Variable: PTC_PLAN_TYPE_CD_07
Part C Plan Type Code - July
Description
This variable is the type of Medicare Part C plan for the beneficiary for a given month (July).
Comment
If the beneficiary was not enrolled in a managed care plan for a given month, this variable will be null/missing for that month. There are 12 monthly variables - where the 01 through 12 at the end of the variable name correspond with the month (e.g., 01 is January and 12 is December).
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
| Null/missing | Not Enrolled in Medicare Part C |
| 001 | Health Maintenance Organization (HMO) |
| 002 | HMO point-of-service (HMOPOS) |
| 004 | Local Preferred Provider Organization (PPO) |
| 005 | PSO (State License) |
| 006 | PSO (Federal Waiver of State License) |
| 007 | Medical Savings Account (MSA) |
| 008 | Religious Fraternal Benefit (RFB) private fee-for-service (PFFS) plan |
| 009 | Private fee-for-service (PFFS) plan |
| 010 | SHMO |
| 018 | Section 1876 Cost Plan |
| 019 | HCPP - Section 1833 Cost Plan |
| 020 | National Program of All-inclusive Care for the Elderly (PACE) |
| 031 | Regional Preferred Provider Organization (PPO) |
| 033 | Minnesota (MN) Disability Health Options |
| 034 | MN Senior Health Options |
| 035 | Wisconsin (WI) Partnership Program |
| 036 | Massachusetts (MA) Health Senior Care Options |
| 037 | Continuing Care Retirement Community |
| 038 | End-Stage Renal Disease - I (ESRD) |
| 039 | ESRD II |
| 040 | Employer/Union Only Direct Contract PFFS |
| 041 | Medical Savings Account (MSA) Demonstration |
| 048 | Medicare-Medicaid Plan (MMP) HMO |
| 049 | Medicare-Medicaid Plan HMO Point-of-Service (MMP HMOPOS) |
Other Info
Some additional information on this variable:
- Short Name: PTC_PLAN_TYPE_CD_07
- Long Name: PTC_PLAN_TYPE_CD_07
- Type: CHAR
- Length: 3
- Source: CMS Common Medicare Environment (CME)
- Value Format: