Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                         68,023        LOW-HIGH          BASEID Count                            
 
VERSION     VERSFMT                    Version Number                                    
                         68,023                       1  Version 1                               
 
ENROLYR     SVYRFMT                    Enrollment Data Year                              
                         12,493                    2019  2019                                    
                         13,162                    2020  2020                                    
                         13,738                    2021  2021                                    
                         14,189                    2022  2022                                    
                         14,441                    2023  2023                                    
 
H_MAFF01    $MA2FLAG                   MA flag - Jan                                     
                         35,451        FF                Original Medicare/FFS                   
                         30,173        MA                MA/Other Medicare Capitated Paymnt Plans
                          2,399        NO                Not Medicare Enrolled/Month             
 
H_MAFF02    $MA2FLAG                   MA flag - Feb                                     
                         35,476        FF                Original Medicare/FFS                   
                         30,312        MA                MA/Other Medicare Capitated Paymnt Plans
                          2,235        NO                Not Medicare Enrolled/Month             
 
H_MAFF03    $MA2FLAG                   MA flag - Mar                                     
                         35,552        FF                Original Medicare/FFS                   
                         30,440        MA                MA/Other Medicare Capitated Paymnt Plans
                          2,031        NO                Not Medicare Enrolled/Month             
 
H_MAFF04    $MA2FLAG                   MA flag - Apr                                     
                         35,531        FF                Original Medicare/FFS                   
                         30,598        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,894        NO                Not Medicare Enrolled/Month             
 
H_MAFF05    $MA2FLAG                   MA flag - May                                     
                         35,584        FF                Original Medicare/FFS                   
                         30,738        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,701        NO                Not Medicare Enrolled/Month             
 
H_MAFF06    $MA2FLAG                   MA flag - Jun                                     
                         35,593        FF                Original Medicare/FFS                   
                         30,919        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,511        NO                Not Medicare Enrolled/Month             
 
H_MAFF07    $MA2FLAG                   MA flag - Jul                                     
                         35,623        FF                Original Medicare/FFS                   
                         31,103        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,297        NO                Not Medicare Enrolled/Month             
 
H_MAFF08    $MA2FLAG                   MA flag - Aug                                     
                         35,661        FF                Original Medicare/FFS                   
                         31,274        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,088        NO                Not Medicare Enrolled/Month             
 
H_MAFF09    $MA2FLAG                   MA flag - Sep                                     
                         35,674        FF                Original Medicare/FFS                   
                         31,464        MA                MA/Other Medicare Capitated Paymnt Plans
                            885        NO                Not Medicare Enrolled/Month             
 
H_MAFF10    $MA2FLAG                   MA flag - Oct                                     
                         35,747        FF                Original Medicare/FFS                   
                         31,576        MA                MA/Other Medicare Capitated Paymnt Plans
                            700        NO                Not Medicare Enrolled/Month             
 
H_MAFF11    $MA2FLAG                   MA flag - Nov                                     
                         35,816        FF                Original Medicare/FFS                   
                         31,649        MA                MA/Other Medicare Capitated Paymnt Plans
                            558        NO                Not Medicare Enrolled/Month             
 
H_MAFF12    $MA2FLAG                   MA flag - Dec                                     
                         35,906        FF                Original Medicare/FFS                   
                         31,722        MA                MA/Other Medicare Capitated Paymnt Plans
                            395        NO                Not Medicare Enrolled/Month             
 
PTA_MONS    MMCOVFMT                   Part A HI Coverage Months Count                   
                         68,023                  0 - 12  Months of coverage                      
 
PTB_MONS    MMCOVFMT                   Part B SMI Coverage Months Count                  
                         68,023                  0 - 12  Months of coverage                      
 
H_PTD01     YNO8FMT                    PtD flag - Jan                                    
                          2,399                       .  Not Medicare Enrolled/Month             
                         53,284                       1  Yes                                     
                         12,340                       2  No                                      
 
H_PTD02     YNO8FMT                    PtD flag - Feb                                    
                          2,235                       .  Not Medicare Enrolled/Month             
                         53,477                       1  Yes                                     
                         12,311                       2  No                                      
 
H_PTD03     YNO8FMT                    PtD flag - Mar                                    
                          2,031                       .  Not Medicare Enrolled/Month             
                         53,652                       1  Yes                                     
                         12,340                       2  No                                      
 
H_PTD04     YNO8FMT                    PtD flag - Apr                                    
                          1,894                       .  Not Medicare Enrolled/Month             
                         53,816                       1  Yes                                     
                         12,313                       2  No                                      
 
H_PTD05     YNO8FMT                    PtD flag - May                                    
                          1,701                       .  Not Medicare Enrolled/Month             
                         53,971                       1  Yes                                     
                         12,351                       2  No                                      
 
