Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                         71,093        LOW-HIGH          BASEID Count                            
 
VERSION     VERSFMT                    Version Number                                    
                         71,093                       1  Version 1                               
 
ENROLYR     SVYRFMT                    Enrollment Data Year                              
                         13,094                    2020  2020                                    
                         13,767                    2021  2021                                    
                         14,394                    2022  2022                                    
                         14,805                    2023  2023                                    
                         15,033                    2024  2024                                    
 
H_MAFF01    $MA2FLAG                   MA flag - Jan                                     
                         35,109        FF                Original Medicare/FFS                   
                         33,538        MA                MA/Other Medicare Capitated Paymnt Plans
                          2,446        NO                Not Medicare Enrolled/Month             
 
H_MAFF02    $MA2FLAG                   MA flag - Feb                                     
                         35,092        FF                Original Medicare/FFS                   
                         33,735        MA                MA/Other Medicare Capitated Paymnt Plans
                          2,266        NO                Not Medicare Enrolled/Month             
 
H_MAFF03    $MA2FLAG                   MA flag - Mar                                     
                         35,125        FF                Original Medicare/FFS                   
                         33,872        MA                MA/Other Medicare Capitated Paymnt Plans
                          2,096        NO                Not Medicare Enrolled/Month             
 
H_MAFF04    $MA2FLAG                   MA flag - Apr                                     
                         35,087        FF                Original Medicare/FFS                   
                         34,057        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,949        NO                Not Medicare Enrolled/Month             
 
H_MAFF05    $MA2FLAG                   MA flag - May                                     
                         35,144        FF                Original Medicare/FFS                   
                         34,210        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,739        NO                Not Medicare Enrolled/Month             
 
H_MAFF06    $MA2FLAG                   MA flag - Jun                                     
                         35,155        FF                Original Medicare/FFS                   
                         34,394        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,544        NO                Not Medicare Enrolled/Month             
 
H_MAFF07    $MA2FLAG                   MA flag - Jul                                     
                         35,202        FF                Original Medicare/FFS                   
                         34,566        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,325        NO                Not Medicare Enrolled/Month             
 
H_MAFF08    $MA2FLAG                   MA flag - Aug                                     
                         35,243        FF                Original Medicare/FFS                   
                         34,729        MA                MA/Other Medicare Capitated Paymnt Plans
                          1,121        NO                Not Medicare Enrolled/Month             
 
H_MAFF09    $MA2FLAG                   MA flag - Sep                                     
                         35,265        FF                Original Medicare/FFS                   
                         34,927        MA                MA/Other Medicare Capitated Paymnt Plans
                            901        NO                Not Medicare Enrolled/Month             
 
H_MAFF10    $MA2FLAG                   MA flag - Oct                                     
                         35,303        FF                Original Medicare/FFS                   
                         35,068        MA                MA/Other Medicare Capitated Paymnt Plans
                            722        NO                Not Medicare Enrolled/Month             
 
H_MAFF11    $MA2FLAG                   MA flag - Nov                                     
                         35,372        FF                Original Medicare/FFS                   
                         35,158        MA                MA/Other Medicare Capitated Paymnt Plans
                            563        NO                Not Medicare Enrolled/Month             
 
H_MAFF12    $MA2FLAG                   MA flag - Dec                                     
                         35,472        FF                Original Medicare/FFS                   
                         35,197        MA                MA/Other Medicare Capitated Paymnt Plans
                            424        NO                Not Medicare Enrolled/Month             
 
PTA_MONS    MMCOVFMT                   Part A HI Coverage Months Count                   
                         71,093                  0 - 12  Months of coverage                      
 
PTB_MONS    MMCOVFMT                   Part B SMI Coverage Months Count                  
                         71,093                  0 - 12  Months of coverage                      
 
H_PTD01     YNO8FMT                    PtD flag - Jan                                    
                          2,446                       .  Not Medicare Enrolled/Month             
                         56,279                       1  Yes                                     
                         12,368                       2  No                                      
 
