Native Hawaiian or other Pacific R4 Islander R5 White R9 Other Race UNKNOW Unknown/not specified Report the Member-identified secondary race here. The code value “UNKNOW” Member's (Unknown/not specified), should be Lookup self-disclosed used ONLY when Member answers ME 22 Race 2 11/8/12 Table - tlkpRace varchar[6] All 2% C Secondary unknown, or refuses to answer. Do not Text 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 R3 Black/African American Native Hawaiian or other Pacific R4 Islander R5 White R9 Other Race UNKNOW Unknown/not specified The MA APCD reserves this field for ME 23 Filler Text Filler varchar[] Filler future use. Do not populate with any All 0% Z data. Report the value that defines the element. The code value for “3” unknown, should be used ONLY when Lookup Indicator - member answers unknown, or refuses Hispanic ME 24 11/8/12 - int[1] Hispanic to answer. Do not report any value here All 3% B Indicator Integer Status if the data has not been collected. Report only collected data. EXAMPLE: 1 = Yes, Member has indicated Hispanic status. Value Description 1 Yes 2 No
R4 Native Hawaiian or other Pacific Islander R5 White R9 Other Race UNKNOW Unknown/not specified ME 22 Race 2 11/8/12 Lookup Table - Text tlkpRace varchar[6] Member's self-disclosed Secondary Race Report the Member-identified secondary 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 2% C Code Description R1 American Indian/Alaska Native R2 R3 Black/African American R4 Native Hawaiian or other Pacific Islander R5 White R9 Other Race UNKNOW Unknown/not specified ME 23 Filler Text Filler varchar[] Filler The MA APCD reserves this field for future use. Do not populate with any data. All 0% Z ME 24 Hispanic Indicator 11/8/12 Lookup - Integer int[1] Indicator - Hispanic Status Report the value that defines the element. The code value “3” for unknown, should be used ONLY when member answers unknown, or refuses to answer. Do not report any value here if the data has not been collected. Report only collected data. EXAMPLE: 1 = Yes, Member has indicated Hispanic status. All 3% B Value Description 1 Yes 2 No
v6-apcd-member-eligibility-file-submission-guide-Redline-.docx