|
Category Code |
Program Status Code |
Target Type Code |
Description |
|
Healthy Beginnings |
|||
|
PS |
17 |
|
Presumptively Eligible Pregnant Woman |
|
Foster Care and Adoption Assistance (NMP) |
|||
|
PC |
31 |
|
Foster Care - Federal |
|
PC |
32 |
|
Adoption Assistance - Federal |
|
PC |
33 |
|
Foster Care - State |
|
PC |
34 |
|
Adoption Assistance - State |
|
PC |
35 |
|
Foster Care - Out of State |
|
PC |
36 |
|
Adoption Assistance - Out of State |
|
PC |
37 |
|
Foster Care - PLC Child MA |
|
PC |
38 |
|
State Correctional Institution (SCI) Inmate Pregnant or under 21 |
|
PC |
39 |
|
County Prison Inmate Pregnant under 21 |
|
Long Term Care (Nursing Facilities) |
|||
|
PCN |
31 |
|
LTC - NMP Foster Care - Federal |
|
PCN |
32 |
|
LTC - NMP Adoption Assistance - Federal |
|
PCN |
33 |
|
LTC - NMP Foster Care - State |
|
PCN |
34 |
|
LTC - NMP Adoption Assistance - State |
|
PCN |
35 |
|
LTC - NMP Foster Care - Out of State |
|
PCN |
36 |
|
LTC - NMP Adoption Assistance - Out of State |
|
PCN |
37 |
|
LTC - NMP Foster Care - PLC Child MA |
|
PAN |
80 |
|
LTC - NMP Aged with Part A & B Buy-in |
|
PMN |
80 |
|
LTC - NMP Blind with Part A & B Buy-in |
|
PJN |
80 |
|
LTC - NMP Disabled with Part A & B Buy-In |
|
PVN |
80 |
|
LTC - VA with Buy-In (NMP) |
|
PAN |
66 |
|
LTC - NMP Aged with Part B Buy-in |
|
PMN |
66 |
|
LTC - NMP Blind with Part B Buy-in |
|
PJN |
66 |
|
LTC-NMP Disabled with Part B Buy-In |
|
PVN |
66 |
|
LTC - VA with Buy-In (NMP) |
|
PAN |
00 |
|
LTC - NMP Aged |
|
PMN |
00 |
|
LTC - NMP Blind |
|
PJN |
00 |
|
LTC - NMP Disabled |
|
PVN |
00 |
|
LTC - VA NMP |
|
TAN |
00 |
|
LTC - MNO Aged |
|
TJN |
00 |
|
LTC - MNO Disabled |
|
TVN |
00 |
|
LTC - VA MNO |
|
Waivers |
|||
|
PAW |
80 |
|
Waiver - NMP Aged with Part A & B Buy-in |
|
PMW |
80 |
|
Waiver - NMP Blind with Part A & B Buy-in |
|
PJW |
80 |
|
Waiver - NMP Disabled with Part A & B Buy-in |
|
PAW |
66 |
|
Waiver - NMP Aged with Part B Buy-in |
|
PMW |
66 |
|
Waiver - NMP Blind with Part B Buy-in |
|
PJW |
66 |
|
Waiver - NMP Disabled with Part B Buy-in |
|
PAW |
00 |
|
Waiver - NMP Aged |
|
PMW |
00 |
|
Waiver -NMP Blind |
|
PJW |
00 |
|
Waiver -NMP Disabled |
|
PCW |
02 |
|
Waiver - Refugee |
|
Bridging Waiver |
|||
|
PA |
87 |
|
Bridge Program - Aged |
|
PJ |
87 |
|
Bridge Program - Disabled |
|
SPECIAL PROTECTED SSI |
|||
|
PA |
81 |
|
Special SSI - Aged DAC (Disabled Adult Child) |
|
PM |
81 |
|
Special SSI - Blind DAC (Disabled Adult Child) |
|
PJ |
81 |
|
Special SSI - Disabled DAC (Disabled Adult Child) |
|
PJ |
83 |
|
Special SSI - Disabled Widow(ers) |
|
PA |
84 |
|
Special SSI - Aged Pickle |
|
PM |
84 |
|
Special SSI - Blind Pickle |
|
PJ |
84 |
|
Special SSI - Disabled Pickle |
|
PA |
85 |
|
Special SSI - Aged Disabled Employment |
