Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                         15,033        LOW-HIGH          BASEID Count                            
 
SURVEYYR    SVYRFMT                    Survey Year                                       
                         15,033                    2024  2024                                    
 
VERSION     VERSFMT                    Version                                           
                         15,033                       1  Version 1                               
 
H_DOE       MMDDYYn8                   Medicare entitlement start date                   
                         15,033        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT       MMDDYYn8                   Medicare entitlement end date                     
                         14,551                       .  Inapplicable                            
                            482        MMDDYYYY          Date as MMDDYYYY                        
 
H_MEDSTA    $MSCFMT                    Medicare status code as of 12/31                  
                         12,468        10                Aged, no ESRD                           
                             69        11                Aged, ESRD                              
                          2,404        20                Disabled, no ESRD                       
                             65        21                Disabled, ESRD                          
                             27        31                ESRD only                               
 
H_GHPSW     GHPSW                      Some group health participation in year           
                          8,439                       1  Some enrollment                         
                          6,594                       2  No enrollment                           
 
H_ESRBEG    MMDDYYn8                   Beginning date of ESRD period                     
                         14,847                       .  Inapplicable                            
                            186        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND    MMDDYYn8                   Ending date of ESRD period                        
                         14,995                       .  Inapplicable                            
                             38        MMDDYYYY          Date as MMDDYYYY                        
 
H_MACY01                               Buy-in agency - Jan                               
                          2,191        Values/Codes      State Agency code                       
                         12,842        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                               
                          2,185        Values/Codes      State Agency code                       
                         12,848        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                               
                          2,178        Values/Codes      State Agency code                       
                         12,855        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                               
                          2,177        Values/Codes      State Agency code                       
                         12,856        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                               
                          2,175        Values/Codes      State Agency code                       
                         12,858        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                               
                          2,166        Values/Codes      State Agency code                       
                         12,867        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                               
                          2,175        Values/Codes      State Agency code                       
                         12,858        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                               
                          2,195        Values/Codes      State Agency code                       
                         12,838        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                               
                          2,191        Values/Codes      State Agency code                       
                         12,842        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                               
                          2,200        Values/Codes      State Agency code                       
                         12,833        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                               
                          2,208        Values/Codes      State Agency code                       
                         12,825        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                               
                          2,209        Values/Codes      State Agency code                       
                         12,824        N                 Unknown, or no buy-in                   
 
H_MCDE01    $MCDCFMT                   Medicaid eligibility - Jan                        
                             67        A                 State Part A buy-in                     
                            678        B                 State Part B buy-in                     
                             41        C                 State Part A and B buy-in               
                             58        D                 State Part A and B QMB buy-in           
                         12,807        N                 No buy-in this month                    
                          1,135        Q                 State Part B QMB buy-in                 
                            247        S                 State Part B SLMB buy-in                
 
H_MCDE02    $MCDCFMT                   Medicaid eligibility - Feb                        
                             67        A                 State Part A buy-in                     
                            678        B                 State Part B buy-in                     
                             40        C                 State Part A and B buy-in               
                             58        D                 State Part A and B QMB buy-in           
                         12,815        N                 No buy-in this month                    
                          1,127        Q                 State Part B QMB buy-in                 
                            248        S                 State Part B SLMB buy-in                
 
H_MCDE03    $MCDCFMT                   Medicaid eligibility - Mar                        
                             68        A                 State Part A buy-in                     
                            674        B                 State Part B buy-in                     
                             40        C                 State Part A and B buy-in               
                             55        D                 State Part A and B QMB buy-in           
                         12,820        N                 No buy-in this month                    
                          1,129        Q                 State Part B QMB buy-in                 
                            247        S                 State Part B SLMB buy-in                
 
H_MCDE04    $MCDCFMT                   Medicaid eligibility - Apr                        
                             66        A                 State Part A buy-in                     
                            673        B                 State Part B buy-in                     
                             41        C                 State Part A and B buy-in               
                             54        D                 State Part A and B QMB buy-in           
                         12,821        N                 No buy-in this month                    
                          1,130        Q                 State Part B QMB buy-in                 
                            248        S                 State Part B SLMB buy-in                
 
H_MCDE05    $MCDCFMT                   Medicaid eligibility - May                        
                             66        A                 State Part A buy-in                     
                            668        B                 State Part B buy-in                     
                             42        C                 State Part A and B buy-in               
                             54        D                 State Part A and B QMB buy-in           
                         12,821        N                 No buy-in this month                    
                          1,136        Q                 State Part B QMB buy-in                 
                            246        S                 State Part B SLMB buy-in                
 
H_MCDE06    $MCDCFMT                   Medicaid eligibility - Jun                        
                             66        A                 State Part A buy-in                     
                            667        B                 State Part B buy-in                     
                             43        C                 State Part A and B buy-in               
                             52        D                 State Part A and B QMB buy-in           
                         12,830        N                 No buy-in this month                    
                          1,129        Q                 State Part B QMB buy-in                 
                            246        S                 State Part B SLMB buy-in                
 
H_MCDE07    $MCDCFMT                   Medicaid eligibility - Jul                        
                             66        A                 State Part A buy-in                     
                            671        B                 State Part B buy-in                     
                             43        C                 State Part A and B buy-in               
                             52        D                 State Part A and B QMB buy-in           
                         12,821        N                 No buy-in this month                    
                          1,132        Q                 State Part B QMB buy-in                 
                            248        S                 State Part B SLMB buy-in                
 
H_MCDE08    $MCDCFMT                   Medicaid eligibility - Aug                        
                             66        A                 State Part A buy-in                     
                            682        B                 State Part B buy-in                     
                             43        C                 State Part A and B buy-in               
                             53        D                 State Part A and B QMB buy-in           
                         12,801        N                 No buy-in this month                    
                          1,136        Q                 State Part B QMB buy-in                 
                            252        S                 State Part B SLMB buy-in                
 
H_MCDE09    $MCDCFMT                   Medicaid eligibility - Sep                        
                             67        A                 State Part A buy-in                     
                            680        B                 State Part B buy-in                     
                             42        C                 State Part A and B buy-in               
                             53        D                 State Part A and B QMB buy-in           
                         12,804        N                 No buy-in this month                    
                          1,139        Q                 State Part B QMB buy-in                 
                            248        S                 State Part B SLMB buy-in                
 
