Variable  Format    Q#/Freq           Description/Label
 
BASEID    $BSIDFMT                     Unique SP Identification Number                   
                         15,207        LOW-HIGH          BASEID Count                            
 
SURVEYYR  SVYRFMT                      Survey Year                                       
                         15,207                    2017  2017                                    
 
VERSION   VERSFMT                      Version Number                                    
                         15,207                       2  Version 2                               
 
H_DOE     MMDDYYn8                     Medicare entitlement start date                   
                         15,207        MMDDYYYY          Date as MMDDYYYY                        
 
H_DOT     MMDDYYn8                     Medicare entitlement end date                     
                         14,575                       .  Inapplicable                            
                            632        MMDDYYYY          Date as MMDDYYYY                        
 
H_MEDSTA  $MSCFMT                      Medicare status code as of 12/31                  
                         12,648        10                Aged, no ESRD                           
                             78        11                Aged, ESRD                              
                          2,426        20                Disabled, no ESRD                       
                             35        21                Disabled, ESRD                          
                             20        31                ESRD only                               
 
H_GHPSW   GHPSW                        Some group health participation in year           
                          5,531                       1  Some enrollment                         
                          9,676                       2  No enrollment                           
 
H_ESRBEG  MMDDYYn8                     Beginning date of ESRD period                     
                         15,031                       .  Inapplicable                            
                            176        MMDDYYYY          Date as MMDDYYYY                        
 
H_ESREND  MMDDYYn8                     Ending date of ESRD period                        
                         15,145                       .  Inapplicable                            
                             62        MMDDYYYY          Date as MMDDYYYY                        
 
H_MACY01                               Buy-in agency - Jan                               
                          2,809        Values/Codes      State Agency code                       
                         12,398        N                 Unknown, or no buy-in                   
 
H_MACY02                               Buy-in agency - Feb                               
                          2,819        Values/Codes      State Agency code                       
                         12,388        N                 Unknown, or no buy-in                   
 
H_MACY03                               Buy-in agency - Mar                               
                          2,818        Values/Codes      State Agency code                       
                         12,389        N                 Unknown, or no buy-in                   
 
H_MACY04                               Buy-in agency - Apr                               
                          2,820        Values/Codes      State Agency code                       
                         12,387        N                 Unknown, or no buy-in                   
 
H_MACY05                               Buy-in agency - May                               
                          2,838        Values/Codes      State Agency code                       
                         12,369        N                 Unknown, or no buy-in                   
 
H_MACY06                               Buy-in agency - Jun                               
                          2,846        Values/Codes      State Agency code                       
                         12,361        N                 Unknown, or no buy-in                   
 
H_MACY07                               Buy-in agency - Jul                               
                          2,865        Values/Codes      State Agency code                       
                         12,342        N                 Unknown, or no buy-in                   
 
H_MACY08                               Buy-in agency - Aug                               
                          2,881        Values/Codes      State Agency code                       
                         12,326        N                 Unknown, or no buy-in                   
 
H_MACY09                               Buy-in agency - Sep                               
                          2,890        Values/Codes      State Agency code                       
                         12,317        N                 Unknown, or no buy-in                   
 
H_MACY10                               Buy-in agency - Oct                               
                          2,899        Values/Codes      State Agency code                       
                         12,308        N                 Unknown, or no buy-in                   
 
H_MACY11                               Buy-in agency - Nov                               
                          2,903        Values/Codes      State Agency code                       
                         12,304        N                 Unknown, or no buy-in                   
 
H_MACY12                               Buy-in agency - Dec                               
                          2,917        Values/Codes      State Agency code                       
                         12,290        N                 Unknown, or no buy-in                   
 
H_MCDE01  $MCDCFMT                     Medicaid eligibility - Jan                        
                              2        A                 State Part A buy-in                     
                          1,107        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                             99        D                 State Part A and B QMB buy-in           
                         12,398        N                 No buy-in this month                    
                          1,228        Q                 State Part B QMB buy-in                 
                            324        S                 State Part B SLMB buy-in                
 
H_MCDE02  $MCDCFMT                     Medicaid eligibility - Feb                        
                              2        A                 State Part A buy-in                     
                          1,109        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         12,388        N                 No buy-in this month                    
                          1,231        Q                 State Part B QMB buy-in                 
                            328        S                 State Part B SLMB buy-in                
 
H_MCDE03  $MCDCFMT                     Medicaid eligibility - Mar                        
                              2        A                 State Part A buy-in                     
                          1,104        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                            101        D                 State Part A and B QMB buy-in           
                         12,389        N                 No buy-in this month                    
                          1,232        Q                 State Part B QMB buy-in                 
                            331        S                 State Part B SLMB buy-in                
 
H_MCDE04  $MCDCFMT                     Medicaid eligibility - Apr                        
                              1        A                 State Part A buy-in                     
                          1,108        B                 State Part B buy-in                     
                             47        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         12,387        N                 No buy-in this month                    
                          1,231        Q                 State Part B QMB buy-in                 
                            333        S                 State Part B SLMB buy-in                
 
H_MCDE05  $MCDCFMT                     Medicaid eligibility - May                        
                              1        A                 State Part A buy-in                     
                          1,114        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         12,369        N                 No buy-in this month                    
                          1,238        Q                 State Part B QMB buy-in                 
                            336        S                 State Part B SLMB buy-in                
 
H_MCDE06  $MCDCFMT                     Medicaid eligibility - Jun                        
                              1        A                 State Part A buy-in                     
                          1,112        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         12,361        N                 No buy-in this month                    
                          1,242        Q                 State Part B QMB buy-in                 
                            342        S                 State Part B SLMB buy-in                
 
H_MCDE07  $MCDCFMT                     Medicaid eligibility - Jul                        
                              1        A                 State Part A buy-in                     
                          1,126        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                            101        D                 State Part A and B QMB buy-in           
                         12,342        N                 No buy-in this month                    
                          1,242        Q                 State Part B QMB buy-in                 
                            346        S                 State Part B SLMB buy-in                
 
H_MCDE08  $MCDCFMT                     Medicaid eligibility - Aug                        
                              1        A                 State Part A buy-in                     
                          1,135        B                 State Part B buy-in                     
                             49        C                 State Part A and B buy-in               
                            101        D                 State Part A and B QMB buy-in           
                         12,326        N                 No buy-in this month                    
                          1,250        Q                 State Part B QMB buy-in                 
                            345        S                 State Part B SLMB buy-in                
 
H_MCDE09  $MCDCFMT                     Medicaid eligibility - Sep                        
                              1        A                 State Part A buy-in                     
                          1,135        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                            101        D                 State Part A and B QMB buy-in           
                         12,317        N                 No buy-in this month                    
                          1,258        Q                 State Part B QMB buy-in                 
                            347        S                 State Part B SLMB buy-in                
 
H_MCDE10  $MCDCFMT                     Medicaid eligibility - Oct                        
                              1        A                 State Part A buy-in                     
                          1,136        B                 State Part B buy-in                     
                             47        C                 State Part A and B buy-in               
                            102        D                 State Part A and B QMB buy-in           
                         12,308        N                 No buy-in this month                    
                          1,266        Q                 State Part B QMB buy-in                 
                            347        S                 State Part B SLMB buy-in                
 
