MEDICARE

Medicare Status Code. This data element identifies the recipient's current, pending, or history month Medicare Part A (Inpatient), Part B (Medical), and Part D (Prescription Drug) entitlement status.

These values are determined by MEDS based upon information reported in the Medicare Buy-in Process. This code displays as three digit characters, first digit for Part A, second digit for Part B and third digit for Part D. This field can be viewed from INQC or INQM screen.

The following table defines the current Medicare Status values for Part A, Part B, and Part D.

Value	Part A	Part B	Part D
0/Blank	No Coverage	No Coverage	No Coverage
1	Paid for by Beneficiary	Paid for by Beneficiary	Beneficiary has approved Low Income Subsidy (LIS) Status
2	Paid for by State Buy-In	Paid for by State Buy-In	Eligible for Part D
3	Free Part A	N/A	Beneficiary has been deemed LIS eligible
4	Paid for by State other than California	Paid for by State other than California	N/A
5	Buy-In Accretion Rejected. Bendex File indicates Medicare Enti- tlement	Buy-In Accretion Rejected. Bendex File Indicates Medicare Enti- tlement	N/A
6	N/A	N/A	N/A
7	Presumed Eligible	Presumed Eligible	Presumed Eligible
8	N/A	N/A	N/A
9	Aged alien ineligible for Medicare	Aged alien ineligible for Medicare	Beneficiary has refused Part D