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California Medicaid Eligibility Groups by Medi-Cal Aid Code

This dataset identifies California’s eligibility groups by aid code. California uses aid codes to account for eligibility group populations and the eligibility requirements, scope of benefits, services, costs, claims, encounter data, and managed care arrangements related to those populations. Aid codes in this dataset are mapped to the Transformed Medicaid Statistical Information System (T-MSIS) eligibility group descriptions and codes. California uses this mapping to submit claims data, enrollee encounter data, and supporting information to the Centers for Medicare & Medicaid Services (CMS), as required by Section 4735 of the Balanced Budget Act of 1997 and Section 6504 of the Affordable Care Act for the purpose of program integrity, program oversight, and administration. This dataset includes aid codes that do not have Medi-Cal benefits or have benefits and are not federal programs. Some aid codes may appear to be identical but possess distinct benefits or grouping factors. An aid code may appear more than once if multiple populations are represented in one aid code and can be identified and mapped to distinct T-MSIS groups.

Data and Resources

FieldValue
Publisher
Modified
2020-07-31T21:04:26.801367
Release Date
2020-08-01
Frequency
Irregularly
Homepage URL
Identifier
795383da-3176-457a-8ae7-228e5e18ba3d
License
Author
State of California
Contact Name
Medi-Cal Eligibility Division
Contact Email
Public Access Level
Public
POD Theme
Healthcare
Harvested from chhs.data.ca.gov
Harvest Source Titlechhs.data.ca.gov
Harvest Source URIhttps://data.chhs.ca.gov/data.json
Last Harvest PerformedWed, 08/12/2020 - 02:35