H_MCDE11  $MCDCFMT                     Medicaid eligibility - Nov                        
                              1        A                 State Part A buy-in                     
                          1,143        B                 State Part B buy-in                     
                             47        C                 State Part A and B buy-in               
                            102        D                 State Part A and B QMB buy-in           
                         12,304        N                 No buy-in this month                    
                          1,261        Q                 State Part B QMB buy-in                 
                            349        S                 State Part B SLMB buy-in                
 
H_MCDE12  $MCDCFMT                     Medicaid eligibility - Dec                        
                              1        A                 State Part A buy-in                     
                          1,151        B                 State Part B buy-in                     
                             48        C                 State Part A and B buy-in               
                            100        D                 State Part A and B QMB buy-in           
                         12,290        N                 No buy-in this month                    
                          1,265        Q                 State Part B QMB buy-in                 
                            352        S                 State Part B SLMB buy-in                
 
H_MCSW    SWFMT                        Some Medicaid eligibility for the year            
                          3,175                       1  Some participation                      
                         12,032                       2  No participation                        
 
H_DUAL01  $DUALMON                     Dual eligibity code - Jan                         
                            182        00                Not enrolled in Medicare for the month  
                            435        01                QMB-only                                
                          1,834        02                QMB & full Medicaid covrge, + Rx drugs  
                            287        03                SLMB-only                               
                            115        04                SLMB & full Medicaid covrge, + Rx drugs 
                            172        06                Qualifying individuals                  
                            657        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              6        99                Unknown                                 
                         11,519        NA                Non-Medicaid                            
 
H_DUAL02  $DUALMON                     Dual eligibity code - Feb                         
                            223        00                Not enrolled in Medicare for the month  
                            433        01                QMB-only                                
                          1,836        02                QMB & full Medicaid covrge, + Rx drugs  
                            287        03                SLMB-only                               
                            114        04                SLMB & full Medicaid covrge, + Rx drugs 
                            174        06                Qualifying individuals                  
                            646        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              5        99                Unknown                                 
                         11,489        NA                Non-Medicaid                            
 
H_DUAL03  $DUALMON                     Dual eligibity code - Mar                         
                            265        00                Not enrolled in Medicare for the month  
                            431        01                QMB-only                                
                          1,835        02                QMB & full Medicaid covrge, + Rx drugs  
                            291        03                SLMB-only                               
                            116        04                SLMB & full Medicaid covrge, + Rx drugs 
                            172        06                Qualifying individuals                  
                            643        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         11,450        NA                Non-Medicaid                            
 
H_DUAL04  $DUALMON                     Dual eligibity code - Apr                         
                            295        00                Not enrolled in Medicare for the month  
                            433        01                QMB-only                                
                          1,832        02                QMB & full Medicaid covrge, + Rx drugs  
                            281        03                SLMB-only                               
                            112        04                SLMB & full Medicaid covrge, + Rx drugs 
                            174        06                Qualifying individuals                  
                            644        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              5        99                Unknown                                 
                         11,431        NA                Non-Medicaid                            
 
H_DUAL05  $DUALMON                     Dual eligibity code - May                         
                            319        00                Not enrolled in Medicare for the month  
                            429        01                QMB-only                                
                          1,836        02                QMB & full Medicaid covrge, + Rx drugs  
                            276        03                SLMB-only                               
                            112        04                SLMB & full Medicaid covrge, + Rx drugs 
                            170        06                Qualifying individuals                  
                            642        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,420        NA                Non-Medicaid                            
 
H_DUAL06  $DUALMON                     Dual eligibity code - Jun                         
                            347        00                Not enrolled in Medicare for the month  
                            432        01                QMB-only                                
                          1,834        02                QMB & full Medicaid covrge, + Rx drugs  
                            276        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            172        06                Qualifying individuals                  
                            635        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,391        NA                Non-Medicaid                            
 
H_DUAL07  $DUALMON                     Dual eligibity code - Jul                         
                            352        00                Not enrolled in Medicare for the month  
                            419        01                QMB-only                                
                          1,837        02                QMB & full Medicaid covrge, + Rx drugs  
                            277        03                SLMB-only                               
                            126        04                SLMB & full Medicaid covrge, + Rx drugs 
                            172        06                Qualifying individuals                  
                            641        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,380        NA                Non-Medicaid                            
 
H_DUAL08  $DUALMON                     Dual eligibity code - Aug                         
                            383        00                Not enrolled in Medicare for the month  
                            415        01                QMB-only                                
                          1,833        02                QMB & full Medicaid covrge, + Rx drugs  
                            283        03                SLMB-only                               
                            127        04                SLMB & full Medicaid covrge, + Rx drugs 
                            170        06                Qualifying individuals                  
                            641        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              3        99                Unknown                                 
                         11,352        NA                Non-Medicaid                            
 
H_DUAL09  $DUALMON                     Dual eligibity code - Sep                         
                            403        00                Not enrolled in Medicare for the month  
                            428        01                QMB-only                                
                          1,826        02                QMB & full Medicaid covrge, + Rx drugs  
                            274        03                SLMB-only                               
                            123        04                SLMB & full Medicaid covrge, + Rx drugs 
                            170        06                Qualifying individuals                  
                            645        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              7        99                Unknown                                 
                         11,331        NA                Non-Medicaid                            
 
H_DUAL10  $DUALMON                     Dual eligibity code - Oct                         
                            451        00                Not enrolled in Medicare for the month  
                            430        01                QMB-only                                
                          1,827        02                QMB & full Medicaid covrge, + Rx drugs  
                            282        03                SLMB-only                               
                            123        04                SLMB & full Medicaid covrge, + Rx drugs 
                            164        06                Qualifying individuals                  
                            631        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              4        99                Unknown                                 
                         11,295        NA                Non-Medicaid                            
 
H_DUAL11  $DUALMON                     Dual eligibity code - Nov                         
                            511        00                Not enrolled in Medicare for the month  
                            426        01                QMB-only                                
                          1,826        02                QMB & full Medicaid covrge, + Rx drugs  
                            288        03                SLMB-only                               
                            117        04                SLMB & full Medicaid covrge, + Rx drugs 
                            165        06                Qualifying individuals                  
                            628        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              1        99                Unknown                                 
                         11,245        NA                Non-Medicaid                            
 
H_DUAL12  $DUALMON                     Dual eligibity code - Dec                         
                            562        00                Not enrolled in Medicare for the month  
                            422        01                QMB-only                                
                          1,832        02                QMB & full Medicaid covrge, + Rx drugs  
                            290        03                SLMB-only                               
                            118        04                SLMB & full Medicaid covrge, + Rx drugs 
                            164        06                Qualifying individuals                  
                            620        08                Othr dual(Not QMB,SLMB,QWDI,QI)Medicd+Rx
                              2        99                Unknown                                 
                         11,197        NA                Non-Medicaid                            
 
H_OPMDCD  DUALFMT                      Medicare-Medicaid dual eligibility indic          
                          2,832                       1  FULL-Bene elig. full Medicaid benefits  
                         11,417                       2  NONDUAL-Bene not elig Medicaid benfits  
                            495                       3  PARTIAL-Bene elig part Medicd- not QMB  
                            463                       4  QMB ONLY-Bene elig for part Medicd-QMB  
 
