Form Attachment 54 Attachment 54 Attachment 54 HC Managed Care (MC) Section

SpecWriter Data

Form Version:

9/18/2017 11:54:19 AM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL6.MEPS_V2

Spec Label:

This is the cover page. Additional contents currently project specific.

MC - Page 1 of 4

MEPS_V2

Managed Care (MC) Section
(Rout

Full Detail Spec
BOX_00

Route Details:

(MC1000)

Item Type: Route

Type Class: If Then

01 Box = BOX_00, BOX_10, BOX_20
04 Single Select = MC10

BOX_10

Route Details:

(MC1010)

Item Type: Route

Type Class: If Then

Context Header Display Instructions:
Display Person.FullName, Insurance.Plcyhldr, Insurance.HISrcName
General Display Instructions for Question Text:
For ‘{START DATE}’, display the RU level reference period start date (typically-but not
always Jan 1 if Round 1 or the previous round interview date if Rds 2-5). Display as full
month, xx, YYYY - e.g., "January 1, 2016". Use variable BegRefDt.
For ‘{END DATE}’, display the RU level reference period end date (typically but not
always current round interview date if Rds 1-4 or Dec 31 if Round 5). Display as full
month, xx, YYYY - e.g., "January 1, 2016". Use variable EndRefDt.

MC - Page 2 of 4

MEPS_V2

Managed Care (MC) Section
(Que

Full Detail Spec
MC10
Item Type:
Type Class:
Answer Type:

(MC1015)
Question
Enumerated
TYESNO

Help Available (HMOHelp)
Context Header:

BLAISE NAME: HMOPlan
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

{POLICYHOLDER’S FIRST MIDDLE LAST NAME} INSURANCE THROUGH {NAME
OF INSURANCE SOURCE}

Question Text:
{Is/Was} {your/{POLICYHOLDER}'s} {NAME OF INSURER} an HMO {as of {END DATE}}? {When answering this
question, do not consider {your/his/her} insurance through Medicare.}
[With an HMO, you must generally receive care from HMO physicians. For other doctors, the expense is not covered unless
you were referred by the HMO or there was a medical emergency.]
HELP: F1

Responses:

Display
Instructions:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

BOX_20
BOX_20
BOX_20
BOX_20

(MC1025)
(MC1025)
(MC1025)
(MC1025)

Display 'Is' if not round 5. Display 'Was' if round 5.
For "NAME OF INSURER", display the name current round's insurer for this insurance as collected in
the HX or OE section that launched MC (Insurance.Insurer). Display "Refused Insurer" if
Insurance.Insurer=RF or display "Don't Know Insurer" if Insurance.Insurer=DK.
Display 'as of {END DATE}' if round 5. Otherwise, use a null display.
Display ‘When answering this question, do not consider {your/his/her} insurance through Medicare.’ if
policyholder being asked about is also covered by Medicare (Insurance.HISrc=Medicare). Otherwise,
use a null display.

Testing/Editing
Notes:

BOX_20

Route Details:

Variable collected at MEPSSpring2018.HX_Main.HXLoop_60[1..50].MC_Main
Variable collected at MEPSSpring2018.HX_Main.OE_Main.OE_Loop10[1..25].MC_Main
Variable stored at MEPSSpring2018.HX_Main.HXLoop_60[1..50].MC_Main
Variable stored at MEPSSpring2018.HX_Main.OE_Main.OE_Loop10[1..25].MC_Main

(MC1025)

Item Type: Route

Type Class: If Then

Return to original questionnaire section in HX or OE.
MC - Page 3 of 4

MEPS_V2
Full Detail Spec

Managed Care (MC) Section
(Rout

[End of MC]

MC - Page 4 of 4