|
PM |
85 |
|
Special SSI - Blind Disabled Employment |
|
PJ |
85 |
|
Special SSI - Disabled Disabled Employment |
|
PA |
86 |
|
Special SSI - Aged QDWI |
|
PM |
86 |
|
Special SSI - Blind QDWI |
|
PJ |
86 |
|
Special SSI - Disabled QDWI |
|
Refugee Unaccompanied Minor |
|||
|
PC |
03 |
|
Refugee Unaccompanied Minor |
|
Healthy Horizons(NMP) |
|||
|
PH |
80 |
A |
Healthy Horizons Aged w/ Buy-in |
|
PH |
80 |
D |
Healthy Horizons Disabled w/ Buy-in |
|
PH |
80 |
A |
Healthy Horizons Aged w/ Buy-in - Exclude Optional |
|
PH |
80 |
D |
Healthy Horizons Disabled w/ Buy-in - Exclude Optional |
|
PH |
00 |
A |
Healthy Horizons Aged |
|
PH |
00 |
D |
Healthy Horizons Disabled |
|
PH |
00 |
A |
Healthy Horizons Aged - Exclude Optional |
|
PH |
00 |
D |
Healthy Horizons Disabled - Exclude Optional |
|
PH |
38 |
|
SCI Inmates Permanent Disability |
|
PH |
39 |
|
County Inmate Permanent Disability |
|
SSI-Related NMP MA |
|||
|
PA |
00 |
|
SSI-Related NMP Aged |
|
PM |
00 |
|
SSI-Related NMP Blind |
|
PJ |
00 |
|
SSI-Related NMP Disabled |
|
PA |
22 |
|
SSI-Related NMP Aged - Ongoing Spend down |
|
PM |
22 |
|
SSI-Related NMP Blind - Ongoing Spend down |
|
PJ |
22 |
|
SSI-Related NMP Disabled - Ongoing Spend down |
|
PA |
21 |
|
SSI-Related NMP Aged - Monthly Spend down |
|
PM |
21 |
|
SSI-Related NMP Blind - Monthly Spend down |
|
PJ |
21 |
|
SSI-Related NMP Disabled - Monthly Spend down |
|
TANF-Related NMP Family MA |
|||
|
PU |
27 |
C |
TANF NMP Family UPWE Deprived Child |
|
PC |
27 |
C |
TANF NMP Family Incapacitated Parent Deprived Child |
|
PU |
27 |
C |
TANF NMP Family UPWE Deprived Child - Exclude Optional |
|
PC |
27 |
C |
TANF NMP Family Incapacitated Parent Deprived Child - Exclude Optional |
|
PC |
27 |
A |
TANF NMP Family Absent Parent Deprived Child |
|
PC |
27 |
A |
TANF NMP Family Absent Parent Deprived Child - Exclude Optional |
|
PC |
27 |
P |
TANF NMP Family UPWE/Incap/Absent parent Deprived Preg Woman |
|
Extension MA - Extended Medical Coverage & Extension for Support |
|||
|
PU |
71 |
C |
EMC - UPWE Deprived Child |
|
PU |
71 |
C |
EMC - UPWE Deprived Child - Excluded Optional |
|
PC |
71 |
C |
EMC - Incapacity Parent Deprived Child |
|
PC |
71 |
C |
EMC - Incapacity Parent Deprived Child - Excluded Optional |
|
PU |
23 |
C |
EXT - UPWE deprived child |
|
PC |
23 |
C |
EXT - Incapacity Parent Deprived Child |
|
PC |
71 |
A |
EMC - Absent Parent Deprived Child |
|
PC |
71 |
A |
EMC - Absent Parent Deprived Child - Excluded Optional |
|
PC |
23 |
A |
EXT - Absent Parent Deprived Child |
|
PU |
71 |
|
EMC - UPWE Deprived Child - Re-build previously open EMC budget |
|
PC |
71 |
|
EMC - Incap/Abs Deprived child - Re-build previously open EMC budget |
|
PU |
23 |
|
EXT - UPWE Deprived Child - Re-build previously open Support budget |
|
PC |
23 |
|
EXT - Incap/Abs Deprived child - Re-build previously open Support budget |
|
Healthy Beginnings |
|||
|
PS |
16 |
P |
Healthy Beginnings for Pregnant Woman |
|
PS |
16 |
I |
Healthy Beginnings for Children < 1 |
|
PS |
16 |
C |
Healthy Beginnings for Children >= 1 and < 6 |
|
PS |
16 |
Y |
Healthy Beginnings for Children >= 6 and < 19 |
|
PS |
16 |
P |
Healthy Beginnings for Pregnant Woman - Exclude Optional |
|
PS |
16 |
I |
Healthy Beginnings for Children < 1 - Exclude Optional |
|
PS |
16 |
C |
Healthy Beginnings for Children >= 1 and < 6 - Exclude Optional |
|
PS |
16 |
Y |
Healthy Beginnings for Children >= 6 and < 19 - Exclude Optional |
|
Refugee Non SSI & Non Pregnant Woman with no Children |
|||
|
PC |
02 |
A |
RMA - Non SSI & Non-Pregnant Woman Adult |
|
PC |
02 |
A |
RMA - Non SSI & Non-Pregnant Woman Adult - Exclude Optional |
|
NMP related MA - TANF and GA related – Regular |
|||
|
PU |
00 |
T |
TANF-Related NMP UPWE Deprived Child |
|
PU |
00 |
P |
TANF-Related NMP UPWE Deprived Pregnant Woman |
|
PC |
00 |
T |
TANF-Related NMP Incapacity/Absent Parent Deprived Child |
|
PC |
00 |
N |
TANF-Related NMP Non Deprived Child |
|
PC |
00 |
P |
TANF-Related NMP Incapacity/Absent Deprived Pregnant Woman |
|
PD |
00 |
C |
GA Rel NMP Non-Par Caretaker of a Child < 13 or of a Disabled Person |
|
PD |
00 |
D |
GA Related NMP Physical or Mental Disability |
|
PD |
38 |
|
SCI Inmate Temporary Disability |
|
PD |
39 |
|
County Inmate Temporary Disability |
|
PD |
00 |
H |
GA Related NMP Health Sustaining Medication |
|
PD |
00 |
A |
GA Related NMP Drug and Alcohol |
|
PD |
00 |
V |
GA Related NMP Domestic Violence |
|
NMP related MA - TANF and GA related - Excluded Optional |
|||
|
PU |
00 |
T |
TANF-Related NMP UPWE Deprived Child - Exclude Optional |
|
PU |
00 |
P |
TANF-Related NMP UPWE Deprived Pregnant Woman - Exclude Optional |
|
PC |
00 |
T |
TANF-Related NMP Incap/Absent Parent Deprived Child - Exclude Optional |
|
PC |
00 |
N |
TANF-Related NMP Non Deprived Child - Exclude Optional |
|
PC |
00 |
P |
TANF-Related NMP Incap/Absent Deprived Preg Woman - Exclude Optional |
|
PD |
00 |
C |
GA Rel NMP Non-Par Caretaker of a Child < 13 or of a disabled Person |
|
PD |
00 |
D |
GA Related NMP Physical or Mental Disability - Exclude Optional |
|
PD |
00 |
H |
GA Related NMP Health Sustaining Medication - Exclude Optional |
|
PD |
00 |
A |
GA Related NMP Drug and Alcohol - Exclude Optional |
|
PD |
00 |
V |
GA Related NMP Domestic Violence - Exclude Optional |
|
NMP related MA - TANF and GA related - Ongoing Spend down |
|||
|
PU |
22 |
T |
TANF-Related NMP UPWE Deprived Child - Ongoing Spend down |
|
PU |
22 |
P |
TANF-Rel NMP UPWE Deprived Preg Woman - Ongoing Spend down |
|
PC |
22 |
T |
TANF-Rel NMP Incap/Absent Par Deprived Child - Ongoing Spend down |
|
PC |
22 |
N |
TANF-Related NMP Non Deprived Child - Ongoing Spend down |
|
PC |
22 |
P |
TANF-Rel NMP Incap/Absent Dep Preg Woman - Ongoing Spend down |
|
PD |
22 |
C |
GA NMP Non-Par Caretaker of a Child < 13 or of a disabled Person - OS |
|
PD |
22 |
D |
GA Related NMP Physical or Mental Disability - Ongoing Spend down |
|
PD |
22 |
H |
GA Related NMP Health Sustaining Medication - Ongoing Spend down |
|
PD |
22 |
A |
GA Related NMP Drug and Alcohol - Ongoing Spend down |
|
PD |
22 |
V |
GA Related NMP Domestic Violence - Ongoing Spend down |
|
NMP related MA - TANF and GA related - Monthly Spend down |
|||
|
PU |
21 |
T |
TANF-Related NMP UPWE Deprived Child - Monthly Spend down |
|
PU |
21 |
P |
TANF-Rel NMP UPWE Deprived Preg Woman - Monthly Spend down |
|
PC |
21 |
T |
TANF-Rel NMP Incap/Absent Par Deprived Child - Monthly Spend down |
|
PC |
21 |
N |
TANF-Related NMP Non Deprived Child - Monthly Spend down |
|
PC |
21 |
P |
TANF-Rel NMP Incap/Abs Dep Preg Woman - Monthly Spend down |
|
PD |
21 |
C |
GA NMP Non-Par Caretaker of a Child < 13 or of a disabled Person - MS |
|
PD |
21 |
D |
GA Related NMP Physical or Mental Disability - Monthly Spend down |
|
PD |
21 |
H |
GA Related NMP Health Sustaining Medication - Monthly Spend down |
|
PD |
21 |
A |
GA Related NMP Drug and Alcohol - Monthly Spend down |
|
PD |
21 |
V |
GA Related NMP Domestic Violence - Monthly Spend down |
|
Breast & Cervical Cancer Prevention Treatment MA |
|||
|
PH |
20 |
|
Breast and Cervical Cancer Prevention & Treatment MA |
|
Healthy Beginnings - Income Ineligible Pregnant Woman MA |
|||
|
PS |
18 |
P |
Income Ineligible Pregnant Woman |
|
MAWD |
|||
|
PW |
80 |
|
MAWD - Part A & B Buy-In |
|
PW |
80 |
|
MAWD - Part A & B Buy-In - Exclude Optional |
|
PW |
66 |
|
MAWD - SLMB |
|
PW |
66 |
|
MAWD - SLMB - Exclude Optional |
|
PW |
00 |
|
MAWD |
|
PW |
00 |
|
MAWD - Exclude Optional |
|
Improved MAWD |
|||
|
PI |
80 |
|
Improved MAWD - Part A & B Buy-In |
|
PI |
80 |
|
Improved MAWD - Part A & B Buy-In - Exclude Optional |
|
PI |
66 |
|
Improved MAWD - SLMB |
|
PI |
66 |
|
Improved MAWD - SLMB - Exclude Optional |
|
PI |
00 |
|
Improved MAWD |
|
PI |
00 |
|
Improved MAWD - Exclude Optional |
|
AIDS Waiver |
|||
|
PAW |
80 |
A |
AIDS Waiver - NMP Aged Part A & B Buy-in |
|
PMW |
80 |
A |
AIDS Waiver - NMP Blind Part A & B Buy-in |
|
PJW |
80 |
A |
AIDS Waiver - NMP Disabled Part A & B Buy-in |
|
PAW |
66 |
A |
AIDS Waiver - NMP Aged Part B Buy-in |
|
PMW |
66 |
A |
AIDS Waiver - NMP Blind Part B Buy-in |
|
PJW |
66 |
A |
AIDS Waiver - NMP Disabled Part B Buy-in |
|
PAW |
00 |
A |
AIDS Waiver - NMP Aged |
|
PMW |
00 |
A |
AIDS Waiver - NMP Blind |
|
PJW |
00 |
A |
AIDS Waiver - NMP Disabled |
|
PCW |
02 |
A |
AIDS Waiver - NMP Refugee |
|
MNO related MA - SSI related Buy-In |
|||
|
TA |
80 |
|
SSI Related MNO Aged Part A & B Buy-in |
|
TJ |
80 |
|
SSI Related MNO Disabled Part A & B Buy-in |
|
TA |
80 |
|
SSI Related MNO Aged Part A & B Buy-in - Exclude Optional |
|
TJ |
80 |
|
SSI Related MNO Disabled Part A & B Buy-in - Exclude Optional |
|
TA |
66 |
|
SSI Related MNO Aged Part B Buy-In |
|
TJ |
66 |
|
SSI Related MNO Disabled Part B Buy-In |
|
TA |
66 |
|
SSI Related MNO Aged Part B Buy-In - Exclude Optional |
|
TJ |
66 |
|
SSI Related MNO Disabled Part B Buy-In - Exclude Optional |
|
MNO related MA - SSI, TANF and GA related |
|||
|
TA |
00 |
|
SSI Related MNO Aged |
|
TJ |
00 |
|
SSI Related MNO Disabled |
|
TU |
00 |
T |
TANF-Related MNO UPWE Deprived Child |
|
TU |
00 |
P |
TANF-Related MNO UPWE Deprived Pregnant Woman |
|
TC |
00 |
T |
TANF-Related MNO Incapacity/Absent Parent Deprived Child |
|
TC |
00 |
N |
TANF-Related MNO Non Deprived Child |
|
TC |
00 |
P |
TANF-Related MNO Incapacity/Absent Deprived Pregnant Woman |
|
TD |
00 |
C |
GA Related MNO Custodial Parent |
|
TD |
00 |
A |
GA Related MNO Aged |
|
TD |
00 |
W |
GA Related MNO Working Individual |
|
MNO related MA - SSI, TANF and GA related - Exclude Optional |
|||
|
TA |
00 |
|
SSI Related MNO Aged - Exclude Optional |
|
TJ |
00 |
|
SSI Related MNO Disabled - Exclude Optional |
|
TU |
00 |
T |
TANF-Related MNO UPWE Deprived Child - Exclude Optional |
|
TU |
00 |
P |
TANF-Related MNO UPWE Deprived Pregnant Woman - Exclude Optional |
|
TC |
00 |
T |
TANF-Related MNO Incap/Absent Parent Deprived Child - Exclude Optional |
|
TC |
00 |
N |
TANF-Related MNO Non Deprived Child - Exclude Optional |
|
TC |
00 |
N |
TANF-Related MNO Non Deprived Child - Exclude Parent |
|
TC |
00 |
P |
TANF-Related MNO Incap/Absent Deprived Preg Woman - Exclude Optional |
|
TD |
00 |
C |
GA Related MNO Custodial Parent - Exclude Optional |
|
TD |
00 |
C |
GA Related MNO Custodial Parent - Exclude Parent |
|
TD |
00 |
A |
GA Related MNO Aged - Exclude Optional |
|
TD |
00 |
W |
GA Related MNO Working Individual - Exclude Optional |
|
MNO related MA - SSI, TANF and GA related - Ongoing Spend down |
|||
|
TA |
22 |
|
SSI Related MNO Aged - Ongoing Spend down |
|
TJ |
22 |
|
SSI Related MNO Disabled - Ongoing Spend down |
|
TU |
22 |
T |
TANF Related MNO UPWE Deprived child - Ongoing Spend down |
|
TU |
22 |
P |
TANF-Related MNO UPWE Deprived Preg Woman - Ongoing Spend down |
|
TC |
22 |
T |
TANF-Related MNO Incap/Abs Par Deprived Child - Ongoing Spend down |
|
TC |
22 |
N |
TANF-Related MNO Non Deprived Child - Ongoing Spend down |
|
TC |
22 |
P |
TANF-Rel MNO Incap/Abs par Dep Preg Woman - Ongoing Spend down |
|
TD |
22 |
C |
GA Related MNO Custodial Parent - Ongoing Spend down |