H_MCDE10    $MCDCFMT                   Medicaid eligibility - Oct                        
                             67        A                 State Part A buy-in                     
                            685        B                 State Part B buy-in                     
                             42        C                 State Part A and B buy-in               
                             53        D                 State Part A and B QMB buy-in           
                         12,794        N                 No buy-in this month                    
                          1,139        Q                 State Part B QMB buy-in                 
                            253        S                 State Part B SLMB buy-in                
 
H_MCDE11    $MCDCFMT                   Medicaid eligibility - Nov                        
                             68        A                 State Part A buy-in                     
                            692        B                 State Part B buy-in                     
                             41        C                 State Part A and B buy-in               
                             52        D                 State Part A and B QMB buy-in           
                         12,786        N                 No buy-in this month                    
                          1,141        Q                 State Part B QMB buy-in                 
                            253        S                 State Part B SLMB buy-in                
 
H_MCDE12    $MCDCFMT                   Medicaid eligibility - Dec                        
                             68        A                 State Part A buy-in                     
                            696        B                 State Part B buy-in                     
                             41        C                 State Part A and B buy-in               
                             52        D                 State Part A and B QMB buy-in           
                         12,785        N                 No buy-in this month                    
                          1,141        Q                 State Part B QMB buy-in                 
                            250        S                 State Part B SLMB buy-in                
 
H_MCSW      SWFMT                      Some Medicaid eligibility for the year            
                          2,481                       1  Some participation                      
                         12,552                       2  No participation                        
 
H_DUAL01    $DUALMON                   Dual eligibility code - Jan                       
                            203        00                Not enrolled in Medicare for the month  
                            470        01                QMB-only                                
                          2,039        02                QMB & full Medicaid covrge, + Rx drugs  
                            289        03                SLMB-only                               
                            142        04                SLMB & full Medicaid covrge, + Rx drugs 
                            168        06                Qualifying individuals                  
                            748        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        10                Territory buy-ins                       
                         10,973        NA                Non-Medicaid                            
 
H_DUAL02    $DUALMON                   Dual eligibility code - Feb                       
                            224        00                Not enrolled in Medicare for the month  
                            469        01                QMB-only                                
                          2,020        02                QMB & full Medicaid covrge, + Rx drugs  
                            293        03                SLMB-only                               
                            142        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            745        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        10                Territory buy-ins                       
                         10,970        NA                Non-Medicaid                            
 
H_DUAL03    $DUALMON                   Dual eligibility code - Mar                       
                            247        00                Not enrolled in Medicare for the month  
                            470        01                QMB-only                                
                          2,028        02                QMB & full Medicaid covrge, + Rx drugs  
                            280        03                SLMB-only                               
                            141        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            723        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        10                Territory buy-ins                       
                         10,974        NA                Non-Medicaid                            
 
H_DUAL04    $DUALMON                   Dual eligibility code - Apr                       
                            261        00                Not enrolled in Medicare for the month  
                            481        01                QMB-only                                
                          2,005        02                QMB & full Medicaid covrge, + Rx drugs  
                            285        03                SLMB-only                               
                            137        04                SLMB & full Medicaid covrge, + Rx drugs 
                            169        06                Qualifying individuals                  
                            708        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,987        NA                Non-Medicaid                            
 
H_DUAL05    $DUALMON                   Dual eligibility code - May                       
                            275        00                Not enrolled in Medicare for the month  
                            474        01                QMB-only                                
                          1,992        02                QMB & full Medicaid covrge, + Rx drugs  
                            296        03                SLMB-only                               
                            129        04                SLMB & full Medicaid covrge, + Rx drugs 
                            172        06                Qualifying individuals                  
                            715        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,980        NA                Non-Medicaid                            
 
H_DUAL06    $DUALMON                   Dual eligibility code - Jun                       
                            286        00                Not enrolled in Medicare for the month  
                            482        01                QMB-only                                
                          1,973        02                QMB & full Medicaid covrge, + Rx drugs  
                            301        03                SLMB-only                               
                            125        04                SLMB & full Medicaid covrge, + Rx drugs 
                            171        06                Qualifying individuals                  
                            714        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,981        NA                Non-Medicaid                            
 
H_DUAL07    $DUALMON                   Dual eligibility code - Jul                       
                            293        00                Not enrolled in Medicare for the month  
                            491        01                QMB-only                                
                          1,967        02                QMB & full Medicaid covrge, + Rx drugs  
                            296        03                SLMB-only                               
                            122        04                SLMB & full Medicaid covrge, + Rx drugs 
                            175        06                Qualifying individuals                  
                            710        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,979        NA                Non-Medicaid                            
 
H_DUAL08    $DUALMON                   Dual eligibility code - Aug                       
                            302        00                Not enrolled in Medicare for the month  
                            488        01                QMB-only                                
                          1,976        02                QMB & full Medicaid covrge, + Rx drugs  
                            293        03                SLMB-only                               
                            132        04                SLMB & full Medicaid covrge, + Rx drugs 
                            185        06                Qualifying individuals                  
                            698        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,959        NA                Non-Medicaid                            
 
H_DUAL09    $DUALMON                   Dual eligibility code - Sep                       
                            313        00                Not enrolled in Medicare for the month  
                            496        01                QMB-only                                
                          1,970        02                QMB & full Medicaid covrge, + Rx drugs  
                            291        03                SLMB-only                               
                            131        04                SLMB & full Medicaid covrge, + Rx drugs 
                            188        06                Qualifying individuals                  
                            687        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,957        NA                Non-Medicaid                            
 
H_DUAL10    $DUALMON                   Dual eligibility code - Oct                       
                            347        00                Not enrolled in Medicare for the month  
                            496        01                QMB-only                                
                          2,001        02                QMB & full Medicaid covrge, + Rx drugs  
                            294        03                SLMB-only                               
                            131        04                SLMB & full Medicaid covrge, + Rx drugs 
                            187        06                Qualifying individuals                  
                            659        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,918        NA                Non-Medicaid                            
 
H_DUAL11    $DUALMON                   Dual eligibility code - Nov                       
                            378        00                Not enrolled in Medicare for the month  
                            503        01                QMB-only                                
                          1,999        02                QMB & full Medicaid covrge, + Rx drugs  
                            295        03                SLMB-only                               
                            134        04                SLMB & full Medicaid covrge, + Rx drugs 
                            189        06                Qualifying individuals                  
                            651        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,884        NA                Non-Medicaid                            
 
H_DUAL12    $DUALMON                   Dual eligibility code - Dec                       
                            422        00                Not enrolled in Medicare for the month  
                            489        01                QMB-only                                
                          2,001        02                QMB & full Medicaid covrge, + Rx drugs  
                            297        03                SLMB-only                               
                            126        04                SLMB & full Medicaid covrge, + Rx drugs 
                            189        06                Qualifying individuals                  
                            638        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                         10,871        NA                Non-Medicaid                            
 
