Employers having more than 500 GLG4 employees Small employers through a qualified GSA association trust Other types of entities. Insurers using OTH this market code shall obtain prior approval. Report the code that defines the product Lookup Special coverage as related to a health Special ME 31 2/2016 Table - varchar[3] Coverage exchange or Reports N/A if neither All 98% A2 Coverage Text Code apply. EXAMPLE: N/A = Not Applicable Code Description CC Commonwealth Care HSN Health Safety Net CCP ConnectorCare N/A Not Applicable Report the group name that the policy is Group attached to. Report IND for individual ME 32 11/8/12 Text Name Group varchar[50] Group name All 80% A2 Name policies. Do not report any value here if the data is not available. Report the code that defines the spoken language preference of the member. Member's The code value 999 (Unknown/ Not External Member self-disclosed Specified), should only be used when Code Code Source ME 33 language 11/8/12 int[3] verbal patient/client answers unknown or All 3% B Source 7 - preference language refuses to answer. Do not report any 7 - Languages preference value here if the submitter does not Integer have the data. Report only collected data. . Do not populate with any data. ME 34 Filler 2/2017 Text Filler char[0] Filler All 100% C Required to be NULL Health Report the value that defines the Health Care Care Home Lookup element. EXAMPLE: 1 = Yes, Member Home ME 35 (PCMH) 11/8/12 - int[1] has an assigned approved patient All 100% A2 Assigned Assigned Integer centered medical home for this indicator Flag coverage period. Value Description 1 Yes 2 No
GLG4 Employers having more than 500 employees GSA Small employers through a qualified association trust OTH Other types of entities. Insurers using this market code shall obtain prior approval. ME 31 Special Coverage 2/2016 Lookup Table - Text varchar[3] Special Coverage Code Report the code that defines the product coverage as related to a health exchange or Reports N/A if neither apply. EXAMPLE: N/A = Not Applicable All 98% A2 Code Description CC Commonwealth Care HSN Health Safety Net CCP ConnectorCare N/A Not Applicable ME 32 Group Name 11/8/12 Text Name Group varchar[50] Group name Report the group name that the policy is attached to. Report IND for individual policies. Do not report any value here if the data is not available. All 80% A2 ME 33 Member language preference 11/8/12 Code Source 7 - Integer External Code Source 7 - Languages int[3] Member's self-disclosed verbal language preference Report the code that defines the spoken language preference of the member. The code value 999 (Unknown/ Not Specified), should only be used when patient/client answers unknown or refuses to answer. Do not report any value here if the submitter does not have the data. Report only collected data. All 3% B ME 34 Filler 2/2017 Text Filler char[0] Filler . Do not populate with any data. Required to be NULL All 100% C ME 35 Health Care Home (PCMH) Assigned Flag 11/8/12 Lookup - Integer int[1] Health Care Home Assigned indicator Report the value that defines the element. EXAMPLE: 1 = Yes, Member has an assigned approved patient centered medical home for this coverage period. All 100% A2 Value Description 1 Yes 2 No
v6-apcd-member-eligibility-file-submission-guide-FINAL.docx