H_PDLS01  $DLSFMT                      LIS Indicator - Jan                               
                            184        00                Not Medicare enrolled for the month     
                          1,048        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,574        02                Pt A and/or B +D;elig LIS 100%,low copay
                            949        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            304        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             39        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             40        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             20        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,721        09                Pt A and/or B +D;no prem or cstshare sub
                            457        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,852        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS02  $DLSFMT                      LIS Indicator - Feb                               
                            224        00                Not Medicare enrolled for the month     
                          1,048        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,571        02                Pt A and/or B +D;elig LIS 100%,low copay
                            951        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            299        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             39        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             41        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             20        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,693        09                Pt A and/or B +D;no prem or cstshare sub
                            457        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,845        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS03  $DLSFMT                      LIS Indicator - Mar                               
                            267        00                Not Medicare enrolled for the month     
                          1,044        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,574        02                Pt A and/or B +D;elig LIS 100%,low copay
                            951        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            294        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             38        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             42        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             20        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,669        09                Pt A and/or B +D;no prem or cstshare sub
                            459        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,829        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS04  $DLSFMT                      LIS Indicator - Apr                               
                            297        00                Not Medicare enrolled for the month     
                          1,042        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,585        02                Pt A and/or B +D;elig LIS 100%,low copay
                            947        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
                             18        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             36        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             38        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             17        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,646        09                Pt A and/or B +D;no prem or cstshare sub
                            460        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,835        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS05  $DLSFMT                      LIS Indicator - May                               
                            321        00                Not Medicare enrolled for the month     
                          1,041        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,593        02                Pt A and/or B +D;elig LIS 100%,low copay
                            940        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            281        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             36        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             38        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             18        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,612        09                Pt A and/or B +D;no prem or cstshare sub
                            459        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,849        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS06  $DLSFMT                      LIS Indicator - Jun                               
                            348        00                Not Medicare enrolled for the month     
                          1,049        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,596        02                Pt A and/or B +D;elig LIS 100%,low copay
                            942        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
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             34        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             37        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             20        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,592        09                Pt A and/or B +D;no prem or cstshare sub
                            455        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,832        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS07  $DLSFMT                      LIS Indicator - Jul                               
                            352        00                Not Medicare enrolled for the month     
                          1,053        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,608        02                Pt A and/or B +D;elig LIS 100%,low copay
                            934        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
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             34        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             37        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             19        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,597        09                Pt A and/or B +D;no prem or cstshare sub
                            446        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,823        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS08  $DLSFMT                      LIS Indicator - Aug                               
                            383        00                Not Medicare enrolled for the month     
                          1,047        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,618        02                Pt A and/or B +D;elig LIS 100%,low copay
                            939        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            281        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             34        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             37        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             19        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,582        09                Pt A and/or B +D;no prem or cstshare sub
                            443        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,805        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS09  $DLSFMT                      LIS Indicator - Sep                               
                            403        00                Not Medicare enrolled for the month     
                          1,053        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,623        02                Pt A and/or B +D;elig LIS 100%,low copay
                            940        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            281        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             20        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             34        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             36        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             19        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,568        09                Pt A and/or B +D;no prem or cstshare sub
                            445        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,785        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS10  $DLSFMT                      LIS Indicator - Oct                               
                            451        00                Not Medicare enrolled for the month     
                          1,050        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,625        02                Pt A and/or B +D;elig LIS 100%,low copay
                            936        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                             58        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                              3        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                              8        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             12        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             10        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,851        09                Pt A and/or B +D;no prem or cstshare sub
                            443        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,760        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS11  $DLSFMT                      LIS Indicator - Nov                               
                            511        00                Not Medicare enrolled for the month     
                          1,044        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,620        02                Pt A and/or B +D;elig LIS 100%,low copay
                            937        03                Pt A and/or B +D;elig LIS 100%,hi copay 
                            281        04                Pt A and/or B +D;enrld LIS 100%,hi copay
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             37        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             35        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             20        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,520        09                Pt A and/or B +D;no prem or cstshare sub
                            441        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,742        13                Pt A and/or B,no D;none of above cond   
 
H_PDLS12  $DLSFMT                      LIS Indicator - Dec                               
                            562        00                Not Medicare enrolled for the month     
                          1,053        01                Pt A and/or B +D;elig LIS 100%,no copay 
                          1,620        02                Pt A and/or B +D;elig LIS 100%,low copay
                            931        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
                             19        05                Pt A and/or B +D;enrld LIS 100%,15% copy
                             36        06                Pt A and/or B +D;enrld LIS 75%,15% copay
                             35        07                Pt A and/or B +D;enrld LIS 50%,15% copay
                             19        08                Pt A and/or B +D;enrld LIS 25%,15% copay
                          7,489        09                Pt A and/or B +D;no prem or cstshare sub
                            439        10                Pt A and/or B,no D;employr recvs RDS sub
                          2,725        13                Pt A and/or B,no D;none of above cond   
 
H_PLPY01  MONYFMT                      Medicare capitation payment - Jan                 
                          3,318                       .  Inapplicable/Missing                    
                         11,889        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY02  MONYFMT                      Medicare capitation payment - Feb                 
                          3,353                       .  Inapplicable/Missing                    
                         11,854        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY03  MONYFMT                      Medicare capitation payment - Mar                 
                          3,383                       .  Inapplicable/Missing                    
                         11,824        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY04  MONYFMT                      Medicare capitation payment - Apr                 
                          3,422                       .  Inapplicable/Missing                    
                         11,785        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY05  MONYFMT                      Medicare capitation payment - May                 
                          3,461                       .  Inapplicable/Missing                    
                         11,746        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY06  MONYFMT                      Medicare capitation payment - Jun                 
                          3,470                       .  Inapplicable/Missing                    
                         11,737        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY07  MONYFMT                      Medicare capitation payment - Jul                 
                          3,455                       .  Inapplicable/Missing                    
                         11,752        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY08  MONYFMT                      Medicare capitation payment - Aug                 
                          3,465                       .  Inapplicable/Missing                    
                         11,742        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY09  MONYFMT                      Medicare capitation payment - Sep                 
                          3,468                       .  Inapplicable/Missing                    
                         11,739        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY10  MONYFMT                      Medicare capitation payment - Oct                 
                          3,490                       .  Inapplicable/Missing                    
                         11,717        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY11  MONYFMT                      Medicare capitation payment - Nov                 
                          3,528                       .  Inapplicable/Missing                    
                         11,679        Range of values   Amount as $$$$$$.CC                     
 
H_PLPY12  MONYFMT                      Medicare capitation payment - Dec                 
                          3,560                       .  Inapplicable/Missing                    
                         11,647        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY01  MONYFMT                      Part D capitation payment - Jan                   
                          3,318                       .  Inapplicable/Missing                    
                         11,889        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY02  MONYFMT                      Part D capitation payment - Feb                   
                          3,353                       .  Inapplicable/Missing                    
                         11,854        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY03  MONYFMT                      Part D capitation payment - Mar                   
                          3,383                       .  Inapplicable/Missing                    
                         11,824        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY04  MONYFMT                      Part D capitation payment - Apr                   
                          3,422                       .  Inapplicable/Missing                    
                         11,785        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY05  MONYFMT                      Part D capitation payment - May                   
                          3,461                       .  Inapplicable/Missing                    
                         11,746        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY06  MONYFMT                      Part D capitation payment - Jun                   
                          3,470                       .  Inapplicable/Missing                    
                         11,737        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY07  MONYFMT                      Part D capitation payment - Jul                   
                          3,455                       .  Inapplicable/Missing                    
                         11,752        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY08  MONYFMT                      Part D capitation payment - Aug                   
                          3,465                       .  Inapplicable/Missing                    
                         11,742        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY09  MONYFMT                      Part D capitation payment - Sep                   
                          3,468                       .  Inapplicable/Missing                    
                         11,739        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY10  MONYFMT                      Part D capitation payment - Oct                   
                          3,490                       .  Inapplicable/Missing                    
                         11,717        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY11  MONYFMT                      Part D capitation payment - Nov                   
                          3,528                       .  Inapplicable/Missing                    
                         11,679        Range of values   Amount as $$$$$$.CC                     
 