H_OPMDCD    DUALFMT                    Medicare-Medicaid dual eligibility indic          
                          3,034                       1  FULL-Bene elig. full Medicaid benefits  
                         10,901                       2  NONDUAL-Bene not elig Medicaid benfits  
                            555                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            543                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PDLS01    $DLSFMT                    LIS Indicator - Jan                               
                            203        00                Not Medicare enrolled for the month     
                          1,245        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,704        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,085        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            317        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,338        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
                          1,889        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                               
                            224        00                Not Medicare enrolled for the month     
                          1,253        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,710        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,078        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            316        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,328        09                Pt A and/or B +D;no prem or cstshare sub
                            255        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,869        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                               
                            247        00                Not Medicare enrolled for the month     
                          1,254        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,716        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,066        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            317        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,304        09                Pt A and/or B +D;no prem or cstshare sub
                            255        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,874        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                               
                            261        00                Not Medicare enrolled for the month     
                          1,263        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,710        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,067        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            306        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,305        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
                          1,867        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                               
                            275        00                Not Medicare enrolled for the month     
                          1,266        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,714        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,067        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            279        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,314        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
                          1,864        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                               
                            286        00                Not Medicare enrolled for the month     
                          1,274        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,710        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,071        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            280        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,306        09                Pt A and/or B +D;no prem or cstshare sub
                            253        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,853        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                               
                            293        00                Not Medicare enrolled for the month     
                          1,283        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,708        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,071        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            279        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,305        09                Pt A and/or B +D;no prem or cstshare sub
                            248        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,846        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                               
                            302        00                Not Medicare enrolled for the month     
                          1,288        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,708        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,067        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            278        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,295        09                Pt A and/or B +D;no prem or cstshare sub
                            247        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,848        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                               
                            313        00                Not Medicare enrolled for the month     
                          1,285        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,711        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,071        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            280        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,288        09                Pt A and/or B +D;no prem or cstshare sub
                            246        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,839        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                               
                            347        00                Not Medicare enrolled for the month     
                          1,287        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,707        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,071        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            283        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,265        09                Pt A and/or B +D;no prem or cstshare sub
                            244        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,829        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                               
                            378        00                Not Medicare enrolled for the month     
                          1,289        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,707        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,066        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            286        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,245        09                Pt A and/or B +D;no prem or cstshare sub
                            243        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,819        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                               
                            422        00                Not Medicare enrolled for the month     
                          1,283        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,696        02                Pt A and/or B +D;elig LIS 100%,low copay
                          1,063        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            285        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                          8,224        09                Pt A and/or B +D;no prem or cstshare sub
                            242        10                Pt A and/or B,no D;employr recvs RDS sub
                          1,818        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                 
                          2,105                       .  Inapplicable/Missing                    
                         12,928        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02    MONYFMT                    Medicare capitation payment - Feb                 
                          2,110                       .  Inapplicable/Missing                    
                         12,923        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03    MONYFMT                    Medicare capitation payment - Mar                 
                          2,134                       .  Inapplicable/Missing                    
                         12,899        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04    MONYFMT                    Medicare capitation payment - Apr                 
                          2,139                       .  Inapplicable/Missing                    
                         12,894        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05    MONYFMT                    Medicare capitation payment - May                 
                          2,148                       .  Inapplicable/Missing                    
                         12,885        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06    MONYFMT                    Medicare capitation payment - Jun                 
                          2,142                       .  Inapplicable/Missing                    
                         12,891        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07    MONYFMT                    Medicare capitation payment - Jul                 
                          2,135                       .  Inapplicable/Missing                    
                         12,898        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08    MONYFMT                    Medicare capitation payment - Aug                 
                          2,144                       .  Inapplicable/Missing                    
                         12,889        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09    MONYFMT                    Medicare capitation payment - Sep                 
                          2,145                       .  Inapplicable/Missing                    
                         12,888        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10    MONYFMT                    Medicare capitation payment - Oct                 
                          2,171                       .  Inapplicable/Missing                    
                         12,862        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11    MONYFMT                    Medicare capitation payment - Nov                 
                          2,196                       .  Inapplicable/Missing                    
                         12,837        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12    MONYFMT                    Medicare capitation payment - Dec                 
                          2,238                       .  Inapplicable/Missing                    
                         12,795        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY01    MONYFMT                    Part D capitation payment - Jan                   
                          2,105                       .  Inapplicable/Missing                    
                         12,928        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02    MONYFMT                    Part D capitation payment - Feb                   
                          2,110                       .  Inapplicable/Missing                    
                         12,923        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03    MONYFMT                    Part D capitation payment - Mar                   
                          2,134                       .  Inapplicable/Missing                    
                         12,899        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04    MONYFMT                    Part D capitation payment - Apr                   
                          2,139                       .  Inapplicable/Missing                    
                         12,894        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05    MONYFMT                    Part D capitation payment - May                   
                          2,148                       .  Inapplicable/Missing                    
                         12,885        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06    MONYFMT                    Part D capitation payment - Jun                   
                          2,142                       .  Inapplicable/Missing                    
                         12,891        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07    MONYFMT                    Part D capitation payment - Jul                   
                          2,135                       .  Inapplicable/Missing                    
                         12,898        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08    MONYFMT                    Part D capitation payment - Aug                   
                          2,144                       .  Inapplicable/Missing                    
                         12,889        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09    MONYFMT                    Part D capitation payment - Sep                   
                          2,145                       .  Inapplicable/Missing                    
                         12,888        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10    MONYFMT                    Part D capitation payment - Oct                   
                          2,171                       .  Inapplicable/Missing                    
                         12,862        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11    MONYFMT                    Part D capitation payment - Nov                   
                          2,196                       .  Inapplicable/Missing                    
                         12,837        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12    MONYFMT                    Part D capitation payment - Dec                   
                          2,238                       .  Inapplicable/Missing                    
                         12,795        Range of values   Amount as $$$$$$.CC                     
 
H_PRPY01    $MSPCODE                   Primary Payer                                     
                         14,700                          Medicare is Primary                     
                            167        A                 Working Aged                            
                              2        B                 ESRD                                    
                              1        C                 Condition/Reimbursement Anticipated     
                             16        D                 Automobile No Fault                     
                             10        E                 Workers  comp                           
                              1        F                 Public Health/federal                   
                             82        G                 Working Disabled                        
                              1        I                 VA                                      
                             48        L                 Any liability                           
                              5        N                 Override Code N                         
 