H_PTD06     YNO8FMT                    PtD flag - Jun                                    
                          1,511                       .  Not Medicare Enrolled/Month             
                         54,156                       1  Yes                                     
                         12,356                       2  No                                      
 
H_PTD07     YNO8FMT                    PtD flag - Jul                                    
                          1,297                       .  Not Medicare Enrolled/Month             
                         54,365                       1  Yes                                     
                         12,361                       2  No                                      
 
H_PTD08     YNO8FMT                    PtD flag - Aug                                    
                          1,088                       .  Not Medicare Enrolled/Month             
                         54,561                       1  Yes                                     
                         12,374                       2  No                                      
 
H_PTD09     YNO8FMT                    PtD flag - Sep                                    
                            885                       .  Not Medicare Enrolled/Month             
                         54,775                       1  Yes                                     
                         12,363                       2  No                                      
 
H_PTD10     YNO8FMT                    PtD flag - Oct                                    
                            700                       .  Not Medicare Enrolled/Month             
                         54,939                       1  Yes                                     
                         12,384                       2  No                                      
 
H_PTD11     YNO8FMT                    PtD flag - Nov                                    
                            558                       .  Not Medicare Enrolled/Month             
                         55,070                       1  Yes                                     
                         12,395                       2  No                                      
 
H_PTD12     YNO8FMT                    PtD flag - Dec                                    
                            395                       .  Not Medicare Enrolled/Month             
                         55,213                       1  Yes                                     
                         12,415                       2  No                                      
 
H_DUAL01    $DUALMON                   Dual eligibility code - Jan                       
                          2,399        00                Not enrolled in Medicare for the month  
                          2,069        01                QMB-only                                
                          8,074        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,439        03                SLMB-only                               
                            534        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            667        06                Qualifying individuals                  
                          2,817        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             14        99                Unknown                                 
                         50,009        NA                Non-Medicaid                            
 
H_DUAL02    $DUALMON                   Dual eligibility code - Feb                       
                          2,235        00                Not enrolled in Medicare for the month  
                          2,079        01                QMB-only                                
                          8,131        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,449        03                SLMB-only                               
                            548        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            665        06                Qualifying individuals                  
                          2,804        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             12        99                Unknown                                 
                         50,099        NA                Non-Medicaid                            
 
H_DUAL03    $DUALMON                   Dual eligibility code - Mar                       
                          2,031        00                Not enrolled in Medicare for the month  
                          2,096        01                QMB-only                                
                          8,181        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,456        03                SLMB-only                               
                            556        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            669        06                Qualifying individuals                  
                          2,832        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             13        99                Unknown                                 
                         50,188        NA                Non-Medicaid                            
 
H_DUAL04    $DUALMON                   Dual eligibility code - Apr                       
                          1,894        00                Not enrolled in Medicare for the month  
                          2,121        01                QMB-only                                
                          8,216        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,444        03                SLMB-only                               
                            552        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            676        06                Qualifying individuals                  
                          2,870        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             15        99                Unknown                                 
                         50,234        NA                Non-Medicaid                            
 
H_DUAL05    $DUALMON                   Dual eligibility code - May                       
                          1,701        00                Not enrolled in Medicare for the month  
                          2,131        01                QMB-only                                
                          8,215        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,446        03                SLMB-only                               
                            549        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            687        06                Qualifying individuals                  
                          2,878        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             10        99                Unknown                                 
                         50,405        NA                Non-Medicaid                            
 
H_DUAL06    $DUALMON                   Dual eligibility code - Jun                       
                          1,511        00                Not enrolled in Medicare for the month  
                          2,141        01                QMB-only                                
                          8,271        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,444        03                SLMB-only                               
                            557        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            690        06                Qualifying individuals                  
                          2,931        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             11        99                Unknown                                 
                         50,466        NA                Non-Medicaid                            
 
H_DUAL07    $DUALMON                   Dual eligibility code - Jul                       
                          1,297        00                Not enrolled in Medicare for the month  
                          2,141        01                QMB-only                                
                          8,349        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,451        03                SLMB-only                               
                            564        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            692        06                Qualifying individuals                  
                          2,922        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             11        99                Unknown                                 
                         50,595        NA                Non-Medicaid                            
 
H_DUAL08    $DUALMON                   Dual eligibility code - Aug                       
                          1,088        00                Not enrolled in Medicare for the month  
                          2,151        01                QMB-only                                
                          8,358        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,447        03                SLMB-only                               
                            577        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            700        06                Qualifying individuals                  
                          2,954        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        09                Other dual eligible, no Medicaid covrage
                             11        99                Unknown                                 
                         50,735        NA                Non-Medicaid                            
 
