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This is a Non-Federal dataset covered by different Terms of Use than Data.gov.

California Medicaid Eligibility Groups by Medi-Cal Aid Code

Metadata Updated: August 25, 2023

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.

Access & Use Information

Public: This dataset is intended for public access and use. Non-Federal: This dataset is covered by different Terms of Use than Data.gov. License: No license information was provided.

Downloads & Resources

Dates

Metadata Created Date August 25, 2023
Metadata Updated Date August 25, 2023

Metadata Source

Harvested from State of California

Additional Metadata

Resource Type Dataset
Metadata Created Date August 25, 2023
Metadata Updated Date August 25, 2023
Publisher California Department of Health Care Services
Maintainer
Identifier 2fd3a19b-9a28-4cdd-8cb1-66cb1b7520f2
Data First Published 2019-03-14T15:08:19.844749
Data Last Modified 2023-02-01T00:48:56.603055
Category Health and Human Services
Public Access Level public
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Harvest Object Id 28c5e40b-099c-4e1f-a8e8-10b25b1932d8
Harvest Source Id 3ba8a0c1-5dc2-4897-940f-81922d3cf8bc
Harvest Source Title State of California
Source Datajson Identifier True
Source Hash 2a15cb49153423c461e8259537338b0b43ccb30a
Source Schema Version 1.1

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