H_PRPY02    $MSPCODE                   Primary Payer, 2nd code                           
                         14,984                          Medicare is Primary                     
                             12        A                 Working Aged                            
                             19        C                 Condition/Reimbursement Anticipated     
                              3        D                 Automobile No Fault                     
                              3        E                 Workers  comp                           
                              1        G                 Working Disabled                        
                              4        L                 Any liability                           
                              5        M                 Override Code M                         
                              2        N                 Override Code N                         
 
H_PRPY03    $MSPCODE                   Primary Payer, 3rd code                           
                         15,027                          Medicare is Primary                     
                              2        A                 Working Aged                            
                              1        B                 ESRD                                    
                              1        C                 Condition/Reimbursement Anticipated     
                              1        L                 Any liability                           
                              1        M                 Override Code M                         
 
H_MAFF01    $MA2FLAG                   MA flag -  Jan                                    
                          6,766        FF                Original Medicare/FFS                   
                          8,064        MA                MA/Other Medicare Capitated Paymnt Plans
                            203        NO                Not Medicare Enrolled/Month             
 
H_MAFF02    $MA2FLAG                   MA flag -  Feb                                    
                          6,713        FF                Original Medicare/FFS                   
                          8,096        MA                MA/Other Medicare Capitated Paymnt Plans
                            224        NO                Not Medicare Enrolled/Month             
 
H_MAFF03    $MA2FLAG                   MA flag -  Mar                                    
                          6,691        FF                Original Medicare/FFS                   
                          8,095        MA                MA/Other Medicare Capitated Paymnt Plans
                            247        NO                Not Medicare Enrolled/Month             
 
H_MAFF04    $MA2FLAG                   MA flag -  Apr                                    
                          6,664        FF                Original Medicare/FFS                   
                          8,108        MA                MA/Other Medicare Capitated Paymnt Plans
                            261        NO                Not Medicare Enrolled/Month             
 
H_MAFF05    $MA2FLAG                   MA flag -  May                                    
                          6,631        FF                Original Medicare/FFS                   
                          8,127        MA                MA/Other Medicare Capitated Paymnt Plans
                            275        NO                Not Medicare Enrolled/Month             
 
H_MAFF06    $MA2FLAG                   MA flag -  Jun                                    
                          6,614        FF                Original Medicare/FFS                   
                          8,133        MA                MA/Other Medicare Capitated Paymnt Plans
                            286        NO                Not Medicare Enrolled/Month             
 
H_MAFF07    $MA2FLAG                   MA flag -  Jul                                    
                          6,604        FF                Original Medicare/FFS                   
                          8,136        MA                MA/Other Medicare Capitated Paymnt Plans
                            293        NO                Not Medicare Enrolled/Month             
 
H_MAFF08    $MA2FLAG                   MA flag -  Aug                                    
                          6,593        FF                Original Medicare/FFS                   
                          8,138        MA                MA/Other Medicare Capitated Paymnt Plans
                            302        NO                Not Medicare Enrolled/Month             
 
H_MAFF09    $MA2FLAG                   MA flag -  Sep                                    
                          6,566        FF                Original Medicare/FFS                   
                          8,154        MA                MA/Other Medicare Capitated Paymnt Plans
                            313        NO                Not Medicare Enrolled/Month             
 
H_MAFF10    $MA2FLAG                   MA flag -  Oct                                    
                          6,549        FF                Original Medicare/FFS                   
                          8,137        MA                MA/Other Medicare Capitated Paymnt Plans
                            347        NO                Not Medicare Enrolled/Month             
 
H_MAFF11    $MA2FLAG                   MA flag -  Nov                                    
                          6,531        FF                Original Medicare/FFS                   
                          8,124        MA                MA/Other Medicare Capitated Paymnt Plans
                            378        NO                Not Medicare Enrolled/Month             
 
H_MAFF12    $MA2FLAG                   MA flag -  Dec                                    
                          6,518        FF                Original Medicare/FFS                   
                          8,093        MA                MA/Other Medicare Capitated Paymnt Plans
                            422        NO                Not Medicare Enrolled/Month             
 
H_PNUM                                 Number of GHPs in bene area                       
                         15,033        Range of values   Range of values                         
 
H_MANUM                                Number of MA plans in bene area                   
                         15,033        Range of values   Range of values                         
 
H_PFSNUM                               Number of PFFS plans in bene area                 
                         15,033        Range of values   Range of values                         
 
H_CREDSW    CREDFMT                    Creditable Coverage Switch                        
                          1,659                       1  SP had at least 1 month cred. coverage  
                         13,374                       2  SP had no months of cred. coverage      
 
H_PRTC01                               Part C Contract ID - Jan                          
                            203        0                 Not Medicare Enrolled/Month             
                          8,064        Contract/Values   Contract/Segment/Plan ID                
                          6,766        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                          
                            224        0                 Not Medicare Enrolled/Month             
                          8,096        Contract/Values   Contract/Segment/Plan ID                
                          6,713        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                          
                            247        0                 Not Medicare Enrolled/Month             
                          8,095        Contract/Values   Contract/Segment/Plan ID                
                          6,691        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                          
                            261        0                 Not Medicare Enrolled/Month             
                          8,108        Contract/Values   Contract/Segment/Plan ID                
                          6,664        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                          
                            275        0                 Not Medicare Enrolled/Month             
                          8,127        Contract/Values   Contract/Segment/Plan ID                
                          6,631        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                          
                            286        0                 Not Medicare Enrolled/Month             
                          8,133        Contract/Values   Contract/Segment/Plan ID                
                          6,614        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                          
                            293        0                 Not Medicare Enrolled/Month             
                          8,136        Contract/Values   Contract/Segment/Plan ID                
                          6,604        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                          
                            302        0                 Not Medicare Enrolled/Month             
                          8,138        Contract/Values   Contract/Segment/Plan ID                
                          6,593        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                          
                            313        0                 Not Medicare Enrolled/Month             
                          8,154        Contract/Values   Contract/Segment/Plan ID                
                          6,566        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                          
                            347        0                 Not Medicare Enrolled/Month             
                          8,137        Contract/Values   Contract/Segment/Plan ID                
                          6,549        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                          
                            378        0                 Not Medicare Enrolled/Month             
                          8,124        Contract/Values   Contract/Segment/Plan ID                
                          6,531        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                          
                            422        0                 Not Medicare Enrolled/Month             
                          8,093        Contract/Values   Contract/Segment/Plan ID                
                          6,518        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan                 
                          6,986                          Inapplicable/Missing                    
                          8,047        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb                 
                          6,954                          Inapplicable/Missing                    
                          8,079        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar                 
                          6,955                          Inapplicable/Missing                    
                          8,078        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr                 
                          6,942                          Inapplicable/Missing                    
                          8,091        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May                 
                          6,923                          Inapplicable/Missing                    
                          8,110        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun                 
                          6,917                          Inapplicable/Missing                    
                          8,116        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul                 
                          6,914                          Inapplicable/Missing                    
                          8,119        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug                 
                          6,912                          Inapplicable/Missing                    
                          8,121        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep                 
                          6,896                          Inapplicable/Missing                    
                          8,137        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct                 
                          6,913                          Inapplicable/Missing                    
                          8,120        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov                 
                          6,925                          Inapplicable/Missing                    
                          8,108        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec                 
                          6,956                          Inapplicable/Missing                    
                          8,077        Contract/Values   Contract/Segment/Plan ID                
 
