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 |