Report the total monthly premium at the Subscriber level only. Do not report on Employer + member lines. Report 0 if no premium Required Subscriber’s is charged. Required for Cost when total Trends/Risk Adjustment reporting. Do ME Monthly 2/2016 Integer Currency varchar[10] either ME107 100% A0 contribution to not code decimal or round up / down to Premium = ME117 or monthly whole dollars, code zero cents (00) ME012 = 20 premium when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Report the GIC Member Identification Required GIC Member number as provided to GIC Plan ME GIC ID 11/8/12 Text ID GIC varchar[9] when ME134 100% A0 ID Submitters. If not applicable do not = 3 report any here Report the value that describes the member's / subscriber's enrollment into Lookup Member APCD ID one of the predefined categories; aligns ME Table - int[1] Enrollment All 100% A2 Code enrollment to appropriate editing and Integer Type thresholds. EXAMPLE: 1 = FIG - Fully Insured Commercial Group Enrollee. Description FIG - Commercial Group 1 Enrollee 2 SIG - Self-Insured Group Enrollee GIC - Group Insurance Commission 3 Enrollee MCO - MassHealth Managed Care 4 Organization Enrollee 5 Supplemental Policy Enrollee ICO Integrated Care Organization or – 6 SCO Senior Care Option – 0 Unknown / Not Applicable Lookup Required Table Aid MassHealth Report the code that identifies the when ME Aid Varchar[4] 100% A2 – Category Aid Category richest MassHealth Aid Category submitter is MassHealth Report ME here. This validates the type Record File Type ME 6/24/10 Text ID File char[2] of file and the data contained within the All 100% A0 Type Identifier file. This must match HD004
ME Monthly Premium 2/2016 Integer Currency varchar[10] Employer + Subscriber’s total contribution to monthly premium Report the total monthly premium at the Subscriber level only. Do not report on member lines. Report 0 if no premium is charged. Required for Cost Trends/Risk Adjustment reporting. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Required when either ME107 = ME117 or ME012 = 20 100% A0 ME GIC ID 11/8/12 Text ID GIC varchar[9] GIC Member ID Report the GIC Member Identification number as provided to GIC Plan Submitters. If not applicable do not report any here Required when ME134 = 3 100% A0 ME APCD ID Code Lookup Table - Integer int[1] Member Enrollment Type Report the value that describes the member's / subscriber's enrollment into one of the predefined categories; aligns enrollment to appropriate editing and thresholds. EXAMPLE: 1 = FIG - Fully Insured Commercial Group Enrollee. All 100% A2 Description 1 FIG - Commercial Group Enrollee 2 SIG - Self-Insured Group Enrollee 3 GIC - Group Insurance Commission Enrollee 4 MCO - MassHealth Managed Care Organization Enrollee 5 Supplemental Policy Enrollee 6 ICO – Integrated Care Organization or SCO – Senior Care Option 0 Unknown / Not Applicable ME Aid Category Lookup Table – Aid Varchar[4] MassHealth Aid Category Report the code that identifies the richest MassHealth Aid Category Required when submitter is MassHealth 100% A2 ME Record Type 6/24/10 Text ID File char[2] File Type Identifier Report ME here. This validates the type of file and the data contained within the file. This must match HD004 All 100% A0