H_CTYP01    $PTYPFMT                   Part C Plan Type Code: Jan                        
                          6,969                          Inapplicable/Missing                    
                          2,838        01                Health Maintenance Organization (HMO)   
                          1,570        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,419        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              2        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            100        31                Regional PPO                            
                             89        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP02    $PTYPFMT                   Part C Plan Type Code: Feb                        
                          6,937                          Inapplicable/Missing                    
                          2,835        01                Health Maintenance Organization (HMO)   
                          1,576        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,445        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              3        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             97        31                Regional PPO                            
                             94        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP03    $PTYPFMT                   Part C Plan Type Code: Mar                        
                          6,938                          Inapplicable/Missing                    
                          2,840        01                Health Maintenance Organization (HMO)   
                          1,593        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,426        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              4        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             93        31                Regional PPO                            
                             93        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP04    $PTYPFMT                   Part C Plan Type Code: Apr                        
                          6,925                          Inapplicable/Missing                    
                          2,849        01                Health Maintenance Organization (HMO)   
                          1,589        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,439        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              4        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             12        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             91        31                Regional PPO                            
                             89        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP05    $PTYPFMT                   Part C Plan Type Code: May                        
                          6,906                          Inapplicable/Missing                    
                          2,874        01                Health Maintenance Organization (HMO)   
                          1,585        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,443        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              3        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             91        31                Regional PPO                            
                             85        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP06    $PTYPFMT                   Part C Plan Type Code: Jun                        
                          6,900                          Inapplicable/Missing                    
                          2,882        01                Health Maintenance Organization (HMO)   
                          1,575        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,458        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              3        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             86        31                Regional PPO                            
                             81        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP07    $PTYPFMT                   Part C Plan Type Code: Jul                        
                          6,897                          Inapplicable/Missing                    
                          2,881        01                Health Maintenance Organization (HMO)   
                          1,572        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,467        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              3        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             87        31                Regional PPO                            
                             78        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP08    $PTYPFMT                   Part C Plan Type Code: Aug                        
                          6,895                          Inapplicable/Missing                    
                          2,876        01                Health Maintenance Organization (HMO)   
                          1,574        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,475        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              2        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             87        31                Regional PPO                            
                             75        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP09    $PTYPFMT                   Part C Plan Type Code: Sep                        
                          6,879                          Inapplicable/Missing                    
                          2,900        01                Health Maintenance Organization (HMO)   
                          1,573        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,472        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              2        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             86        31                Regional PPO                            
                             72        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP10    $PTYPFMT                   Part C Plan Type Code: Oct                        
                          6,896                          Inapplicable/Missing                    
                          2,896        01                Health Maintenance Organization (HMO)   
                          1,558        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,475        04                Local Preferred Provider Org (PPO)      
                              3        07                Medical Savings Account (MSA)           
                              2        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             17        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             85        31                Regional PPO                            
                             72        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP11    $PTYPFMT                   Part C Plan Type Code: Nov                        
                          6,909                          Inapplicable/Missing                    
                          2,892        01                Health Maintenance Organization (HMO)   
                          1,551        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,475        04                Local Preferred Provider Org (PPO)      
                              4        07                Medical Savings Account (MSA)           
                              2        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             16        19                HCPP - Section 1833 Cost Plan           
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             85        31                Regional PPO                            
                             70        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_CTYP12    $PTYPFMT                   Part C Plan Type Code: Dec                        
                          6,940                          Inapplicable/Missing                    
                          2,879        01                Health Maintenance Organization (HMO)   
                          1,547        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          3,464        04                Local Preferred Provider Org (PPO)      
                              4        07                Medical Savings Account (MSA)           
                              2        09                PFFS                                    
                             15        18                Section 1876 Cost                       
                             16        19                HCPP - Section 1833 Cost Plan           
                             15        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                             84        31                Regional PPO                            
                             67        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_MAPMT     MONYFMT                    Total MA A/B Payment  Annual                     
                          1,796                       .  Inapplicable/Missing                    
                         13,237        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM01    MONYFMT                    Part C Premium - Jan                              
                          8,629                       .  Inapplicable/Missing                    
                          6,404        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02    MONYFMT                    Part C Premium - Feb                              
                          8,600                       .  Inapplicable/Missing                    
                          6,433        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03    MONYFMT                    Part C Premium - Mar                              
                          8,603                       .  Inapplicable/Missing                    
                          6,430        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04    MONYFMT                    Part C Premium - Apr                              
                          8,584                       .  Inapplicable/Missing                    
                          6,449        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05    MONYFMT                    Part C Premium - May                              
                          8,555                       .  Inapplicable/Missing                    
                          6,478        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06    MONYFMT                    Part C Premium - Jun                              
                          8,553                       .  Inapplicable/Missing                    
                          6,480        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07    MONYFMT                    Part C Premium - Jul                              
                          8,546                       .  Inapplicable/Missing                    
                          6,487        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08    MONYFMT                    Part C Premium - Aug                              
                          8,541                       .  Inapplicable/Missing                    
                          6,492        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09    MONYFMT                    Part C Premium - Sep                              
                          8,521                       .  Inapplicable/Missing                    
                          6,512        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10    MONYFMT                    Part C Premium - Oct                              
                          8,534                       .  Inapplicable/Missing                    
                          6,499        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11    MONYFMT                    Part C Premium - Nov                              
                          8,537                       .  Inapplicable/Missing                    
                          6,496        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12    MONYFMT                    Part C Premium - Dec                              
                          8,565                       .  Inapplicable/Missing                    
                          6,468        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                          
                             10                          Inapplicable/Missing                    
                            203        0                 Not Medicare Enrolled/Month             
                         12,689        Contract/Values   Contract/Segment/Plan ID                
                          2,131        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                          
                              9                          Inapplicable/Missing                    
                            224        0                 Not Medicare Enrolled/Month             
                         12,685        Contract/Values   Contract/Segment/Plan ID                
                          2,115        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                          
                             11                          Inapplicable/Missing                    
                            247        0                 Not Medicare Enrolled/Month             
                         12,657        Contract/Values   Contract/Segment/Plan ID                
                          2,118        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                          
                             10                          Inapplicable/Missing                    
                            261        0                 Not Medicare Enrolled/Month             
                         12,651        Contract/Values   Contract/Segment/Plan ID                
                          2,111        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                          
                             11                          Inapplicable/Missing                    
                            275        0                 Not Medicare Enrolled/Month             
                         12,640        Contract/Values   Contract/Segment/Plan ID                
                          2,107        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                          
                              8                          Inapplicable/Missing                    
                            286        0                 Not Medicare Enrolled/Month             
                         12,641        Contract/Values   Contract/Segment/Plan ID                
                          2,098        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                          
                              8                          Inapplicable/Missing                    
                            293        0                 Not Medicare Enrolled/Month             
                         12,646        Contract/Values   Contract/Segment/Plan ID                
                          2,086        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                          
                              5                          Inapplicable/Missing                    
                            302        0                 Not Medicare Enrolled/Month             
                         12,636        Contract/Values   Contract/Segment/Plan ID                
                          2,090        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                          
                              2                          Inapplicable/Missing                    
                            313        0                 Not Medicare Enrolled/Month             
                         12,635        Contract/Values   Contract/Segment/Plan ID                
                          2,083        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                          
                              2                          Inapplicable/Missing                    
                            347        0                 Not Medicare Enrolled/Month             
                         12,613        Contract/Values   Contract/Segment/Plan ID                
                          2,071        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                          
                              2                          Inapplicable/Missing                    
                            378        0                 Not Medicare Enrolled/Month             
                         12,593        Contract/Values   Contract/Segment/Plan ID                
                          2,060        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                          
                              2                          Inapplicable/Missing                    
                            422        0                 Not Medicare Enrolled/Month             
                         12,551        Contract/Values   Contract/Segment/Plan ID                
                          2,058        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan                 
                          2,344                          Inapplicable/Missing                    
                         12,689        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb                 
                          2,348                          Inapplicable/Missing                    
                         12,685        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar                 
                          2,376                          Inapplicable/Missing                    
                         12,657        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr                 
                          2,382                          Inapplicable/Missing                    
                         12,651        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May                 
                          2,393                          Inapplicable/Missing                    
                         12,640        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun                 
                          2,392                          Inapplicable/Missing                    
                         12,641        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul                 
                          2,387                          Inapplicable/Missing                    
                         12,646        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug                 
                          2,397                          Inapplicable/Missing                    
                         12,636        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep                 
                          2,398                          Inapplicable/Missing                    
                         12,635        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct                 
                          2,420                          Inapplicable/Missing                    
                         12,613        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov                 
                          2,440                          Inapplicable/Missing                    
                         12,593        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec                 
                          2,482                          Inapplicable/Missing                    
                         12,551        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: Jan                            
                          2,344                          Inapplicable/Missing                    
                         12,689        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: Feb                            
                          2,348                          Inapplicable/Missing                    
                         12,685        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: Mar                            
                          2,376                          Inapplicable/Missing                    
                         12,657        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: Apr                            
                          2,382                          Inapplicable/Missing                    
                         12,651        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                            
                          2,393                          Inapplicable/Missing                    
                         12,640        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: Jun                            
                          2,392                          Inapplicable/Missing                    
                         12,641        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: Jul                            
                          2,387                          Inapplicable/Missing                    
                         12,646        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: Aug                            
                          2,397                          Inapplicable/Missing                    
                         12,636        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: Sep                            
                          2,398                          Inapplicable/Missing                    
                         12,635        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: Oct                            
                          2,420                          Inapplicable/Missing                    
                         12,613        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: Nov                            
                          2,440                          Inapplicable/Missing                    
                         12,593        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: Dec                            
                          2,482                          Inapplicable/Missing                    
                         12,551        Contract/Values   Contract/Segment/Plan ID                
 
