Blank

Disenrollment occurred in prior month – no capitation paid

00

Voluntary disenrollment / no capitation paid (May also result from the retroactive disenrollment of a recipient in hold status / no capitation recovery)

01

Active enrollment, capitation paid

04

Pending enrollment

05

Enrollment held due to hold on recipient's Medi-Cal eligibility status - capitation paid

09

Mandatory disenrollment, no capitation paid. (May also result from the retroactive disenrollment of a recipient in hold status / no capitation recovery)

10

Voluntary disenrollment after capitation paid / recovery required. (The result of a retroactive disenrollment from an active HCP status)

19

Mandatory disenrollment after capitation paid - recovery required. (The result of a retroactive disenrollment from an active HCP status)

40

Voluntary disenrollment occurred before enrollment became effective / no capita- tion paid

41

Deeming status that will be used in lieu of HCP Status '05' to identify when a Cal MediConnect (CMC) client loses MC eligibility, but has a reasonable probability of regaining their Medi-Cal eligibility within a deemed period of one or two months

49

Mandatory disenrollment occurred before enrollment became effective / no capita- tion paid

51

Enrollment activated from held status - supplemental capitation to be paid at end of the current month

55

Enrollment held - Potential HCP enrollee with Uncertified SOC – No capitation paid

59

Enrollment held due to change of recipient's status other than hold on Medi-Cal Eligibility (e.g. ZIP code, county code, aid code or OHC code Not covered by plan)

/ no capitation paid

61

Deeming status that will be used in lieu of HCP Status '59' to identify when a CMC client changes to an aid code or area that is not covered by the plan, but has a rea- sonable probability of regaining their MC eligibility within a deemed period of one or two months

B1

Infant enrolled in Mother's HCP - no capitation paid, included in mother's capitation

F4

Future pending enrollment - Passive Enrollment - Plan will be active 2 MOEs in the future

P4

Enrollment application accepted – no capitation paid

S0

Voluntary disenrollment after capitation paid - recovery processed (The result of a retroactive disenrollment from an active HCP status)

S1

Active enrollment - supplemental capitation paid for individual released from hold status

S9

Mandatory disenrollment after capitation paid - recovery processed (The result of a retroactive disenrollment from an active HCP status