H_PTD02     YNO8FMT                    PtD flag - Feb                                    
                          2,266                       .  Not Medicare Enrolled/Month             
                         56,482                       1  Yes                                     
                         12,345                       2  No                                      
 
H_PTD03     YNO8FMT                    PtD flag - Mar                                    
                          2,096                       .  Not Medicare Enrolled/Month             
                         56,625                       1  Yes                                     
                         12,372                       2  No                                      
 
H_PTD04     YNO8FMT                    PtD flag - Apr                                    
                          1,949                       .  Not Medicare Enrolled/Month             
                         56,804                       1  Yes                                     
                         12,340                       2  No                                      
 
H_PTD05     YNO8FMT                    PtD flag - May                                    
                          1,739                       .  Not Medicare Enrolled/Month             
                         56,965                       1  Yes                                     
                         12,389                       2  No                                      
 
H_PTD06     YNO8FMT                    PtD flag - Jun                                    
                          1,544                       .  Not Medicare Enrolled/Month             
                         57,178                       1  Yes                                     
                         12,371                       2  No                                      
 
H_PTD07     YNO8FMT                    PtD flag - Jul                                    
                          1,325                       .  Not Medicare Enrolled/Month             
                         57,403                       1  Yes                                     
                         12,365                       2  No                                      
 
H_PTD08     YNO8FMT                    PtD flag - Aug                                    
                          1,121                       .  Not Medicare Enrolled/Month             
                         57,577                       1  Yes                                     
                         12,395                       2  No                                      
 
H_PTD09     YNO8FMT                    PtD flag - Sep                                    
                            901                       .  Not Medicare Enrolled/Month             
                         57,790                       1  Yes                                     
                         12,402                       2  No                                      
 
H_PTD10     YNO8FMT                    PtD flag - Oct                                    
                            722                       .  Not Medicare Enrolled/Month             
                         57,942                       1  Yes                                     
                         12,429                       2  No                                      
 
H_PTD11     YNO8FMT                    PtD flag - Nov                                    
                            563                       .  Not Medicare Enrolled/Month             
                         58,099                       1  Yes                                     
                         12,431                       2  No                                      
 
H_PTD12     YNO8FMT                    PtD flag - Dec                                    
                            424                       .  Not Medicare Enrolled/Month             
                         58,206                       1  Yes                                     
                         12,463                       2  No                                      
 
H_DUAL01    $DUALMON                   Dual eligibility code - Jan                       
                          2,446        00                Not enrolled in Medicare for the month  
                          2,268        01                QMB-only                                
                          8,911        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,416        03                SLMB-only                               
                            557        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            734        06                Qualifying individuals                  
                          3,046        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        10                Territory buy-ins                       
                              7        99                Unknown                                 
                         51,703        NA                Non-Medicaid                            
 
H_DUAL02    $DUALMON                   Dual eligibility code - Feb                       
                          2,266        00                Not enrolled in Medicare for the month  
                          2,276        01                QMB-only                                
                          8,969        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,425        03                SLMB-only                               
                            564        04                SLMB & full Medicaid covrge, + Rx drugs 
                              1        05                QDWI                                    
                            745        06                Qualifying individuals                  
                          3,032        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        10                Territory buy-ins                       
                              7        99                Unknown                                 
                         51,805        NA                Non-Medicaid                            
 
H_DUAL03    $DUALMON                   Dual eligibility code - Mar                       
                          2,096        00                Not enrolled in Medicare for the month  
                          2,278        01                QMB-only                                
                          9,041        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,423        03                SLMB-only                               
                            577        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            742        06                Qualifying individuals                  
                          3,041        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        10                Territory buy-ins                       
                              6        99                Unknown                                 
                         51,884        NA                Non-Medicaid                            
 
H_DUAL04    $DUALMON                   Dual eligibility code - Apr                       
                          1,949        00                Not enrolled in Medicare for the month  
                          2,310        01                QMB-only                                
                          9,059        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,424        03                SLMB-only                               
                            573        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            742        06                Qualifying individuals                  
                          3,063        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              8        99                Unknown                                 
                         51,961        NA                Non-Medicaid                            
 