H_DTYP01    $PTYPFMT                   Part D Plan Type Code: Jan                        
                          2,344                          Inapplicable/Missing                    
                          2,763        01                Health Maintenance Organization (HMO)   
                          1,543        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,888        04                Local Preferred Provider Org (PPO)      
                              2        09                PFFS                                    
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,254        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             91        31                Regional PPO                            
                             25        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             89        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP02    $PTYPFMT                   Part D Plan Type Code: Feb                        
                          2,348                          Inapplicable/Missing                    
                          2,762        01                Health Maintenance Organization (HMO)   
                          1,549        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,913        04                Local Preferred Provider Org (PPO)      
                              3        09                PFFS                                    
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,216        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             89        31                Regional PPO                            
                             25        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             94        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP03    $PTYPFMT                   Part D Plan Type Code: Mar                        
                          2,376                          Inapplicable/Missing                    
                          2,767        01                Health Maintenance Organization (HMO)   
                          1,566        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,888        04                Local Preferred Provider Org (PPO)      
                              4        09                PFFS                                    
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,165        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             85        31                Regional PPO                            
                             55        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             93        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP04    $PTYPFMT                   Part D Plan Type Code: Apr                        
                          2,382                          Inapplicable/Missing                    
                          2,776        01                Health Maintenance Organization (HMO)   
                          1,564        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,899        04                Local Preferred Provider Org (PPO)      
                              4        09                PFFS                                    
                             12        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,136        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             83        31                Regional PPO                            
                             65        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             89        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP05    $PTYPFMT                   Part D Plan Type Code: May                        
                          2,393                          Inapplicable/Missing                    
                          2,801        01                Health Maintenance Organization (HMO)   
                          1,560        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,903        04                Local Preferred Provider Org (PPO)      
                              3        09                PFFS                                    
                             11        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,116        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             83        31                Regional PPO                            
                             55        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             85        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP06    $PTYPFMT                   Part D Plan Type Code: Jun                        
                          2,392                          Inapplicable/Missing                    
                          2,809        01                Health Maintenance Organization (HMO)   
                          1,550        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,914        04                Local Preferred Provider Org (PPO)      
                              3        09                PFFS                                    
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,135        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             78        31                Regional PPO                            
                             35        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             81        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP07    $PTYPFMT                   Part D Plan Type Code: Jul                        
                          2,387                          Inapplicable/Missing                    
                          2,809        01                Health Maintenance Organization (HMO)   
                          1,547        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,923        04                Local Preferred Provider Org (PPO)      
                              3        09                PFFS                                    
                             13        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,135        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             78        31                Regional PPO                            
                             37        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             78        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP08    $PTYPFMT                   Part D Plan Type Code: Aug                        
                          2,397                          Inapplicable/Missing                    
                          2,804        01                Health Maintenance Organization (HMO)   
                          1,549        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,933        04                Local Preferred Provider Org (PPO)      
                              2        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,120        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             78        31                Regional PPO                            
                             38        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             75        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP09    $PTYPFMT                   Part D Plan Type Code: Sep                        
                          2,398                          Inapplicable/Missing                    
                          2,830        01                Health Maintenance Organization (HMO)   
                          1,547        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,930        04                Local Preferred Provider Org (PPO)      
                              2        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,109        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             77        31                Regional PPO                            
                             31        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             72        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP10    $PTYPFMT                   Part D Plan Type Code: Oct                        
                          2,420                          Inapplicable/Missing                    
                          2,826        01                Health Maintenance Organization (HMO)   
                          1,533        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,935        04                Local Preferred Provider Org (PPO)      
                              2        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,100        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             76        31                Regional PPO                            
                             32        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             72        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP11    $PTYPFMT                   Part D Plan Type Code: Nov                        
                          2,440                          Inapplicable/Missing                    
                          2,821        01                Health Maintenance Organization (HMO)   
                          1,526        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,942        04                Local Preferred Provider Org (PPO)      
                              2        09                PFFS                                    
                             14        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,098        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             76        31                Regional PPO                            
                             21        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             70        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_DTYP12    $PTYPFMT                   Part D Plan Type Code: Dec                        
                          2,482                          Inapplicable/Missing                    
                          2,808        01                Health Maintenance Organization (HMO)   
                          1,523        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          2,930        04                Local Preferred Provider Org (PPO)      
                              2        09                PFFS                                    
                             15        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          5,091        29                Medicare Prescription Drug Plan (PDP)   
                             23        30                Employer/Union Only Direct Contract PDP 
                             75        31                Regional PPO                            
                             17        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                             67        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
 
