2 No 3 Unknown 4 Other 5 Not Applicable Prescription Lookup Indicator - Report the value that defines the ME 19 Drug 11/8/12 - int[1] Pharmacy element. EXAMPLE: 1 = Yes there is All 100% A2 Coverage Integer Option Prescription Coverage. Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable Lookup Report the that defines the element. Dental Indicator - ME 20 11/8/12 - int[1] EXAMPLE: 1 = Yes there is Dental All 100% A2 Coverage Dental Option Integer Coverage. Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable Report the Member-identified primary race here. The code value “UNKNOW” (Unknown/not specified), should be Lookup Member's used ONLY when Member answers ME 21 Race 1 11/8/12 Table - tlkpRace varchar[6] self-disclosed All 3% B unknown, or refuses to answer. Do not Text Primary Race report any value here if data has not been collected. Report only collected data. EXAMPLE: R9 = Other Race Code Description R1 American Indian/Alaska Native R2 Asian R3 Black/African American
2 No 3 Unknown 4 Other 5 Not Applicable ME 19 Prescription Drug Coverage 11/8/12 Lookup - Integer int[1] Indicator - Pharmacy Option Report the value that defines the element. EXAMPLE: 1 = Yes there is Prescription Coverage. All 100% A2 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable ME 20 Dental Coverage 11/8/12 Lookup - Integer int[1] Indicator - Dental Option Report the that defines the element. EXAMPLE: 1 = Yes there is Dental Coverage. All 100% A2 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable ME 21 Race 1 11/8/12 Lookup Table - Text tlkpRace varchar[6] Member's self-disclosed Primary Race Report the Member-identified primary race here. The code value “UNKNOW” (Unknown/not specified), should be used ONLY when Member answers unknown, or refuses to answer. Do not report any value here if data has not been collected. Report only collected data. EXAMPLE: R9 = Other Race All 3% B Code Description R1 American Indian/Alaska Native R2 Asian R3 Black/African American
v6-apcd-member-eligibility-file-submission-guide-Redline-.docx