| TYPE |
CONTRACT CODE |
DESCRIPTION |
CAP
Ind |
FFS
Ind |
| % |
CRS/CAP |
Children's Rehab Services, Capitation |
Y |
N |
| @ |
DES/DD/RI |
DES DD Reinsurance Indicator |
N |
N |
|
A |
ACU/CAP |
Acute Capitated |
Y |
N |
|
B |
ACU/CAP/PAR |
Acute Partially Capitated |
Y |
Y |
|
C |
ACU/CAP/ACU |
Acute Capitated Acute SVCS Only |
Y |
N |
|
D |
ACU/FFS/ACU |
Acute Fee for Service Acute Only |
N |
Y |
|
E |
ACU/FFS |
Acute Fee for Service |
N |
Y |
|
F |
ACU/FFS/EMO |
Acute FFS Emergency Services Only |
N |
Y |
|
G |
ACU/FFS/FPS |
Acute Fee For Service, Family Planning Services |
N |
Y |
|
H |
ACU/PPC |
Acute Prior Period Coverage |
Y |
N |
|
I |
ACU/PPC/EMO |
Acute Prior Period Coverage Emergency Svcs |
Y |
N |
|
J |
LTC/CAP |
Long Term Care Capitated |
Y |
N |
|
K |
MHS/CAP/ACU |
Mental Health Svcs, Cap Acute Only |
Y |
N |
|
L |
LTC/CAP/ACU |
Long Term Care Cap Acute Only |
Y |
N |
|
M |
LTC/PPC |
Long Term Care Prior Period Coverage |
Y |
N |
|
N |
ACU/NBN |
Acute Newborn Non-Capped |
N |
N |
|
O |
LTC/PPC/ACU |
Long Term Care Prior Period Coverage Acute |
Y |
N |
|
P |
LTC/CAP/PAR |
Long Term Care Partial Cap |
Y |
Y |
|
Q |
ACU/CAP/FPS |
Acute Capitated FPS Only |
Y |
N |
|
R |
LTC/FFS |
Long Term Care FFS |
N |
Y |
|
S |
MHS/CAP/DD |
Mental Health Services Cap DD |
Y |
N |
|
T |
LTC/FFS/ACU |
Long Term Care FFS Acute Only |
Y |
Y |
|
U |
UNDOC/FFS/EM |
Undoc. Aliens, FFS, Emg Svc Only |
N |
Y |
|
V |
MHS/Cap/KC |
Mental Health Services Capitated Kidscare |
Y |
N |
|
W |
ACU/KC/NoPay |
ADHS Direct Services Kidscare No Payment |
N |
N |
|
X |
ACU/FFS/KC |
Acute FFS Kidscare |
N |
Y |
|
Y |
ACU/CAP/KC |
Acute Capitated Kidscare |
Y |
N |
|
2 |
LTC/VD/CAP/F |
LTC Vent Dependent Cap Full Svc |
Y |
N |
|
3 |
LTC/FFS/VD |
Long Term Care FFS VD |
Y |
Y |
|
4 |
LTC/VD/CAP/A |
LTC Vent Dependent Cap Acute Svc |
Y |
N |
|
5 |
LTC/FFS/VHA |
Long Term Care FFS VD Acute Only |
Y |
Y |
|
8 |
NON/PAY |
No Payment Permitted |
N |
N |