H_PTDAMT    MONYFMT                    Part D Total Payment - Annual                     
                          1,796                       .  Inapplicable/Missing                    
                         13,237        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM01    MONYFMT                    Part D Premium - Jan                              
                          2,369                       .  Inapplicable/Missing                    
                         12,664        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02    MONYFMT                    Part D Premium - Feb                              
                          2,375                       .  Inapplicable/Missing                    
                         12,658        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03    MONYFMT                    Part D Premium - Mar                              
                          2,434                       .  Inapplicable/Missing                    
                         12,599        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04    MONYFMT                    Part D Premium - Apr                              
                          2,450                       .  Inapplicable/Missing                    
                         12,583        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05    MONYFMT                    Part D Premium - May                              
                          2,450                       .  Inapplicable/Missing                    
                         12,583        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06    MONYFMT                    Part D Premium - Jun                              
                          2,430                       .  Inapplicable/Missing                    
                         12,603        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07    MONYFMT                    Part D Premium - Jul                              
                          2,427                       .  Inapplicable/Missing                    
                         12,606        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08    MONYFMT                    Part D Premium - Aug                              
                          2,438                       .  Inapplicable/Missing                    
                         12,595        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09    MONYFMT                    Part D Premium - Sep                              
                          2,432                       .  Inapplicable/Missing                    
                         12,601        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10    MONYFMT                    Part D Premium - Oct                              
                          2,455                       .  Inapplicable/Missing                    
                         12,578        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11    MONYFMT                    Part D Premium - Nov                              
                          2,464                       .  Inapplicable/Missing                    
                         12,569        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12    MONYFMT                    Part D Premium - Dec                              
                          2,502                       .  Inapplicable/Missing                    
                         12,531        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01    MONYFMT                    Part D Deductible - Jan                           
                          4,416                       .  Inapplicable/Missing                    
                         10,617        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02    MONYFMT                    Part D Deductible - Feb                           
                          4,405                       .  Inapplicable/Missing                    
                         10,628        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03    MONYFMT                    Part D Deductible - Mar                           
                          4,450                       .  Inapplicable/Missing                    
                         10,583        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04    MONYFMT                    Part D Deductible - Apr                           
                          4,459                       .  Inapplicable/Missing                    
                         10,574        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05    MONYFMT                    Part D Deductible - May                           
                          4,452                       .  Inapplicable/Missing                    
                         10,581        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06    MONYFMT                    Part D Deductible - Jun                           
                          4,436                       .  Inapplicable/Missing                    
                         10,597        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07    MONYFMT                    Part D Deductible - Jul                           
                          4,429                       .  Inapplicable/Missing                    
                         10,604        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08    MONYFMT                    Part D Deductible - Aug                           
                          4,438                       .  Inapplicable/Missing                    
                         10,595        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09    MONYFMT                    Part D Deductible - Sep                           
                          4,429                       .  Inapplicable/Missing                    
                         10,604        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10    MONYFMT                    Part D Deductible - Oct                           
                          4,448                       .  Inapplicable/Missing                    
                         10,585        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11    MONYFMT                    Part D Deductible - Nov                           
                          4,450                       .  Inapplicable/Missing                    
                         10,583        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12    MONYFMT                    Part D Deductible - Dec                           
                          4,484                       .  Inapplicable/Missing                    
                         10,549        Range of values   Amount as $$$$$$.CC                     
 
H_EGWP01    YES8FMT                    PDP Employer Group Waiver Plan Ind - Jan          
                          2,344                       .  Unknown                                 
                          2,036                       1  Yes                                     
                         10,653                       2  No                                      
 
H_EGWP02    YES8FMT                    PDP Employer Group Waiver Plan Ind - Feb          
                          2,348                       .  Unknown                                 
                          2,021                       1  Yes                                     
                         10,664                       2  No                                      
 
H_EGWP03    YES8FMT                    PDP Employer Group Waiver Plan Ind - Mar          
                          2,376                       .  Unknown                                 
                          2,008                       1  Yes                                     
                         10,649                       2  No                                      
 
H_EGWP04    YES8FMT                    PDP Employer Group Waiver Plan Ind - Apr          
                          2,382                       .  Unknown                                 
                          2,000                       1  Yes                                     
                         10,651                       2  No                                      
 
