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PGM
Program Eligibility Indicator. This field identifies what program(s) a recipient was, is or will be eligible for. The six Program Categories are:
M |
Regular Medi-Cal, Full-Scope Special Percentage Programs for children and County Medical Services Program (CMSP) eligibility. Relevant data is displayed on the INQM screen. |
1 |
Special Program Eligibility (e.g., Minor Consent, Postpartum, Out-of-State Foster Care, QMB, Healthy Families, TB, etc.). Relevant data is displayed on the INQ1 screen. |
2 |
Special Program Eligibility (e.g., the same programs listed in (1) plus Dialysis and Parenteral Hyperalimentation). Relevant data is displayed on the INQ2 screen. |
3 |
Special Program Eligibility (e.g., the same programs listed in (2). Relevant data is displayed on the INQ3 screen. |
FS |
Food Stamp eligibility. Relevant data is displayed on the INQF screen. |
CW |
CalWORKs cash grant eligibility. Relevant data is displayed on the INQM screen. |
There are four Program Eligibility Indicators that can be found in the individual program categories of the [PGM] field. They are:
C |
Indicates current month program eligibility |
F |
Indicates future pending program eligibility (the future month after pending program eligibility month). |
H |
Indicates historical program eligibility |
P |
Indicates pending program eligibility |
These Program Eligibility Indicators are part of a 4 alpha-position code. The presence of a character indicates eligibility information on the database; the absence (blank) of a character indicates no eligibility information. Refer to examples below:
CPH |
Indicates current, pending and historical eligibility. |
C H |
Indicates current and historical eligibility information only - no pending information |
The ‘1’, ‘2’ and ‘3’ Program Categories have additional descriptors to further identify the type of eligibility contained on that particular screen. These special program descriptors are:
Descriptor |
Description |
MEDICR |
QMB (Aid Code 80), SLMB (Aid Code 8C), QI1 (Aid Code 8D) |
IE/RR |
Ineligible/Responsible Relative |
CHILD |
Pregnancy/Children related programs (Aid Codes 44/M9, T1,etc.) |
CMSP |
County Medical Services Program |
TB |
Tuberculosis (Aid Code 7H) |
DP/TPN |
Dialysis or Parenteral Hyperalimentation (Aid Codes 71 or 73) |
APPLCN |
Application (not effective until a later MEDS/CDB enhancement) |
GR/GA |
General Relief/General Assistance |
IH/PCS |
In-Home Supportive Services/Personal Care Services |