PLAN-TYPE

Sub Plan Type. This data element identifies the type of health/prescription drug plan the recipient has and is used for billing purposes. This field can be viewed from the View HIS Information (HIAR) screen.

HMO

Health Management Organization

MAP

Medicare Advantage Plan (HMO)

PPO

Preferred Provider Organization

MPO

Medicare Preferred Organization (PPO)

MSP

Medicare Special Needs Plan

PAC

Medicare Pace Plan

PDP

Prescription Drug Plan

HFP

Healthy Families Plan

TPM

Third Party Medical and Allied Services

TPP

Third Party Medical Prescription Drugs

TPV

Third Party Vision

TPD

Third Party Dental

TPL

Third Party Long Term Care

TPI

Third Party Hospital Inpatient

TPO

Third Party Hospital Outpatient