H_PDPY12  MONYFMT                      Part D capitation payment - Dec                   
                          3,560                       .  Inapplicable/Missing                    
                         11,647        Range of values   Amount as $$$$$$.CC                     
 
H_PRPY01  $MSPCODE                     Primary Payer                                     
                         14,766                          Medicare is Primary                     
                            165        A                 Working Aged                            
                              3        B                 ESRD                                    
                              8        C                 Condition/Reimbursement Anticipated     
                             17        D                 Automobile No Fault                     
                              1        E                 Workers’ comp                           
                              1        F                 Public Health/federal                   
                             97        G                 Working Disabled                        
                             21        L                 Any liability                           
                            127        N                 Override Code                           
                              1        W                 WCMSA                                   
 
H_PRPY02  $MSPCODE                     Primary Payer, 2nd code                           
                         15,120                          Medicare is Primary                     
                             26        A                 Working Aged                            
                              1        B                 ESRD                                    
                             34        C                 Condition/Reimbursement Anticipated     
                              5        D                 Automobile No Fault                     
                              2        E                 Workers’ comp                           
                              4        G                 Working Disabled                        
                              7        L                 Any liability                           
                              8        M                 Override Code                           
 
H_PRPY03  $MSPCODE                     Primary Payer, 3rd code                           
                         15,193                          Medicare is Primary                     
                              3        A                 Working Aged                            
                              8        C                 Condition/Reimbursement Anticipated     
                              1        G                 Working Disabled                        
                              2        L                 Any liability                           
 
H_PRPY04  $MSPCODE                     Primary Payer, 4th code                           
                         15,204                          Medicare is Primary                     
                              1        A                 Working Aged                            
                              1        C                 Condition/Reimbursement Anticipated     
                              1        M                 Override Code                           
 
H_MAFF01  $MA2FLAG                     MA flag - Jan                                     
                          9,758        FF                Original Medicare/FFS                   
                          5,267        MA                MA/Other Medicare Capitated Paymnt Plans
                            182        NO                No Entitlement                          
 
H_MAFF02  $MA2FLAG                     MA flag - Feb                                     
                          9,728        FF                Original Medicare/FFS                   
                          5,256        MA                MA/Other Medicare Capitated Paymnt Plans
                            223        NO                No Entitlement                          
 
H_MAFF03  $MA2FLAG                     MA flag - Mar                                     
                          9,691        FF                Original Medicare/FFS                   
                          5,251        MA                MA/Other Medicare Capitated Paymnt Plans
                            265        NO                No Entitlement                          
 
H_MAFF04  $MA2FLAG                     MA flag - Apr                                     
                          9,656        FF                Original Medicare/FFS                   
                          5,256        MA                MA/Other Medicare Capitated Paymnt Plans
                            295        NO                No Entitlement                          
 
H_MAFF05  $MA2FLAG                     MA flag - May                                     
                          9,625        FF                Original Medicare/FFS                   
                          5,263        MA                MA/Other Medicare Capitated Paymnt Plans
                            319        NO                No Entitlement                          
 
H_MAFF06  $MA2FLAG                     MA flag - Jun                                     
                          9,591        FF                Original Medicare/FFS                   
                          5,269        MA                MA/Other Medicare Capitated Paymnt Plans
                            347        NO                No Entitlement                          
 
H_MAFF07  $MA2FLAG                     MA flag - Jul                                     
                          9,570        FF                Original Medicare/FFS                   
                          5,285        MA                MA/Other Medicare Capitated Paymnt Plans
                            352        NO                No Entitlement                          
 
H_MAFF08  $MA2FLAG                     MA flag - Aug                                     
                          9,543        FF                Original Medicare/FFS                   
                          5,281        MA                MA/Other Medicare Capitated Paymnt Plans
                            383        NO                No Entitlement                          
 
H_MAFF09  $MA2FLAG                     MA flag - Sep                                     
                          9,516        FF                Original Medicare/FFS                   
                          5,288        MA                MA/Other Medicare Capitated Paymnt Plans
                            403        NO                No Entitlement                          
 
H_MAFF10  $MA2FLAG                     MA flag - Oct                                     
                          9,477        FF                Original Medicare/FFS                   
                          5,279        MA                MA/Other Medicare Capitated Paymnt Plans
                            451        NO                No Entitlement                          
 
H_MAFF11  $MA2FLAG                     MA flag - Nov                                     
                          9,433        FF                Original Medicare/FFS                   
                          5,263        MA                MA/Other Medicare Capitated Paymnt Plans
                            511        NO                No Entitlement                          
 
H_MAFF12  $MA2FLAG                     MA flag - Dec                                     
                          9,377        FF                Original Medicare/FFS                   
                          5,268        MA                MA/Other Medicare Capitated Paymnt Plans
                            562        NO                No Entitlement                          
 
H_PNUM                                 Number of GHPs in bene area                       
                         15,207        Range of values   Range of values                         
 
H_MANUM                                Number of MA plans in bene area                   
                         15,207        Range of values   Range of values                         
 
H_PFSNUM                               Number of PFFS plans in bene area                 
                         15,207        Range of values   Range of values                         
 
H_CREDSW  CREDFMT                      Creditable Coverage Switch                        
                          2,736                       1  SP had at least 1 month cred. coverage  
                         12,471                       2  SP had no months of cred. coverage      
 
H_PRTC01                               Part C Contract ID - Jan                          
                          5,449        0                 Contract/Segment/Plan ID                
                          9,758        N                 None                                    
 
H_PRTC02                               Part C Contract ID - Feb                          
                          5,479        0                 Contract/Segment/Plan ID                
                          9,728        N                 None                                    
 
H_PRTC03                               Part C Contract ID - Mar                          
                          5,516        0                 Contract/Segment/Plan ID                
                          9,691        N                 None                                    
 
H_PRTC04                               Part C Contract ID - Apr                          
                          5,551        0                 Contract/Segment/Plan ID                
                          9,656        N                 None                                    
 
H_PRTC05                               Part C Contract ID - May                          
                          5,582        0                 Contract/Segment/Plan ID                
                          9,625        N                 None                                    
 
H_PRTC06                               Part C Contract ID - Jun                          
                          5,616        0                 Contract/Segment/Plan ID                
                          9,591        N                 None                                    
 
H_PRTC07                               Part C Contract ID - Jul                          
                          5,637        0                 Contract/Segment/Plan ID                
                          9,570        N                 None                                    
 
H_PRTC08                               Part C Contract ID - Aug                          
                          5,664        0                 Contract/Segment/Plan ID                
                          9,543        N                 None                                    
 
H_PRTC09                               Part C Contract ID - Sep                          
                          5,691        0                 Contract/Segment/Plan ID                
                          9,516        N                 None                                    
 
H_PRTC10                               Part C Contract ID - Oct                          
                          5,730        0                 Contract/Segment/Plan ID                
                          9,477        N                 None                                    
 