|
TD |
22 |
A |
GA Related MNO Aged - Ongoing Spend down |
|
TD |
22 |
W |
GA Related MNO Working Individual - Ongoing Spend down |
|
Healthy Beginnings - Income Ineligible Newborn MA |
|||
|
PS |
18 |
N |
Income Ineligible Newborn |
|
Refugee Child or Adult with Children MA |
|||
|
PC |
02 |
C |
RMA - Family with Children |
|
PC |
02 |
C |
RMA - Family with Children - Exclude Optional |
|
Refugee Adult - SSI Aged, Disabled, Blind or Pregnant Woman |
|||
|
PC |
02 |
M |
RMA - SSI related or Pregnant Woman Adult |
|
PC |
02 |
M |
RMA - SSI related or Pregnant Woman Adult - Exclude Optional |
|
Individualized Groups |
|||
|
PS |
16 |
P |
Excluded Mandatory - HB for Pregnant Woman |
|
PS |
16 |
I |
Excluded Mandatory - HB for Children < 1 |
|
PS |
16 |
C |
Excluded Mandatory - HB for children >= 1 & < 6 |
|
PS |
16 |
Y |
Excluded Mandatory - HB for children >= 6 & < 19 |
|
PU |
00 |
T |
Excluded Mandatory - TANF Related NMP UPWE deprived child |
|
PC |
00 |
T |
Excluded Mandatory - TANF Related NMP Incap/Absent deprived child |
|
PC |
00 |
N |
Excluded Mandatory - TANF Related NMP Non deprived child |
|
TA |
80 |
|
Excluded Mandatory - SSI Related MNO Aged Part A & Part B Buy-In |
|
TJ |
80 |
|
Excluded Mandatory - SSI Related MNO Disabled Part A & Part B Buy-In |
|
TA |
66 |
|
Excluded Mandatory - SSI Related MNO Aged Part B Buy-In |
|
TJ |
66 |
|
Excluded Mandatory - SSI Related MNO Disabled Part B Buy-In |
|
TA |
00 |
|
Excluded Mandatory - SSI Related MNO Aged |
|
TJ |
00 |
|
Excluded Mandatory - SSI Related MNO Disabled |
|
TU |
00 |
T |
Excluded Mandatory - TANF Related MNO UPWE deprived child |
|
TC |
00 |
T |
Excluded Mandatory - TANF Related MNO Incap/Absent deprived child |
|
TC |
00 |
N |
Excluded Mandatory - TANF Related MNO Non deprived child |
|
TD |
00 |
C |
Excluded Mandatory - GA Related MNO Custodial Parent |
|
SSI Ineligible Child |
|||
|
PJ |
98 |
|
SSI Ineligible Children |
|
Children with Special Needs |
|||
|
PH |
97 |
|
Children with Special Needs - SSI Pending |
|
PH |
95 |
|
Children with Special Needs - SSI Denied |
|
Cost Sharing |
|||
|
PG |
00 |
A |
Cost Sharing Aged |
|
PG |
00 |
D |
Cost Sharing Disabled |
|
SSI-Related Buy-In w/o Medical Assistance |
|||
|
TA |
65 |
|
SLMB Aged |
|
TA |
65 |
|
SLMB Aged - Exclude Optional |
|
TJ |
65 |
|
SLMB Disabled |
|
TJ |
65 |
|
SLMB Disabled - Exclude Optional |
|
TA |
67 |
|
QI-1 Aged |
|
TA |
67 |
|
QI-1 Aged - Exclude Optional |
|
TJ |
67 |
|
QI-1 Disabled |
|
TJ |
67 |
|
QI-1 Disabled - Exclude Optional |
|
GA-Related MNO MA - Limited eligibility - 1 month |
|||
|
TD |
55 |
|
Medical Assessment |
|
Prison Inmate – Children |
|||
|
PC |
30 |
|
Prison Inmate - Children |
Updated September 26, 2013, Replacing February 14, 2012