H_DUAL09    $DUALMON                   Dual eligibility code - Sep                       
                            885        00                Not enrolled in Medicare for the month  
                          2,142        01                QMB-only                                
                          8,417        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,467        03                SLMB-only                               
                            567        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            699        06                Qualifying individuals                  
                          2,981        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             14        99                Unknown                                 
                         50,849        NA                Non-Medicaid                            
 
H_DUAL10    $DUALMON                   Dual eligibility code - Oct                       
                            700        00                Not enrolled in Medicare for the month  
                          2,133        01                QMB-only                                
                          8,465        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,467        03                SLMB-only                               
                            573        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            703        06                Qualifying individuals                  
                          2,985        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             15        99                Unknown                                 
                         50,980        NA                Non-Medicaid                            
 
H_DUAL11    $DUALMON                   Dual eligibility code - Nov                       
                            558        00                Not enrolled in Medicare for the month  
                          2,135        01                QMB-only                                
                          8,499        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,465        03                SLMB-only                               
                            585        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            704        06                Qualifying individuals                  
                          2,986        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             13        99                Unknown                                 
                         51,077        NA                Non-Medicaid                            
 
H_DUAL12    $DUALMON                   Dual eligibility code - Dec                       
                            395        00                Not enrolled in Medicare for the month  
                          2,152        01                QMB-only                                
                          8,553        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,470        03                SLMB-only                               
                            571        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            699        06                Qualifying individuals                  
                          3,007        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                             14        99                Unknown                                 
                         51,161        NA                Non-Medicaid                            
 
H_PDLS01    $DLSFMT                    LIS Indicator - Jan                               
                          2,399        00                Not Medicare enrolled for the month     
                          4,188        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          6,893        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,560        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,273        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             49        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                            109        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            127        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             85        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,000        09                Pt A and/or B +D;no prem or cstshare sub
                          1,414        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,926        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                               
                          2,235        00                Not Medicare enrolled for the month     
                          4,235        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          6,936        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,562        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,270        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             48        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                            104        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            131        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             85        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,106        09                Pt A and/or B +D;no prem or cstshare sub
                          1,426        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,885        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                               
                          2,031        00                Not Medicare enrolled for the month     
                          4,284        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          6,993        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,569        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,260        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             47        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                            103        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            133        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             85        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,178        09                Pt A and/or B +D;no prem or cstshare sub
                          1,435        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,905        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                               
                          1,894        00                Not Medicare enrolled for the month     
                          4,330        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,044        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,558        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,257        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             45        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             93        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            124        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             79        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,286        09                Pt A and/or B +D;no prem or cstshare sub
                          1,442        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,871        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                               
                          1,701        00                Not Medicare enrolled for the month     
                          4,378        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,075        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,575        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,243        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             45        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             94        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            123        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             78        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,360        09                Pt A and/or B +D;no prem or cstshare sub
                          1,445        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,906        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                               
                          1,511        00                Not Medicare enrolled for the month     
                          4,409        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,118        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,584        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,253        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             47        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             94        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            125        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             78        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,448        09                Pt A and/or B +D;no prem or cstshare sub
                          1,444        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,912        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                               
                          1,297        00                Not Medicare enrolled for the month     
                          4,449        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,171        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,593        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,253        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             46        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             92        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            124        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             78        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,559        09                Pt A and/or B +D;no prem or cstshare sub
                          1,432        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,929        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                               
                          1,088        00                Not Medicare enrolled for the month     
                          4,499        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,204        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,605        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,251        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             44        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             92        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            124        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             78        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,664        09                Pt A and/or B +D;no prem or cstshare sub
                          1,438        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,936        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                               
                            885        00                Not Medicare enrolled for the month     
                          4,563        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,234        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,621        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,255        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             46        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             92        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            126        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             79        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,759        09                Pt A and/or B +D;no prem or cstshare sub
                          1,439        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,924        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                               
                            700        00                Not Medicare enrolled for the month     
                          4,609        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,275        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,617        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,250        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             49        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             95        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            125        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             81        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,838        09                Pt A and/or B +D;no prem or cstshare sub
                          1,446        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,938        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                               
                            558        00                Not Medicare enrolled for the month     
                          4,672        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,280        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,621        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,252        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             47        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             98        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            124        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             80        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,896        09                Pt A and/or B +D;no prem or cstshare sub
                          1,446        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,949        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                               
                            395        00                Not Medicare enrolled for the month     
                          4,730        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,325        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,626        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,246        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             48        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                            101        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                            126        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             80        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         36,931        09                Pt A and/or B +D;no prem or cstshare sub
                          1,446        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,969        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
 