H_PRTC11                               Part C Contract ID - Nov                          
                          5,774        0                 Contract/Segment/Plan ID                
                          9,433        N                 None                                    
 
H_PRTC12                               Part C Contract ID - Dec                          
                          5,830        0                 Contract/Segment/Plan ID                
                          9,377        N                 None                                    
 
H_CPBP01                               Part C Plan Benefit Package - Jan                 
                          9,966                          Inapplicable/Missing                    
                          5,241        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP02                               Part C Plan Benefit Package - Feb                 
                          9,976                          Inapplicable/Missing                    
                          5,231        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP03                               Part C Plan Benefit Package - Mar                 
                          9,981                          Inapplicable/Missing                    
                          5,226        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP04                               Part C Plan Benefit Package - Apr                 
                          9,976                          Inapplicable/Missing                    
                          5,231        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP05                               Part C Plan Benefit Package - May                 
                          9,969                          Inapplicable/Missing                    
                          5,238        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP06                               Part C Plan Benefit Package - Jun                 
                          9,963                          Inapplicable/Missing                    
                          5,244        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP07                               Part C Plan Benefit Package - Jul                 
                          9,947                          Inapplicable/Missing                    
                          5,260        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP08                               Part C Plan Benefit Package - Aug                 
                          9,951                          Inapplicable/Missing                    
                          5,256        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP09                               Part C Plan Benefit Package - Sep                 
                          9,944                          Inapplicable/Missing                    
                          5,263        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP10                               Part C Plan Benefit Package - Oct                 
                          9,953                          Inapplicable/Missing                    
                          5,254        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP11                               Part C Plan Benefit Package - Nov                 
                          9,969                          Inapplicable/Missing                    
                          5,238        Contract/Values   Contract/Segment/Plan ID                
 
H_CPBP12                               Part C Plan Benefit Package - Dec                 
                          9,964                          Inapplicable/Missing                    
                          5,243        Contract/Values   Contract/Segment/Plan ID                
 
H_CTYP01  $PTYPFMT                     Part C Plan Type Code: Jan                        
                          9,940                          Inapplicable/Missing                    
                          2,820        01                Health Maintenance Organization (HMO)   
                            260        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,340        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             57        09                PFFS                                    
                            170        18                Section 1876 Cost                       
                             26        19                HCPP - Section 1833 Cost Plan           
                              8        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            473        31                Regional PPO                            
                            111        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP02  $PTYPFMT                     Part C Plan Type Code: Feb                        
                          9,951                          Inapplicable/Missing                    
                          2,810        01                Health Maintenance Organization (HMO)   
                            261        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,347        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             57        09                PFFS                                    
                            169        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                              7        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            469        31                Regional PPO                            
                            109        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP03  $PTYPFMT                     Part C Plan Type Code: Mar                        
                          9,956                          Inapplicable/Missing                    
                          2,802        01                Health Maintenance Organization (HMO)   
                            261        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,349        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             56        09                PFFS                                    
                            169        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                              8        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            468        31                Regional PPO                            
                            111        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP04  $PTYPFMT                     Part C Plan Type Code: Apr                        
                          9,951                          Inapplicable/Missing                    
                          2,802        01                Health Maintenance Organization (HMO)   
                            261        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,349        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             56        09                PFFS                                    
                            170        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                              8        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            469        31                Regional PPO                            
                            114        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP05  $PTYPFMT                     Part C Plan Type Code: May                        
                          9,944                          Inapplicable/Missing                    
                          2,807        01                Health Maintenance Organization (HMO)   
                            264        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,346        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             57        09                PFFS                                    
                            170        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                              9        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            471        31                Regional PPO                            
                            112        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP06  $PTYPFMT                     Part C Plan Type Code: Jun                        
                          9,938                          Inapplicable/Missing                    
                          2,809        01                Health Maintenance Organization (HMO)   
                            265        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,349        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             55        09                PFFS                                    
                            170        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            471        31                Regional PPO                            
                            113        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP07  $PTYPFMT                     Part C Plan Type Code: Jul                        
                          9,922                          Inapplicable/Missing                    
                          2,821        01                Health Maintenance Organization (HMO)   
                            266        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,352        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             52        09                PFFS                                    
                            171        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            470        31                Regional PPO                            
                            116        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP08  $PTYPFMT                     Part C Plan Type Code: Aug                        
                          9,926                          Inapplicable/Missing                    
                          2,818        01                Health Maintenance Organization (HMO)   
                            264        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,349        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             52        09                PFFS                                    
                            171        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            470        31                Regional PPO                            
                            120        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP09  $PTYPFMT                     Part C Plan Type Code: Sep                        
                          9,919                          Inapplicable/Missing                    
                          2,822        01                Health Maintenance Organization (HMO)   
                            264        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,351        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             51        09                PFFS                                    
                            172        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            468        31                Regional PPO                            
                            123        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP10  $PTYPFMT                     Part C Plan Type Code: Oct                        
                          9,928                          Inapplicable/Missing                    
                          2,816        01                Health Maintenance Organization (HMO)   
                            262        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,351        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             51        09                PFFS                                    
                            171        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            467        31                Regional PPO                            
                            124        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP11  $PTYPFMT                     Part C Plan Type Code: Nov                        
                          9,944                          Inapplicable/Missing                    
                          2,811        01                Health Maintenance Organization (HMO)   
                            261        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,344        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             51        09                PFFS                                    
                            171        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            465        31                Regional PPO                            
                            123        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_CTYP12  $PTYPFMT                     Part C Plan Type Code: Dec                        
                          9,939                          Inapplicable/Missing                    
                          2,817        01                Health Maintenance Organization (HMO)   
                            262        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                          1,337        04                Local Preferred Provider Org (PPO)      
                              1        07                Medical Savings Account (MSA)           
                             51        09                PFFS                                    
                            171        18                Section 1876 Cost                       
                             25        19                HCPP - Section 1833 Cost Plan           
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                            467        31                Regional PPO                            
                            126        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_MAPMT   MONYFMT                      Total MA A/B Payment – Annual                     
                          3,034                       .  Inapplicable/Missing                    
                         12,173        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM01  MONYFMT                      Part C Premium - Jan                              
                         11,398                       .  Inapplicable/Missing                    
                          3,809        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM02  MONYFMT                      Part C Premium - Feb                              
                         11,397                       .  Inapplicable/Missing                    
                          3,810        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM03  MONYFMT                      Part C Premium - Mar                              
                         11,405                       .  Inapplicable/Missing                    
                          3,802        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM04  MONYFMT                      Part C Premium - Apr                              
                         11,401                       .  Inapplicable/Missing                    
                          3,806        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM05  MONYFMT                      Part C Premium - May                              
                         11,391                       .  Inapplicable/Missing                    
                          3,816        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM06  MONYFMT                      Part C Premium - Jun                              
                         11,385                       .  Inapplicable/Missing                    
                          3,822        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM07  MONYFMT                      Part C Premium - Jul                              
                         11,372                       .  Inapplicable/Missing                    
                          3,835        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM08  MONYFMT                      Part C Premium - Aug                              
                         11,377                       .  Inapplicable/Missing                    
                          3,830        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM09  MONYFMT                      Part C Premium - Sep                              
                         11,375                       .  Inapplicable/Missing                    
                          3,832        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM10  MONYFMT                      Part C Premium - Oct                              
                         11,384                       .  Inapplicable/Missing                    
                          3,823        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM11  MONYFMT                      Part C Premium - Nov                              
                         11,395                       .  Inapplicable/Missing                    
                          3,812        Range of values   Amount as $$$$$$.CC                     
 
H_CPRM12  MONYFMT                      Part C Premium - Dec                              
                         11,387                       .  Inapplicable/Missing                    
                          3,820        Range of values   Amount as $$$$$$.CC                     
 
H_PRTD01                               Part D Contract ID - Jan                          
                              2                          Inapplicable/Missing                    
                         11,896        0                 Contract/Segment/Plan ID                
                          3,309        N                 None                                    
 
H_PRTD02                               Part D Contract ID - Feb                          
                              1                          Inapplicable/Missing                    
                         11,904        0                 Contract/Segment/Plan ID                
                          3,302        N                 None                                    
 
H_PRTD03                               Part D Contract ID - Mar                          
                              2                          Inapplicable/Missing                    
                         11,917        0                 Contract/Segment/Plan ID                
                          3,288        N                 None                                    
 
H_PRTD04                               Part D Contract ID - Apr                          
                              2                          Inapplicable/Missing                    
                         11,910        0                 Contract/Segment/Plan ID                
                          3,295        N                 None                                    
 
H_PRTD05                               Part D Contract ID - May                          
                              2                          Inapplicable/Missing                    
                         11,897        0                 Contract/Segment/Plan ID                
                          3,308        N                 None                                    
 
H_PRTD06                               Part D Contract ID - Jun                          
                              1                          Inapplicable/Missing                    
                         11,919        0                 Contract/Segment/Plan ID                
                          3,287        N                 None                                    
 
H_PRTD07                               Part D Contract ID - Jul                          
                         11,938        0                 Contract/Segment/Plan ID                
                          3,269        N                 None                                    
 
H_PRTD08                               Part D Contract ID - Aug                          
                         11,959        0                 Contract/Segment/Plan ID                
                          3,248        N                 None                                    
 
H_PRTD09                               Part D Contract ID - Sep                          
                         11,977        0                 Contract/Segment/Plan ID                
                          3,230        N                 None                                    
 
H_PRTD10                               Part D Contract ID - Oct                          
                         12,004        0                 Contract/Segment/Plan ID                
                          3,203        N                 None                                    
 
H_PRTD11                               Part D Contract ID - Nov                          
                         12,024        0                 Contract/Segment/Plan ID                
                          3,183        N                 None                                    
 
H_PRTD12                               Part D Contract ID - Dec                          
                         12,043        0                 Contract/Segment/Plan ID                
                          3,164        N                 None                                    
 
H_DPBP01                               Part D Plan Benefit Package - Jan                 
                          3,493                          Inapplicable/Missing                    
                         11,714        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP02                               Part D Plan Benefit Package - Feb                 
                          3,526                          Inapplicable/Missing                    
                         11,681        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP03                               Part D Plan Benefit Package - Mar                 
                          3,555                          Inapplicable/Missing                    
                         11,652        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP04                               Part D Plan Benefit Package - Apr                 
                          3,592                          Inapplicable/Missing                    
                         11,615        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP05                               Part D Plan Benefit Package - May                 
                          3,629                          Inapplicable/Missing                    
                         11,578        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP06                               Part D Plan Benefit Package - Jun                 
                          3,635                          Inapplicable/Missing                    
                         11,572        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP07                               Part D Plan Benefit Package - Jul                 
                          3,621                          Inapplicable/Missing                    
                         11,586        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP08                               Part D Plan Benefit Package - Aug                 
                          3,631                          Inapplicable/Missing                    
                         11,576        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP09                               Part D Plan Benefit Package - Sep                 
                          3,633                          Inapplicable/Missing                    
                         11,574        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP10                               Part D Plan Benefit Package - Oct                 
                          3,654                          Inapplicable/Missing                    
                         11,553        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP11                               Part D Plan Benefit Package - Nov                 
                          3,694                          Inapplicable/Missing                    
                         11,513        Contract/Values   Contract/Segment/Plan ID                
 
H_DPBP12                               Part D Plan Benefit Package - Dec                 
                          3,726                          Inapplicable/Missing                    
                         11,481        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM01                               Part D Segment ID: January                        
                          3,493                          Inapplicable/Missing                    
                         11,714        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM02                               Part D Segment ID: February                       
                          3,526                          Inapplicable/Missing                    
                         11,681        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM03                               Part D Segment ID: March                          
                          3,555                          Inapplicable/Missing                    
                         11,652        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM04                               Part D Segment ID: April                          
                          3,592                          Inapplicable/Missing                    
                         11,615        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM05                               Part D Segment ID: May                            
                          3,629                          Inapplicable/Missing                    
                         11,578        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM06                               Part D Segment ID: June                           
                          3,635                          Inapplicable/Missing                    
                         11,572        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM07                               Part D Segment ID: July                           
                          3,621                          Inapplicable/Missing                    
                         11,586        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM08                               Part D Segment ID: August                         
                          3,631                          Inapplicable/Missing                    
                         11,576        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM09                               Part D Segment ID: September                      
                          3,633                          Inapplicable/Missing                    
                         11,574        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM10                               Part D Segment ID: October                        
                          3,654                          Inapplicable/Missing                    
                         11,553        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM11                               Part D Segment ID: November                       
                          3,694                          Inapplicable/Missing                    
                         11,513        Contract/Values   Contract/Segment/Plan ID                
 
H_DSGM12                               Part D Segment ID: December                       
                          3,726                          Inapplicable/Missing                    
                         11,481        Contract/Values   Contract/Segment/Plan ID                
 
