                                 
                          1,779                       1  Yes                                     
                         10,107                       2  No                                      
 
H_EGWP09    YES8FMT                    PDP Employer Group Waiver Plan Ind - Sep          
                          2,562                       .  Unknown                                 
                          1,773                       1  Yes                                     
                         10,106                       2  No                                      
 
H_EGWP10    YES8FMT                    PDP Employer Group Waiver Plan Ind - Oct          
                          2,575                       .  Unknown                                 
                          1,769                       1  Yes                                     
                         10,097                       2  No                                      
 
H_EGWP11    YES8FMT                    PDP Employer Group Waiver Plan Ind - Nov          
                          2,590                       .  Unknown                                 
                          1,765                       1  Yes                                     
                         10,086                       2  No                                      
 
H_EGWP12    YES8FMT                    PDP Employer Group Waiver Plan Ind - Dec          
                          2,603                       .  Unknown                                 
                          1,760                       1  Yes                                     
                         10,078                       2  No                                      
 
H_PDRS01    DRDSFMT                    RDS Indicator - Jan                               
                            241                       .  Unknown                                 
                            264                       1  Employer subsidized for the beneficiary 
                         13,936                       2  Employer not subsidized for the benefici
 
H_PDRS02    DRDSFMT                    RDS Indicator - Feb                               
                            260                       .  Unknown                                 
                            263                       1  Employer subsidized for the beneficiary 
                         13,918                       2  Employer not subsidized for the benefici
 
H_PDRS03    DRDSFMT                    RDS Indicator - Mar                               
                            265                       .  Unknown                                 
                            265                       1  Employer subsidized for the beneficiary 
                         13,911                       2  Employer not subsidized for the benefici
 
H_PDRS04    DRDSFMT                    RDS Indicator - Apr                               
                            290                       .  Unknown                                 
                            263                       1  Employer subsidized for the beneficiary 
                         13,888                       2  Employer not subsidized for the benefici
 
H_PDRS05    DRDSFMT                    RDS Indicator - May                               
                            305                       .  Unknown                                 
                            261                       1  Employer subsidized for the beneficiary 
                         13,875                       2  Employer not subsidized for the benefici
 
H_PDRS06    DRDSFMT                    RDS Indicator - Jun                               
                            312                       .  Unknown                                 
                            259                       1  Employer subsidized for the beneficiary 
                         13,870                       2  Employer not subsidized for the benefici
 
H_PDRS07    DRDSFMT                    RDS Indicator - Jul                               
                            312                       .  Unknown                                 
                            252                       1  Employer subsidized for the beneficiary 
                         13,877                       2  Employer not subsidized for the benefici
 
H_PDRS08    DRDSFMT                    RDS Indicator - Aug                               
                            306                       .  Unknown                                 
                            254                       1  Employer subsidized for the beneficiary 
                         13,881                       2  Employer not subsidized for the benefici
 
H_PDRS09    DRDSFMT                    RDS Indicator - Sep                               
                            323                       .  Unknown                                 
                            252                       1  Employer subsidized for the beneficiary 
                         13,866                       2  Employer not subsidized for the benefici
 
H_PDRS10    DRDSFMT                    RDS Indicator - Oct                               
                            352                       .  Unknown                                 
                            252                       1  Employer subsidized for the beneficiary 
                         13,837                       2  Employer not subsidized for the benefici
 
H_PDRS11    DRDSFMT                    RDS Indicator - Nov                               
                            373                       .  Unknown                                 
                            251                       1  Employer subsidized for the beneficiary 
                         13,817                       2  Employer not subsidized for the benefici
 
H_PDRS12    DRDSFMT                    RDS Indicator - Dec                               
                            397                       .  Unknown                                 
                            250                       1  Employer subsidized for the beneficiary 
                         13,794                       2  Employer not subsidized for the benefici
 
H_PTAPRM    MONYFMT                    Total Pt. A premium SP paid in CY                 
                         14,441        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM    MONYFMT                    Total Pt. B premium SP paid in CY                 
                         14,441        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM    MONYFMT                    Estimate TotPrem: A+B+C+D+SurveyOnlyPlan          
                         14,441        Range of values   Amount as $$$$$$.CC                     
         Notes:  See Data User Guide FAQ for explanation of this variable.
 
H_PRGID     $PRIDFMT                   CMS Prog ID  Payment Model                       
                         11,389                          Inapplicable/Missing                    
                          2,116        08                Medicare Shared Savings Program (SSP)   
                              1        11                MMCO Financ Alignment Demo(Duals)       
                              3        53                Vermont All-Payer Model (CMMI)          
                             56        56                Maryland TotCostCare:PrimCareProg (CMMI)
                            266        57                Primary Care First (PCF)                
                            527        63                Direct Contracting (DC)                 
                             20        64                ESRD Treatment Choices Model (ETC)      
                             63        66                Kidney Care Choices Model (KCC)         
 
H_PRGID2    $PRIDFMT                   2nd CMS Prog ID  Payment Model                   
                         14,275                          Inapplicable/Missing                    
                            129        08                Medicare Shared Savings Program (SSP)   
                             11        56                Maryland TotCostCare:PrimCareProg (CMMI)
                             13        57                Primary Care First (PCF)                
                              1        63                Direct Contracting (DC)                 
                              9        64                ESRD Treatment Choices Model (ETC)      
                              3        66                Kidney Care Choices Model (KCC)         
 
H_PRGID3    $PRIDFMT                   3rd  CMS Prog ID  Payment Model                  
                         14,436                          Inapplicable/Missing                    
                              1        56                Maryland TotCostCare:PrimCareProg (CMMI)
                              4        57                Primary Care First (PCF)                
 