H_EGWP05    YES8FMT                    PDP Employer Group Waiver Plan Ind - May          
                          2,393                       .  Unknown                                 
                          1,993                       1  Yes                                     
                         10,647                       2  No                                      
 
H_EGWP06    YES8FMT                    PDP Employer Group Waiver Plan Ind - Jun          
                          2,392                       .  Unknown                                 
                          1,996                       1  Yes                                     
                         10,645                       2  No                                      
 
H_EGWP07    YES8FMT                    PDP Employer Group Waiver Plan Ind - Jul          
                          2,387                       .  Unknown                                 
                          1,992                       1  Yes                                     
                         10,654                       2  No                                      
 
H_EGWP08    YES8FMT                    PDP Employer Group Waiver Plan Ind - Aug          
                          2,397                       .  Unknown                                 
                          1,989                       1  Yes                                     
                         10,647                       2  No                                      
 
H_EGWP09    YES8FMT                    PDP Employer Group Waiver Plan Ind - Sep          
                          2,398                       .  Unknown                                 
                          1,986                       1  Yes                                     
                         10,649                       2  No                                      
 
H_EGWP10    YES8FMT                    PDP Employer Group Waiver Plan Ind - Oct          
                          2,420                       .  Unknown                                 
                          1,982                       1  Yes                                     
                         10,631                       2  No                                      
 
H_EGWP11    YES8FMT                    PDP Employer Group Waiver Plan Ind - Nov          
                          2,440                       .  Unknown                                 
                          1,975                       1  Yes                                     
                         10,618                       2  No                                      
 
H_EGWP12    YES8FMT                    PDP Employer Group Waiver Plan Ind - Dec          
                          2,482                       .  Unknown                                 
                          1,970                       1  Yes                                     
                         10,581                       2  No                                      
 
H_PDRS01    DRDSFMT                    RDS Indicator - Jan                               
                            213                       .  Unknown                                 
                            252                       1  Employer subsidized for the beneficiary 
                         14,568                       2  Employer not subsidized for the benefici
 
H_PDRS02    DRDSFMT                    RDS Indicator - Feb                               
                            233                       .  Unknown                                 
                            255                       1  Employer subsidized for the beneficiary 
                         14,545                       2  Employer not subsidized for the benefici
 
H_PDRS03    DRDSFMT                    RDS Indicator - Mar                               
                            258                       .  Unknown                                 
                            255                       1  Employer subsidized for the beneficiary 
                         14,520                       2  Employer not subsidized for the benefici
 
H_PDRS04    DRDSFMT                    RDS Indicator - Apr                               
                            271                       .  Unknown                                 
                            254                       1  Employer subsidized for the beneficiary 
                         14,508                       2  Employer not subsidized for the benefici
 
H_PDRS05    DRDSFMT                    RDS Indicator - May                               
                            286                       .  Unknown                                 
                            254                       1  Employer subsidized for the beneficiary 
                         14,493                       2  Employer not subsidized for the benefici
 
H_PDRS06    DRDSFMT                    RDS Indicator - Jun                               
                            294                       .  Unknown                                 
                            253                       1  Employer subsidized for the beneficiary 
                         14,486                       2  Employer not subsidized for the benefici
 
H_PDRS07    DRDSFMT                    RDS Indicator - Jul                               
                            301                       .  Unknown                                 
                            248                       1  Employer subsidized for the beneficiary 
                         14,484                       2  Employer not subsidized for the benefici
 
H_PDRS08    DRDSFMT                    RDS Indicator - Aug                               
                            307                       .  Unknown                                 
                            247                       1  Employer subsidized for the beneficiary 
                         14,479                       2  Employer not subsidized for the benefici
 
H_PDRS09    DRDSFMT                    RDS Indicator - Sep                               
                            315                       .  Unknown                                 
                            246                       1  Employer subsidized for the beneficiary 
                         14,472                       2  Employer not subsidized for the benefici
 
H_PDRS10    DRDSFMT                    RDS Indicator - Oct                               
                            349                       .  Unknown                                 
                            244                       1  Employer subsidized for the beneficiary 
                         14,440                       2  Employer not subsidized for the benefici
 
H_PDRS11    DRDSFMT                    RDS Indicator - Nov                               
                            380                       .  Unknown                                 
                            243                       1  Employer subsidized for the beneficiary 
                         14,410                       2  Employer not subsidized for the benefici
 
H_PDRS12    DRDSFMT                    RDS Indicator - Dec                               
                            424                       .  Unknown                                 
                            242                       1  Employer subsidized for the beneficiary 
                         14,367                       2  Employer not subsidized for the benefici
 
H_PTAPRM    MONYFMT                    Total Pt. A premium SP paid in CY                 
                         15,033        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM    MONYFMT                    Total Pt. B premium SP paid in CY                 
                         15,033        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM    MONYFMT                    Estimate TotPrem: A+B+C+D+SurveyOnlyPlan          
                         15,033        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                       
                         11,809                          Inapplicable/Missing                    
                          2,178        08                Medicare Shared Savings Program (SSP)   
                              9        11                MMCO Financ Alignment Demo(Duals)       
                              2        53                Vermont All-Payer Model (CMMI)          
                             59        56                Maryland TotCostCare:PrimCareProg (CMMI)
                            210        57                Primary Care First (PCF)                
                            635        63                Direct Contracting (DC)                 
                             21        64                ESRD Treatment Choices Model (ETC)      
                             56        66                Kidney Care Choices Model (KCC)         
                              1        71                Value in OpioidUseDisrdr Trtmnt-ViT Demo
                             52        75                Making Care Primary                     
                              1        76                Guiding an Improved Dementia Experience 
 
H_PRGID2    $PRIDFMT                   2nd CMS Prog ID  Payment Model                   
                         14,853                          Inapplicable/Missing                    
                            124        08                Medicare Shared Savings Program (SSP)   
                              1        11                MMCO Financ Alignment Demo(Duals)       
                              7        56                Maryland TotCostCare:PrimCareProg (CMMI)
                             12        57                Primary Care First (PCF)                
                              3        63                Direct Contracting (DC)                 
                             11        64                ESRD Treatment Choices Model (ETC)      
                              6        66                Kidney Care Choices Model (KCC)         
                             16        75                Making Care Primary                     
 
H_PRGID3    $PRIDFMT                   3rd  CMS Prog ID  Payment Model                  
                         15,030                          Inapplicable/Missing                    
                              3        57                Primary Care First (PCF)                
 