H_DTYP01  $PTYPFMT                     Part D Plan Type Code: Jan                        
                          3,493                          Inapplicable/Missing                    
                          2,737        01                Health Maintenance Organization (HMO)   
                            243        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            913        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             81        18                Section 1876 Cost                       
                              8        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          7,101        29                Medicare Prescription Drug Plan (PDP)   
                             21        30                Employer/Union Only Direct Contract PDP 
                            438        31                Regional PPO                            
                             24        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            111        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP02  $PTYPFMT                     Part D Plan Type Code: Feb                        
                          3,526                          Inapplicable/Missing                    
                          2,727        01                Health Maintenance Organization (HMO)   
                            244        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            921        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             80        18                Section 1876 Cost                       
                              7        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          7,073        29                Medicare Prescription Drug Plan (PDP)   
                             21        30                Employer/Union Only Direct Contract PDP 
                            435        31                Regional PPO                            
                             27        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            109        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP03  $PTYPFMT                     Part D Plan Type Code: Mar                        
                          3,555                          Inapplicable/Missing                    
                          2,719        01                Health Maintenance Organization (HMO)   
                            244        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            924        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             80        18                Section 1876 Cost                       
                              8        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          7,044        29                Medicare Prescription Drug Plan (PDP)   
                             22        30                Employer/Union Only Direct Contract PDP 
                            434        31                Regional PPO                            
                             30        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            111        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP04  $PTYPFMT                     Part D Plan Type Code: Apr                        
                          3,592                          Inapplicable/Missing                    
                          2,721        01                Health Maintenance Organization (HMO)   
                            244        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            924        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             80        18                Section 1876 Cost                       
                              8        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          7,000        29                Medicare Prescription Drug Plan (PDP)   
                             22        30                Employer/Union Only Direct Contract PDP 
                            435        31                Regional PPO                            
                             31        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            114        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP05  $PTYPFMT                     Part D Plan Type Code: May                        
                          3,629                          Inapplicable/Missing                    
                          2,726        01                Health Maintenance Organization (HMO)   
                            247        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            924        04                Local Preferred Provider Org (PPO)      
                             36        09                PFFS                                    
                             80        18                Section 1876 Cost                       
                              9        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,948        29                Medicare Prescription Drug Plan (PDP)   
                             22        30                Employer/Union Only Direct Contract PDP 
                            437        31                Regional PPO                            
                             36        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            112        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP06  $PTYPFMT                     Part D Plan Type Code: Jun                        
                          3,635                          Inapplicable/Missing                    
                          2,728        01                Health Maintenance Organization (HMO)   
                            248        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            926        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             80        18                Section 1876 Cost                       
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,942        29                Medicare Prescription Drug Plan (PDP)   
                             24        30                Employer/Union Only Direct Contract PDP 
                            437        31                Regional PPO                            
                             28        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            113        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP07  $PTYPFMT                     Part D Plan Type Code: Jul                        
                          3,621                          Inapplicable/Missing                    
                          2,740        01                Health Maintenance Organization (HMO)   
                            249        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            929        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             80        18                Section 1876 Cost                       
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,942        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            436        31                Regional PPO                            
                             23        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            116        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP08  $PTYPFMT                     Part D Plan Type Code: Aug                        
                          3,631                          Inapplicable/Missing                    
                          2,737        01                Health Maintenance Organization (HMO)   
                            247        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            926        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             80        18                Section 1876 Cost                       
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,936        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            436        31                Regional PPO                            
                             23        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            120        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP09  $PTYPFMT                     Part D Plan Type Code: Sep                        
                          3,633                          Inapplicable/Missing                    
                          2,741        01                Health Maintenance Organization (HMO)   
                            247        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            928        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             81        18                Section 1876 Cost                       
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,921        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            434        31                Regional PPO                            
                             28        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            123        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP10  $PTYPFMT                     Part D Plan Type Code: Oct                        
                          3,654                          Inapplicable/Missing                    
                          2,736        01                Health Maintenance Organization (HMO)   
                            245        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            927        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             82        18                Section 1876 Cost                       
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,912        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            433        31                Regional PPO                            
                             23        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            124        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP11  $PTYPFMT                     Part D Plan Type Code: Nov                        
                          3,694                          Inapplicable/Missing                    
                          2,731        01                Health Maintenance Organization (HMO)   
                            244        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            922        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             82        18                Section 1876 Cost                       
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,885        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            430        31                Regional PPO                            
                             25        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            123        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_DTYP12  $PTYPFMT                     Part D Plan Type Code: Dec                        
                          3,726                          Inapplicable/Missing                    
                          2,737        01                Health Maintenance Organization (HMO)   
                            245        02                Health Maint Org Pt-of-Srvc (HMO POS)   
                            918        04                Local Preferred Provider Org (PPO)      
                             35        09                PFFS                                    
                             82        18                Section 1876 Cost                       
                             10        20                Nat Prog All-Inclusiv Care Elderly(PACE)
                          6,853        29                Medicare Prescription Drug Plan (PDP)   
                             25        30                Employer/Union Only Direct Contract PDP 
                            433        31                Regional PPO                            
                             16        46                Lmtd Incom NewlyElig TransitnProg(LINET)
                            126        48                Medicare-Medicaid Plan, HMO (MMP HMO)   
                              1        49                Medicre-Medicd,HMO PtofSrvc (MMP HMOPOS)
 
H_PTDAMT  MONYFMT                      PTD Total Payment - Annual                        
                          3,034                       .  Inapplicable/Missing                    
                         12,173        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM01  MONYFMT                      Part D Premium - Jan                              
                          3,517                       .  Inapplicable/Missing                    
                         11,690        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM02  MONYFMT                      Part D Premium - Feb                              
                          3,553                       .  Inapplicable/Missing                    
                         11,654        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM03  MONYFMT                      Part D Premium - Mar                              
                          3,585                       .  Inapplicable/Missing                    
                         11,622        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM04  MONYFMT                      Part D Premium - Apr                              
                          3,623                       .  Inapplicable/Missing                    
                         11,584        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM05  MONYFMT                      Part D Premium - May                              
                          3,665                       .  Inapplicable/Missing                    
                         11,542        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM06  MONYFMT                      Part D Premium - Jun                              
                          3,663                       .  Inapplicable/Missing                    
                         11,544        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM07  MONYFMT                      Part D Premium - Jul                              
                          3,644                       .  Inapplicable/Missing                    
                         11,563        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM08  MONYFMT                      Part D Premium - Aug                              
                          3,654                       .  Inapplicable/Missing                    
                         11,553        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM09  MONYFMT                      Part D Premium - Sep                              
                          3,661                       .  Inapplicable/Missing                    
                         11,546        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM10  MONYFMT                      Part D Premium - Oct                              
                          3,677                       .  Inapplicable/Missing                    
                         11,530        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM11  MONYFMT                      Part D Premium - Nov                              
                          3,719                       .  Inapplicable/Missing                    
                         11,488        Range of values   Amount as $$$$$$.CC                     
 
H_DPRM12  MONYFMT                      Part D Premium - Dec                              
                          3,742                       .  Inapplicable/Missing                    
                         11,465        Range of values   Amount as $$$$$$.CC                     
 
H_DDED01  MONYFMT                      Part D Deductible - Jan                           
                          5,379                       .  Inapplicable/Missing                    
                          9,828        Range of values   Amount as $$$$$$.CC                     
 
H_DDED02  MONYFMT                      Part D Deductible - Feb                           
                          5,408                       .  Inapplicable/Missing                    
                          9,799        Range of values   Amount as $$$$$$.CC                     
 
H_DDED03  MONYFMT                      Part D Deductible - Mar                           
                          5,441                       .  Inapplicable/Missing                    
                          9,766        Range of values   Amount as $$$$$$.CC                     
 
H_DDED04  MONYFMT                      Part D Deductible - Apr                           
                          5,475                       .  Inapplicable/Missing                    
                          9,732        Range of values   Amount as $$$$$$.CC                     
 
H_DDED05  MONYFMT                      Part D Deductible - May                           
                          5,517                       .  Inapplicable/Missing                    
                          9,690        Range of values   Amount as $$$$$$.CC                     
 
H_DDED06  MONYFMT                      Part D Deductible - Jun                           
                          5,514                       .  Inapplicable/Missing                    
                          9,693        Range of values   Amount as $$$$$$.CC                     
 
H_DDED07  MONYFMT                      Part D Deductible - Jul                           
                          5,504                       .  Inapplicable/Missing                    
                          9,703        Range of values   Amount as $$$$$$.CC                     
 
H_DDED08  MONYFMT                      Part D Deductible - Aug                           
                          5,510                       .  Inapplicable/Missing                    
                          9,697        Range of values   Amount as $$$$$$.CC                     
 
H_DDED09  MONYFMT                      Part D Deductible - Sep                           
                          5,515                       .  Inapplicable/Missing                    
                          9,692        Range of values   Amount as $$$$$$.CC                     
 
H_DDED10  MONYFMT                      Part D Deductible - Oct                           
                          5,528                       .  Inapplicable/Missing                    
                          9,679        Range of values   Amount as $$$$$$.CC                     
 
H_DDED11  MONYFMT                      Part D Deductible - Nov                           
                          5,566                       .  Inapplicable/Missing                    
                          9,641        Range of values   Amount as $$$$$$.CC                     
 
