34
|
Beneficiary
Part A Entitlement Reason Code
|
1168
|
Removal
of “H” value = Beneficiary is entitled to Medicare
due to health hazard.
|
Change
is no longer applicable and is non-substantive. The change did
not have an impact on the burden estimates.
|
36
|
Beneficiary
Part B Enrollment Reason Code
|
1258
|
Removal
of “H” value = Beneficiary is entitled to Medicare
due to health hazard.
|
Change
is no longer applicable and is non-substantive. The change did
not have an impact on the burden estimates.
|
39
|
Beneficiary
DIB Entitlement Date Justification Code
|
1428
|
Removal
of “H” value = Beneficiary is entitled to Medicare
due to health hazard.
|
Change
is no longer applicable and is non-substantive. The change did
not have an impact on the burden estimates.
|
41
|
Plan
Benefit Package Number (Occurrence 1)
|
1697-1699
|
Updated
description to read: This
field contains spaces if the managed care plan has no PBP. If a
Cost Plan has no PBP, the field contains ‘999’.
|
Change
was made to clarify the definition to this description field and
is non-substantive. The change did not have an impact on the
burden estimates.
|
41
|
PBP
Coverage Type Codes
|
1700-1701
|
Updated
list of values for the PBP ORG CVRG TYPE CD to add Value “14”:
MMP – Medicare Medicaid Plan
|
Change
was due to the implementation of the Financial Alignment
Demonstration: Section 2602 of the Affordable Care Act directs
CMS to better coordinate with states to improve care for
Medicare-Medicaid enrollees. The change is non-substantive. The
change did not have an impact on burden estimates.
|
45
|
Beneficiary
Part A Third Party Buy-in Eligibility Code
|
2031
|
Updated
to read: “This
data element is obsolete.”
|
Change
is no longer applicable and is non-substantive. The change did
not have an impact on the burden estimates.
|
46
|
Beneficiary
Part B Third Party Buy-in Eligibility Code
|
2131
|
Updated
to include values “L” – Specified Low Income
Beneficiary (SLMB) and “U” – Qualified
Individual One (QI-1)
|
Changes
were made to reflect additional values and were non-substantive.
The changes did not have an impact on the burden estimates.
|
50
|
Beneficiary
Enrollment Type Code
|
2425
|
Updated
list of include values:
I
– Non-MMP Plan
J
– State submitted MMP passive enrollment.
K
– CMS submitted MMP passive enrollment.
L
– Beneficiary MMP election
|
Change
was due to the implementation of the Financial Alignment
Demonstration: Section 2602 of the Affordable Care Act. Changes
were non-substantial. The change did not have an impact on burden
estimates.
|
52
|
Beneficiary
Language Indicator
|
2862
|
Revised
to exclude values “C”; “D”, “F”,
“G”, “I”, “J”, “N”,
“P”, “R”, “V” and “W”.
|
Change
is no longer applicable and is non-substantive. The change did
not have an impact on the burden estimates.
|
59
|
Archive
Indicator
|
3194
|
Change
to Medicare Beneficiary Suite of Systems (MBDSS). CMS will be
archiving data is no longer expected to be updated. New Data
Element and value added:
A
= Archived
‘ ’ =
Not archived or not found in database
|
Changes
were made to improve processing performance by reducing the
volume in the main production database. Changes were
non-substantive. The changes did not have an impact on the burden
estimates.
|
59
|
Medicare-Medicaid
Plan (MMP) Opt Out Indicator
|
3195
|
Systems
changes include new data element and values based on Financial
Alignment (FA) demonstration:
Y=
Beneficiary has affirmatively opted out of Demo
N=
Beneficiary has not opted out of Demo
‘
’ =
There is no opt out information available (should be interpreted
as the beneficiary has not opted out).
|
Change
was due to the implementation of the Financial Alignment
Demonstration: Section 2602 of the Affordable Care Act. Changes
were non-substantive. The changes did not have an impact on the
burden estimates.
|