Type of Coverage | Data Source | Categorization Rule |
QHP | Arkansas APCD | Where the HIOS ID (ME992) ends in the following values: "00", "01", "02", "03", "04", "05", "06" and is not all zeroes. |
HCIP | Arkansas APCD | Where Submitting Entity ID (ME001) is "99MCD1" and Health Plan Name (ME164A) is "HCIP" |
MCD_QHP | Arkansas APCD | Where the HIOS ID (ME992) ends in the following values: "32","36" |
EBD | Arkansas APCD | Where Submitting Entity ID (ME001) is "99EBD1" and Enrollment Date (ME162A) less than or equal to "2022-05-31" and Disenrollment Date (ME163A) is greater than or equal to "2013-01-01" |
EBD | Arkansas APCD | Where Submitting Entity ID (ME001) is "95442" and Insurance Product Type Code (ME003) is "EBD" |
EBD_TPA | Arkansas APCD | Where Submitting Entity ID (ME001) is "95448B" and Group Name (ME032) includes the letters "ARBenefits" within the value. |
EBD_PBM | Arkansas APCD | Where Submitting Entity ID (ME001) is either "99MDI4" or "99MDI5" |
EBD_RET | Arkansas APCD | Where Submitting Entity ID (ME001) is "99EBD1" and Health Plan Name (ME164A) includes the letters "RET" within the value. |
EBD_NOHLTH | Arkansas APCD | Where Submitting Entity ID (ME001) is "99EBD1" and Health Plan Name (ME164A) includes the values "PSENOHLTH" or "ASENOHLTH" |
MCD | Arkansas APCD | Where Submitting Entity ID (ME001) is "99MCD1" and Insurance Product Type Code (ME003) is "MCD" and Type of Coverage has not been populated. |
MCRAdvPhrm | Arkansas APCD | Where Insurance Product Code (ME003) is "MD" and Submitting Entity ID (ME001) is not "10155". |
PASSE | Arkansas APCD | Where Submitting Entity ID (ME001) is "16256" or "16244"
-or- Where Submitting Entity (ME001) is "60217" and Insurance Product Type Code (ME003) is "MCD" and Market Category (ME030) is "GPL". |
PBM | Arkansas APCD | Where Submitting Entity (ME001) is "99CAR1","99MDI1","99SSC1","99MAG1","99MDI2" or "99MDI3" and Insurance Product Code (ME003) is not "MD" or "MCD" |
DNT | Arkansas APCD | Where Submitting Entity (ME001) is "70408" or Insurance Product Code (ME003) is "DNT". |
MCR_ADV | Arkansas APCD | Where Insurance Product Code (ME003) is "MDV","HN","HS","MCR","MA","MB","MH", "MHO","MI", or "MPO" -or- Where Submitting Entity (ME001) is "10155". |
COM | Arkansas APCD | Where Type of Coverage is not assigned (what remains without coverage) |
MCRFFS | Arkansas Medicare | HMO Indicator fields exist for each month for each beneficiary year. This category is set in each monthly field when the value is “0” |
DUALS | Arkansas Medicare | DUAL Indicator fields exist for each month for each beneficiary year. This category is set in each monthly field when the value is “01”, “02”, “03”, “04”, “05”, “06”, “08”. |
MCRHMO | Arkansas Medicare | HMO Indicator fields exist for each month for each beneficiary year. This category is set in each monthly field when the value = “C” |