H_DDED12  MONYFMT                      Part D Deductible - Dec                           
                          5,580                       .  Inapplicable/Missing                    
                          9,627        Range of values   Amount as $$$$$$.CC                     
 
H_EGWP01  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jan          
                          3,493                       .  Unknown                                 
                          1,854                       1  Yes                                     
                          9,860                       2  No                                      
 
H_EGWP02  YES8FMT                      PDP Employer Group Waiver Plan Ind - Feb          
                          3,526                       .  Unknown                                 
                          1,848                       1  Yes                                     
                          9,833                       2  No                                      
 
H_EGWP03  YES8FMT                      PDP Employer Group Waiver Plan Ind - Mar          
                          3,555                       .  Unknown                                 
                          1,848                       1  Yes                                     
                          9,804                       2  No                                      
 
H_EGWP04  YES8FMT                      PDP Employer Group Waiver Plan Ind - Apr          
                          3,592                       .  Unknown                                 
                          1,844                       1  Yes                                     
                          9,771                       2  No                                      
 
H_EGWP05  YES8FMT                      PDP Employer Group Waiver Plan Ind - May          
                          3,629                       .  Unknown                                 
                          1,843                       1  Yes                                     
                          9,735                       2  No                                      
 
H_EGWP06  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jun          
                          3,635                       .  Unknown                                 
                          1,841                       1  Yes                                     
                          9,731                       2  No                                      
 
H_EGWP07  YES8FMT                      PDP Employer Group Waiver Plan Ind - Jul          
                          3,621                       .  Unknown                                 
                          1,850                       1  Yes                                     
                          9,736                       2  No                                      
 
H_EGWP08  YES8FMT                      PDP Employer Group Waiver Plan Ind - Aug          
                          3,631                       .  Unknown                                 
                          1,846                       1  Yes                                     
                          9,730                       2  No                                      
 
H_EGWP09  YES8FMT                      PDP Employer Group Waiver Plan Ind - Sep          
                          3,633                       .  Unknown                                 
                          1,844                       1  Yes                                     
                          9,730                       2  No                                      
 
H_EGWP10  YES8FMT                      PDP Employer Group Waiver Plan Ind - Oct          
                          3,654                       .  Unknown                                 
                          1,841                       1  Yes                                     
                          9,712                       2  No                                      
 
H_EGWP11  YES8FMT                      PDP Employer Group Waiver Plan Ind - Nov          
                          3,694                       .  Unknown                                 
                          1,837                       1  Yes                                     
                          9,676                       2  No                                      
 
H_EGWP12  YES8FMT                      PDP Employer Group Waiver Plan Ind - Dec          
                          3,726                       .  Unknown                                 
                          1,828                       1  Yes                                     
                          9,653                       2  No                                      
 
H_PDRS01  DRDSFMT                      RDS Indicator - Jan                               
                            184                       .  Unknown                                 
                            457                       1  Employer subsidized for the beneficiary 
                         14,566                       2  Employer not subsidized for the benefici
 
H_PDRS02  DRDSFMT                      RDS Indicator - Feb                               
                            224                       .  Unknown                                 
                            457                       1  Employer subsidized for the beneficiary 
                         14,526                       2  Employer not subsidized for the benefici
 
H_PDRS03  DRDSFMT                      RDS Indicator - Mar                               
                            267                       .  Unknown                                 
                            459                       1  Employer subsidized for the beneficiary 
                         14,481                       2  Employer not subsidized for the benefici
 
H_PDRS04  DRDSFMT                      RDS Indicator - Apr                               
                            297                       .  Unknown                                 
                            460                       1  Employer subsidized for the beneficiary 
                         14,450                       2  Employer not subsidized for the benefici
 
H_PDRS05  DRDSFMT                      RDS Indicator - May                               
                            321                       .  Unknown                                 
                            459                       1  Employer subsidized for the beneficiary 
                         14,427                       2  Employer not subsidized for the benefici
 
H_PDRS06  DRDSFMT                      RDS Indicator - Jun                               
                            348                       .  Unknown                                 
                            455                       1  Employer subsidized for the beneficiary 
                         14,404                       2  Employer not subsidized for the benefici
 
H_PDRS07  DRDSFMT                      RDS Indicator - Jul                               
                            352                       .  Unknown                                 
                            446                       1  Employer subsidized for the beneficiary 
                         14,409                       2  Employer not subsidized for the benefici
 
H_PDRS08  DRDSFMT                      RDS Indicator - Aug                               
                            383                       .  Unknown                                 
                            443                       1  Employer subsidized for the beneficiary 
                         14,381                       2  Employer not subsidized for the benefici
 
H_PDRS09  DRDSFMT                      RDS Indicator - Sep                               
                            403                       .  Unknown                                 
                            445                       1  Employer subsidized for the beneficiary 
                         14,359                       2  Employer not subsidized for the benefici
 
H_PDRS10  DRDSFMT                      RDS Indicator - Oct                               
                            451                       .  Unknown                                 
                            443                       1  Employer subsidized for the beneficiary 
                         14,313                       2  Employer not subsidized for the benefici
 
H_PDRS11  DRDSFMT                      RDS Indicator - Nov                               
                            511                       .  Unknown                                 
                            441                       1  Employer subsidized for the beneficiary 
                         14,255                       2  Employer not subsidized for the benefici
 
H_PDRS12  DRDSFMT                      RDS Indicator - Dec                               
                            562                       .  Unknown                                 
                            439                       1  Employer subsidized for the beneficiary 
                         14,206                       2  Employer not subsidized for the benefici
 
H_PTAPRM  MONYFMT                      Total Pt. A premium SP paid in CY                 
                         15,207        Range of values   Amount as $$$$$$.CC                     
 
H_PTBPRM  MONYFMT                      Total Pt. B premium SP paid in CY                 
                         15,207        Range of values   Amount as $$$$$$.CC                     
 
EST_TPRM  MONYFMT                      Estimate TotPrem: A+B+C+D+SurveyOnlyPlan          
                         15,207        Range of values   Amount as $$$$$$.CC                     
         Notes:  See Data User Guide FAQ for explanation of this variable.
                 First available in 2015
 
H_PRGID   $PRIDFMT                     CMS Prog ID – Payment Model                       
                         11,969                          Inapplicable/Missing                    
                              5        01                IAH Practice Demonstration - Active     
                          2,549        08                Medicare SSP - Active                   
                             30        11                MMCO Financ Alignment Demo(Duals)-Active
                             10        13                Community Based Care Transition- Retired
                              5        18                Comprehensive ESRD Care (CEC) - Active  
                            369        21                Next Generation ACO (NGACO) - Active    
                            179        22                CPC+, non-SSP Participants - Active     
                             91        23                CPC+, SSP Participants - Active         
 
H_PRGID2  $PRIDFMT                     2nd CMS Prog ID – Payment Model                   
                         15,015                          Inapplicable/Missing                    
                             22        08                Medicare SSP - Active                   
                              1        18                Comprehensive ESRD Care (CEC) - Active  
                              1        21                Next Generation ACO (NGACO) - Active    
                             14        22                CPC+, non-SSP Participants - Active     
                            154        23                CPC+, SSP Participants - Active         
 
H_PRGID3  $PRIDFMT                     3rd  CMS Prog ID – Payment Model                  
                         15,201                          Inapplicable/Missing                    
                              6        23                CPC+, SSP Participants - Active         
 
