Medicare Advantage and Prescription Drug Plans December 28 ...
Medicare Advantage and Prescription Drug Plans December 28 ...
Medicare Advantage and Prescription Drug Plans December 28 ...
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Plan Communications User Guide Appendices, Version 6.3<br />
Item Field Size Position Comment Description<br />
31<br />
32<br />
33<br />
34<br />
35<br />
36<br />
37<br />
38<br />
39<br />
40<br />
41<br />
42<br />
43<br />
44<br />
45<br />
46<br />
47<br />
48<br />
49<br />
Age Group<br />
Male90_94<br />
Age Group<br />
Male95_GT<br />
Medicaid Female<br />
Disabled<br />
Medicaid Female<br />
Aged<br />
Medicaid Male<br />
Disabled<br />
Medicaid Male<br />
Aged<br />
Originally<br />
Disabled Female<br />
Originally<br />
Disabled Male<br />
Disease<br />
Coefficients<br />
HCC1<br />
Disease<br />
Coefficients<br />
HCC2<br />
Disease<br />
Coefficients<br />
HCC5<br />
Disease<br />
Coefficients<br />
HCC7<br />
Disease<br />
Coefficients<br />
HCC8<br />
Disease<br />
Coefficients<br />
HCC9<br />
Disease<br />
Coefficients<br />
HCC10<br />
Disease<br />
Coefficients<br />
HCC15<br />
Disease<br />
Coefficients<br />
HCC16<br />
Disease<br />
Coefficients<br />
HCC17<br />
Disease<br />
Coefficients<br />
1 74 Set to "1" if applicable,<br />
otherwise "0"<br />
1 75 Set to "1" if applicable,<br />
otherwise "0"<br />
1 76 Set to "1" if applicable,<br />
otherwise "0"<br />
1 77 Set to "1" if applicable,<br />
otherwise "0"<br />
1 78 Set to "1" if applicable,<br />
otherwise "0"<br />
1 79 Set to "1" if applicable,<br />
otherwise "0"<br />
1 80 Set to "1" if applicable,<br />
otherwise "0"<br />
1 81 Set to "1" if applicable,<br />
otherwise "0"<br />
1 82 Set to "1" if applicable,<br />
otherwise "0"<br />
1 83 Set to "1" if applicable,<br />
otherwise "0"<br />
1 84 Set to "1" if applicable,<br />
otherwise "0"<br />
1 85 Set to "1" if applicable,<br />
otherwise "0"<br />
1 86 Set to "1" if applicable,<br />
otherwise "0"<br />
1 87 Set to "1" if applicable,<br />
otherwise "0"<br />
1 88 Set to "1" if applicable,<br />
otherwise "0"<br />
1 89 Set to "1" if applicable,<br />
otherwise "0"<br />
1 90 Set to "1" if applicable,<br />
otherwise "0"<br />
1 91 Set to "1" if applicable,<br />
otherwise "0"<br />
1 92 Set to "1" if applicable,<br />
otherwise "0"<br />
The sex <strong>and</strong> age group for the<br />
beneficiary based on a given as of<br />
date: male between ages of 90<br />
<strong>and</strong> 94, inclusive<br />
The sex <strong>and</strong> age group for the<br />
beneficiary based on a given as of<br />
date: male, age 95 or greater<br />
Beneficiary is a female disabled<br />
<strong>and</strong> also entitled to Medicaid.<br />
Beneficiary is a female aged (><br />
64) <strong>and</strong> also entitled to Medicaid.<br />
Beneficiary is a male disabled <strong>and</strong><br />
also entitled to Medicaid.<br />
Beneficiary is a male aged (> 64)<br />
<strong>and</strong> also entitled to Medicaid.<br />
Beneficiary is a female <strong>and</strong><br />
original <strong>Medicare</strong> entitlement was<br />
due to disability.<br />
Beneficiary is a male <strong>and</strong> original<br />
<strong>Medicare</strong> entitlement was due to<br />
disability.<br />
HIV/AIDS<br />
Septicemia/Shock<br />
Opportunistic Infections<br />
Metastatic Cancer <strong>and</strong> Acute<br />
Leukemia<br />
Lung, Upper Digestive Tract, <strong>and</strong><br />
Other Severe Cancers<br />
Lymphatic, Head <strong>and</strong> Neck,<br />
Brain, <strong>and</strong> Other Major Cancers<br />
Breast, Prostate, Colorectal <strong>and</strong><br />
Other Cancers <strong>and</strong> Tumors<br />
Diabetes with Renal or Peripheral<br />
Circulatory Manifestation<br />
Diabetes with Neurologic or<br />
Other Specified Manifestation<br />
Diabetes with Acute<br />
Complications<br />
Diabetes with Ophthalmologic or<br />
Unspecified Manifestation<br />
<strong>December</strong> <strong>28</strong>, 2012 F-55 Part C Risk Adjustment Model Output<br />
Data File