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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: November 27, 2024

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: See this page for license information.

Downloads & Resources

Dates

Metadata Created Date August 25, 2023
Metadata Updated Date November 27, 2024

Metadata Source

Harvested from State of California

Additional Metadata

Resource Type Dataset
Metadata Created Date August 25, 2023
Metadata Updated Date November 27, 2024
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 2024-08-28T21:02:07.011187
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 aa27d974-5e28-43b2-857c-e4fb98842d6c
Harvest Source Id 3ba8a0c1-5dc2-4897-940f-81922d3cf8bc
Harvest Source Title State of California
License http://www.opendefinition.org/licenses/cc-by
Source Datajson Identifier True
Source Hash d3ac5fdf80b731dd056f48eb336597b183b6d41ae3606a2180436d93a52d32a4
Source Schema Version 1.1

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