H_DUAL05    $DUALMON                   Dual eligibility code - May                       
                          1,739        00                Not enrolled in Medicare for the month  
                          2,305        01                QMB-only                                
                          9,068        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,437        03                SLMB-only                               
                            558        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            755        06                Qualifying individuals                  
                          3,081        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              6        99                Unknown                                 
                         52,140        NA                Non-Medicaid                            
 
H_DUAL06    $DUALMON                   Dual eligibility code - Jun                       
                          1,544        00                Not enrolled in Medicare for the month  
                          2,334        01                QMB-only                                
                          9,087        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,441        03                SLMB-only                               
                            563        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            753        06                Qualifying individuals                  
                          3,166        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              5        99                Unknown                                 
                         52,196        NA                Non-Medicaid                            
 
H_DUAL07    $DUALMON                   Dual eligibility code - Jul                       
                          1,325        00                Not enrolled in Medicare for the month  
                          2,347        01                QMB-only                                
                          9,150        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,442        03                SLMB-only                               
                            568        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            757        06                Qualifying individuals                  
                          3,178        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              5        99                Unknown                                 
                         52,317        NA                Non-Medicaid                            
 
H_DUAL08    $DUALMON                   Dual eligibility code - Aug                       
                          1,121        00                Not enrolled in Medicare for the month  
                          2,355        01                QMB-only                                
                          9,198        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,434        03                SLMB-only                               
                            589        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            774        06                Qualifying individuals                  
                          3,189        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              5        99                Unknown                                 
                         52,424        NA                Non-Medicaid                            
 
H_DUAL09    $DUALMON                   Dual eligibility code - Sep                       
                            901        00                Not enrolled in Medicare for the month  
                          2,363        01                QMB-only                                
                          9,228        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,449        03                SLMB-only                               
                            582        04                SLMB & full Medicaid covrge, + Rx drugs 
                              3        05                QDWI                                    
                            781        06                Qualifying individuals                  
                          3,222        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              7        99                Unknown                                 
                         52,555        NA                Non-Medicaid                            
 
H_DUAL10    $DUALMON                   Dual eligibility code - Oct                       
                            722        00                Not enrolled in Medicare for the month  
                          2,358        01                QMB-only                                
                          9,317        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,456        03                SLMB-only                               
                            591        04                SLMB & full Medicaid covrge, + Rx drugs 
                              3        05                QDWI                                    
                            785        06                Qualifying individuals                  
                          3,202        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              6        99                Unknown                                 
                         52,651        NA                Non-Medicaid                            
 
H_DUAL11    $DUALMON                   Dual eligibility code - Nov                       
                            563        00                Not enrolled in Medicare for the month  
                          2,363        01                QMB-only                                
                          9,345        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,458        03                SLMB-only                               
                            604        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            786        06                Qualifying individuals                  
                          3,213        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              6        99                Unknown                                 
                         52,751        NA                Non-Medicaid                            
 
H_DUAL12    $DUALMON                   Dual eligibility code - Dec                       
                            424        00                Not enrolled in Medicare for the month  
                          2,369        01                QMB-only                                
                          9,405        02                QMB & full Medicaid covrge, + Rx drugs  
                          1,463        03                SLMB-only                               
                            593        04                SLMB & full Medicaid covrge, + Rx drugs 
                              2        05                QDWI                                    
                            789        06                Qualifying individuals                  
                          3,211        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        10                Territory buy-ins                       
                              6        99                Unknown                                 
                         52,829        NA                Non-Medicaid                            
 
