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Variable: BENE_DUAL_STUS_CD

Beneficiary Dual Status Code

Description:

A code identifying the dual eligibility status for a beneficiary.

Values

This variable is coded, and will contain one of the following values.

Value Description
* MAINFRAME BENEFICIARY DENOMINATOR FILE SHOWS MEDICARE ENROLLMENT FOR THE MONTH BUT IDR DATA DOES NOT.
00 NOT MEDICARE ENROLLED FOR THE MONTH.
01 ELIGIBLE IS ENTITLED TO MEDICARE – QUALIFIED MEDICARE BENEFICIARY (QMB) ONLY.
02 ELIGIBLE IS ENTITLED TO MEDICARE – QUALIFIED MEDICARE BENEFICIARY (QMB) AND MEDICAID COVERAGE INCLUDING PRESCRIPTION DRUGS (RX). MEDICAID DRUG COVERAGE CRITERION ONLY APPLIES THROUGH DECEMBER 2005.
03 ELIGIBLE IS ENTITLED TO MEDICARE – SPECIFIED LOW-INCOME MEDICARE BENEFICIARY (SLMB) ONLY.
04 ELIGIBLE IS ENTITLED TO MEDICARE – SPECIFIED LOW-INCOME MEDICARE BENEFICIARY (SLMB) AND MEDICAID COVERAGE INCLUDING PRESCRIPTION DRUGS (RX). MEDICAID DRUG COVERAGE CRITERION ONLY APPLIES THROUGH DECEMBER 2005.
05 ELIGIBLE IS ENTITLED TO MEDICARE – QUALIFIED DISABLED AND WORKING INDIVIDUAL (QDWI).
06 ELIGIBLE IS ENTITLED TO MEDICARE – QUALIFYING INDIVIDUAL (QI).
07 ELIGIBLE IS ENTITLED TO MEDICARE – QUALIFYING INDIVIDUAL (QI). THIS GROUP IS EFFECTIVE 1/1/98 - 12/31/02.
08 ELIGIBLE IS ENTITLED TO MEDICARE – OTHER DUAL ELIGIBLE WITH MEDICAID COVERAGE INCLUDING PRESCRIPTION DRUGS (RX). MEDICAID DRUG COVERAGE CRITERION ONLY APPLIES THROUGH DECEMBER 2005. NON-QUALIFIED MEDICARE BENEFICIARY (QMB), SPECIFIED LOW-INCOME MEDICARE BENEFICIARY (SLMB), QUALIFIED DISABLED AND WORKING INDIVIDUAL (QDWI) OR QUALIFYING INDIVIDUAL (QI).
09 ELIGIBLE IS ENTITLED TO MEDICARE – OTHER DUAL ELIGIBLE BUT WITHOUT MEDICAID COVERAGE.
10 OTHER FULL DUAL (APPLIES TO DUALS) TERRITORY BUY INS (APPLIES TO MEDICARE) SEPARATE CHIP ELIGIBLE ENTITLED TO MEDICARE (APPLIES TO MEDICAID)
99 UNKNOWN
NA NON-MEDICAID
XX ENROLLED IN MEDICARE A AND/OR B, BUT NO MANAGEMENT INFORMATION INTEGRATED REPOSITORY (MIIR) RECORD FOR THE MONTH
~ NO DESCRIPTION AVAILABLE
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