was not disenrolled at the end of the current month, then do not fill with any value. . Do not populate with any data. ME 43 Filler 2/2017 Text Filler char[0] Filler All 100% A0 Required to be NULL . Do not populate with any data. ME 44 Filler 2/2017 Text Filler char[0] Filler All 100% A0 Required to be NULL Purchased Report the value that defines the through Lookup Indicator - MA element. EXAMPLE: 1 = Yes, policy for ME 45 - int[1] Exchange this eligibility was purchased through All 100% A2 Integer Purchase MA Health Exchange. Required for Exchange Risk Assessment Flag Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable Report the identifier of the members PCP. The value in this element must have a corresponding Provider ID (PV002) in the Provider File. ME046 (Member PCP) is only used for Member ID Link to Member's ME 46 2/2016 Text varchar[30] members whose insurance products All A2 PCP ID PV002 PCP ID 100% require the selection of a PCP (e.g., HMO or POS). Report a value of when PCP is unknown or ‘999999999U’ '999999999NA' if the eligibility does not require a PCP. Required when PCP ID Member Full Century Year PCP Effective is not = PCP Report the Member enrollment date ME 47 6/24/10 Date - Month Day - int[8] Date with 999999999U 98% B Effective with the PCP in CCYYMMDD Format. Integer CCYYMMDD Member or Date
was not disenrolled at the end of the current month, then do not fill with any value. ME 43 Filler 2/2017 Text Filler char[0] Filler . Do not populate with any data. Required to be NULL All 100% A0 ME 44 Filler 2/2017 Text Filler char[0] Filler . Do not populate with any data. Required to be NULL All 100% A0 ME 45 Purchased through Exchange Flag Lookup - Integer int[1] Indicator - MA Exchange Purchase Report the value that defines the element. EXAMPLE: 1 = Yes, policy for this eligibility was purchased through MA Health Exchange. Required for Risk Assessment All 100% A2 Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable ME 46 Member PCP ID 2/2016 Text ID Link to PV002 varchar[30] Member's PCP ID Report the identifier of the members PCP. The value in this element must have a corresponding Provider ID (PV002) in the Provider File. ME046 (Member PCP) is only used for members whose insurance products require the selection of a PCP (e.g., HMO or POS). Report a value of ‘999999999U’ when PCP is unknown or '999999999NA' if the eligibility does not require a PCP. All 100% A2 ME 47 Member PCP Effective Date 6/24/10 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] PCP Effective Date with Member Report the Member enrollment date with the PCP in CCYYMMDD Format. Required when PCP ID is not = 999999999U or 98% B
v6-apcd-member-eligibility-file-submission-guide-FINAL.docx