Technical Interface Guidelines


Health Plan Interface

Active Care File Layout

DATA NAME

TYPE

SIZE

REMARKS

HEALTH PLAN ID X 6  
COUNTY ID X 1  
RECIPIENT ID X 9  
MOTHER'S ID X 9  
RECIPIENT CASE X 9  
MOTHER'S CASE X 9  
RECIPIENT NAME X 34  
MOTHER'S NAME X 34  
RECIPIENT SEX X 1  
RECIPIENT DATE OF BIRTH X 8 CCYYMMDD
LOCATION NAME X 34  
MEDICAL CONDITION X 2 SEE Medical Conditions (Below)
DATE ADMITTED X 8 CCYYMMDD
EXPECTED DELIVERY X 8 CCYYMMDD

 

Medical Conditions:

MEDICAL CONDITION (RF532)

CODE

DESCRIPTION

BB

BED-BOUND

BC

BREAST AND CERVICAL CANCER PROGRAM MEMBR

CC

LTC FACILITY CONV CARE

CH

CHEMOTHERAPY

CM

APPLICANT CHRONIC MEDICAL CONDITION

DI

DIALYSIS

ER

ER-ACC/INJ RELATED

HA

HOSPITALIZED-ACC/INJ REL

HI

HEAD INJURY

HK

HOSPITALIZED, KICK PAYMENT CONSIDERED

HS

HOSPITALIZED

NI

NICU

NN

NEWBORN-NORMAL

OA

OUTPATIENT-ACC/INJ REL

PG

PREGNANT

PR

PREGNANT-HIGH RISK

RT

RADIATION THERAPY

SI

SPINAL CORD INJURY

SN

NEWBORN-SICK

ST

SURGICAL STERILIZATION

TP

TRANSPLANTS

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