NAME TYPE LENGTH ------------------------------------- ------ 16. HMO INDICATOR CHAR 1 CODE INDICATING BENEFICIARY HAS MEMBERSHIP IN HEALTH MAINTENANCE ORGANIZATION. OCCURS: 12 TIMES SHORT NAME: HMOIND01 (THROUGH HMOIND12) LONG NAME: BENE_HMO_IND_01 (THROUGH BENE_HMO_IND_12) CODES: EFFECTIVE 1992 0 = NOT A MEMBER OF HMO 1 = NON LOCK-IN, HCFA TO PROCESS PROVIDER CLAIMS 2 = NON LOCK-IN, GHO TO PROCESS IN-PLAN PART A AND IN-AREA PART B CLAIMS 4 = Fee-for-service participant in case or disease management demonstration project (effective 2005 forward) A = LOCK-IN, HCFA TO PROCESS PROVIDER CLAIMS B = LOCK-IN, GHO TO PROCESS IN-PLAN PART A AND IN-AREA PART B CLAIMS C = LOCK-IN, GHO TO PROCESS ALL PROVIDER CLAIMS CCW FIELD SOURCE AND DERIVATION: RIC-H; Field Name: BENE_GHO_ENRLMT_STRT_DT, BENE_GHO_DISENRLMT_DT, and BENE_GHO_LKIN_PMT_OPTN_CD Each byte of this field represents a month of the Beneficiary Summary reference year. For example, the first byte represents Beneficiary Summary reference year month January, the second byte represents Beneficiary Summary reference year month February, and so on until the twelfth byte, which represents Beneficiary Summary reference year month December. Each monthly indicator takes the value of one of the code set listed in the Beneficiary Summary File data dictionary. If the beneficiary did not have recorded coverage during a given month of the Beneficiary Summary reference year, then that month is coded ‘0.’