H_PDLS01    $DLSFMT                    LIS Indicator - Jan                               
                          2,446        00                Not Medicare enrolled for the month     
                          4,655        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,586        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,874        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,387        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             43        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             99        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             88        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             78        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         37,469        09                Pt A and/or B +D;no prem or cstshare sub
                          1,365        10                Pt A and/or B,no D;employr recvs RDS sub
                         11,003        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS02    $DLSFMT                    LIS Indicator - Feb                               
                          2,266        00                Not Medicare enrolled for the month     
                          4,725        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,637        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,870        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,380        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             42        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             96        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             88        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             78        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         37,566        09                Pt A and/or B +D;no prem or cstshare sub
                          1,369        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,976        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS03    $DLSFMT                    LIS Indicator - Mar                               
                          2,096        00                Not Medicare enrolled for the month     
                          4,780        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,695        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,859        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,380        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             40        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             95        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             90        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             77        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         37,609        09                Pt A and/or B +D;no prem or cstshare sub
                          1,377        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,995        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS04    $DLSFMT                    LIS Indicator - Apr                               
                          1,949        00                Not Medicare enrolled for the month     
                          4,847        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,729        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,854        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,359        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             40        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             87        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             87        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             73        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         37,728        09                Pt A and/or B +D;no prem or cstshare sub
                          1,378        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,962        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS05    $DLSFMT                    LIS Indicator - May                               
                          1,739        00                Not Medicare enrolled for the month     
                          4,894        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,775        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,868        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,319        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             39        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             89        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             86        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             71        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         37,824        09                Pt A and/or B +D;no prem or cstshare sub
                          1,380        10                Pt A and/or B,no D;employr recvs RDS sub
                         11,009        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS06    $DLSFMT                    LIS Indicator - Jun                               
                          1,544        00                Not Medicare enrolled for the month     
                          4,940        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,825        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,883        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,319        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             39        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             89        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             86        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             71        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         37,926        09                Pt A and/or B +D;no prem or cstshare sub
                          1,375        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,996        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS07    $DLSFMT                    LIS Indicator - Jul                               
                          1,325        00                Not Medicare enrolled for the month     
                          4,998        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,871        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,892        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,315        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             39        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             87        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             85        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             74        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         38,042        09                Pt A and/or B +D;no prem or cstshare sub
                          1,369        10                Pt A and/or B,no D;employr recvs RDS sub
                         10,996        13                Pt A and/or B,no D;none of above cond   
         Notes:  The eligible categories are beneficiaries who are deemed eligible and these beneficiaries are automatically enrolled
 
H_PDLS08    $DLSFMT                    LIS Indicator - Aug                               
                          1,121        00                Not Medicare enrolled for the month     
                          5,055        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,908        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,902        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,312        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             37        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             87        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             85        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             73        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         38,118        09                Pt A and/or B +D;no prem or cstshare sub
                          1,376        10                Pt A and/or B,no D;employr recvs RDS sub
                         11,019        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                               
                            901        00                Not Medicare enrolled for the month     
                          5,108        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,941        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,918        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,316        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             37        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             86        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             86        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             75        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         38,223        09                Pt A and/or B +D;no prem or cstshare sub
                          1,380        10                Pt A and/or B,no D;employr recvs RDS sub
                         11,022        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                               
                            722        00                Not Medicare enrolled for the month     
                          5,166        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,975        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,912        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,315        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             39        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             87        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             86        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             76        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         38,286        09                Pt A and/or B +D;no prem or cstshare sub
                          1,383        10                Pt A and/or B,no D;employr recvs RDS sub
                         11,046        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                               
                            563        00                Not Medicare enrolled for the month     
                          5,232        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          7,990        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,930        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,326        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             39        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             89        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             86        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             76        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         38,331        09                Pt A and/or B +D;no prem or cstshare sub
                          1,385        10                Pt A and/or B,no D;employr recvs RDS sub
                         11,046        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                               
                            424        00                Not Medicare enrolled for the month     
                          5,280        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          8,012        02                Pt A and/or B +D;elig LIS 100%,low copay
                          4,935        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                          1,319        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             39        05                Pt A and/or B +D;enrld LIS 100%,15%copay
                             89        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             88        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             75        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                         38,369        09                Pt A and/or B +D;no prem or cstshare sub
                          1,383        10                Pt A and/or B,no D;employr recvs RDS sub
                         11,080        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
 
