| CODE |
DESCRIPTION |
TYPE |
INDICATOR |
|
$P
|
MANUAL PAYMENT |
A
|
Y
|
|
$R
|
MANUAL RECOUPMENT |
D
|
Y
|
|
AA
|
ALGORITHM ASSIGNED |
A
|
N
|
|
AC
|
ADDRESS CHANGE |
C
|
N
|
|
AE
|
APPLIED FOR NEW ELIGIBLITY |
D
|
Y
|
|
AI
|
ADMIN-IN |
A
|
N
|
|
AO
|
ADMIN-OUT |
D
|
Y
|
|
BI
|
ENROLLMENT BLOCK IN |
A
|
N
|
|
BO
|
ENROLLMENT BLOCK OUT |
D
|
Y
|
|
CH
|
ELIG CHANGE CAUSES DISENRL |
D
|
Y
|
|
CI
|
COUNTY MOVE-IN |
A
|
N
|
|
CO
|
COUNTY MOVE-OUT |
D
|
Y
|
|
DB
|
DATE OF BIRTH CHANGE |
C
|
N
|
|
DE
|
DECEASED |
D
|
Y
|
|
EC
|
ENROLLMENT CHOICE |
A
|
N
|
|
EI
|
OPEN ENROLLMENT-IN |
A
|
N
|
|
EO
|
OPEN ENROLLMENT-OUT |
D
|
Y
|
|
FI
|
FAMILY CONTINUITY-IN |
A
|
N
|
|
FO
|
FAMILY CONTINUITY-OUT |
D
|
Y
|
|
HC
|
ACUTE HEALTH PLAN CHANGE |
C
|
N
|
|
HK
|
HOSPITALIZED, KICK TO BE PAID |
|
|
|
HO
|
MOVE OUT OF HEALTH PLAN AREA |
D
|
Y
|
|
IE
|
INELIGIBLE |
D
|
Y
|
|
MA
|
MASS ADJUSTMENT RECOUPMENT |
D
|
Y
|
|
MC
|
MENTAL HEALTH CHANGE |
C
|
N
|
|
MI
|
MEDICAL CARE CONTINUITY-IN |
A
|
N
|
|
MO
|
MEDICAL CARE CONTINUITY-OUT |
D
|
Y
|
|
MR
|
MASS ADJUSTMENT PAYMENT |
A
|
Y
|
|
NB
|
NEWBORN |
A
|
N
|
|
NC
|
NAME CHANGE |
C
|
N
|
|
NE
|
NORMAL ENROLLMENT |
A
|
N
|
|
NP
|
NORMAL ENROLLMENT-PRIOR PLAN |
A
|
N
|
|
OS
|
OUT OF STATE MOVE |
D
|
Y
|
|
PA
|
END OF CONTRACT-IN: AUTO ASSIGN |
A
|
N
|
|
PD
|
END OF CONTRACT-IN: DIRECT MOVE |
A
|
N
|
|
PG
|
PREGNANT WOMEN |
C
|
N
|
|
PO
|
END OF CONTRACT-OUT: DIRECT MOVE |
D
|
Y
|
|
PP
|
END OF CONTRACT-IN: PERCENTAGE |
A
|
N
|
|
PR
|
END OF CONTRACT-IN: RULE MATRIX |
A
|
N
|
|
PT
|
END OF CONTRACT-OUT: %, AUTO, RULE |
D
|
Y
|
|
RA
|
RETROACTIVE ENROLLMENT |
A
|
N
|
|
RC
|
RATE CODE CHANGE |
C
|
N
|
|
RE
|
RE-ENROLLMENT |
A
|
N
|
|
RO
|
RECOUPMENT MHS |
D
|
Y
|
|
SB
|
SUPPLEMENTAL BIRTH PAYMENT |
C
|
N
|
|
SC
|
SHARE OF COST CHANGE |
C
|
N
|
|
SX
|
SEX CHANGE |
C
|
N
|
|
TM
|
MENTAL HEALTH TERMINATION |
C
|
N
|
|
VW
|
VOLUNTARY WITHDRAWAL |
D
|
Y
|