Aid Code to EDBC Crosswalk ED LTC

SSI Recipients (Test = SSI Recipients)

Regular Aid Code

Override/Manual EDBC Aid Code

SOBRA Aid Code

Override/Manual EDBC SOBRA Aid Code

Inmate Aid Code

Override/Manual EDBC Inmate Aid Code

SSI/OA/N/N

SSI Recipients - Aged

N/A

N/A

N/A

N/A

SSI/BL/N/N

SSI Recipients - Blind

N/A

N/A

N/A

N/A

SSI/SB/N/N

SSI Recipient - 1619 B Blind

N/A

N/A

N/A

N/A

SSI/DS/N/N

SSI Recipient - Disabled

N/A

N/A

N/A

N/A

SSI/SD/N/N

SSI Recipient - 1619 B Disabled

N/A

N/A

N/A

N/A

Protected Medical Groups (Test = Protected Medical Groups)

Regular Aid Code

Override/Manual EDBC Aid Code

SOBRA Aid Code

Override/Manual EDBC SOBRA Aid Code

Inmate Aid Code

Override/Manual EDBC Inmate Aid Code

PMG/PA/N/N

PMG - Pickle Amendment - Aged

N/A

N/A

N/A

N/A

PMG/PB/N/N

PMG - Pickle Amendment - Blind

N/A

N/A

N/A

N/A

PMG/PD/N/N

PMG - Pickle Amendment - Disabled

N/A

N/A

N/A

N/A

PMG/AA/N/N

PMG - Adult Disabled Child - Aged

N/A

N/A

N/A

N/A

PMG/AB/N/N

PMG - Adult Disabled Child - Blind

N/A

N/A

N/A

N/A

PMG/AD/N/N

PMG - Adult Disabled Child - Disabled

N/A

N/A

N/A

N/A

PMG/QA/N/N

PMG - Qualifying Disabled Widow/Widowers - Aged

N/A

N/A

N/A

N/A

PMG/QB/N/N

PMG - Qualifying Disabled Widow/Widowers - Blind

N/A

N/A

N/A

N/A

PMG/QD/N/N

PMG - Qualifying Disabled Widow/Widowers - Disabled

N/A

N/A

N/A

N/A

PMG/EB/N/N

PMG - Early Widow/Widower - Blind

N/A

N/A

N/A

N/A

PMG/ED/N/N

PMG - Early Widow/Widower - Disabled

N/A

N/A

N/A

N/A

Working Healthy (Test = Working Healthy)

Regular Aid Code

Override/Manual EDBC Aid Code

SOBRA Aid Code

Override/Manual EDBC SOBRA Aid Code

Inmate Aid Code

Override/Manual EDBC Inmate Aid Code

WKH/RB/N/N

Working Healthy - Blind -or-

Working Healthy - Blind Cost Share

N/A

N/A

N/A

N/A

WKH/RD/N/N

Working Healthy - Disabled -or-

Working Healthy - Disabled Cost Share

N/A

N/A

N/A

N/A

WKH/IB/N/N

Working Healthy Medically Improved - Blind -or-

Working Healthy Medically Improved - Blind Cost Share

N/A

N/A

N/A

N/A

WKH/ID/N/N

Working Healthy - Improved - Disabled -or-

Working Healthy - Improved - Disabled Cost Share

N/A

N/A

N/A

N/A

Medically Needy (Test = Medically Needy)

Regular Aid Code

Override/Manual EDBC Aid Code

SOBRA Aid Code

Override/Manual EDBC SOBRA Aid Code

Inmate Aid Code

Override/Manual EDBC Inmate Aid Code

MDN/PW/N/N

Medically Needy - Pregnant Women -or-

Medically Needy - Pregnant Women Cost Share

MDN/PW/Y/N

Medically Needy - Pregnant Women SOBRA -or-

Medically Needy - Pregnant Women SOBRA Cost Share

MDN/PW/N/Y

Medically Needy - Pregnant Women Inmate DOC -or-

Medically Needy - Pregnant Women Inmate DOC Cost Share

MDN/DS/N/N

Medically Needy - Disabled -or-

Medically Needy - Disabled Cost Share

MDN/DS/Y/N

Medically Needy - Disabled SOBRA -or-

Medically Needy - Disabled SOBRA Cost Share

MDN/DS/N/Y

Medically Needy - Disabled - Inmate DOC -or-

Medically Needy - Disabled - Inmate DOC Cost Share

MDN/CH/N/N

Medically Needy - Child -or-

Medically Needy - Child Cost Share

MDN/CH/Y/N

Medically Needy - Child SOBRA -or-

Medically Needy - Child SOBRA Cost Share

MDN/CH/N/Y

Medically Needy - Child - Inmate DOC -or-

Medically Needy - Child - Inmate DOC Cost Share

300/CH/N/N

Medically Needy - Child below SSI Standard -or-

Medically Needy - Child below SSI Standard Cost Share

N/A

N/A

N/A

N/A

MN3/CH/N/N

Medically Needy - Child above SSI Standard -or-

Medically Needy - Child above SSI Standard Cost Share

MN3/CH/Y/N

Medically Needy - Child above SSI Standard SOBRA -or-

Medically Needy - Child above SSI Standard SOBRA Cost Share

N/A

N/A

MDN/OA/N/N

Medically Needy - Aged -or-

Medically Needy - Aged Cost Share

MDN/OA/Y/N

Medically Needy - Aged SOBRA -or-

Medically Needy - Aged SOBRA Cost Share

MDN/OA/N/Y

Medically Needy - Aged - Inmate DOC -or-

Medically Needy - Aged - Inmate DOC Cost Share

300/OA/N/N

Medically Needy - Aged below SSI Standard -or-

Medically Needy - Aged below SSI Standard Cost Share

N/A

N/A

N/A

N/A

MN3/OA/N/N

Medically Needy - Aged above SSI Standard -or-

Medically Needy - Aged above SSI Standard Cost Share

MN3/OA/Y/N

Medically Needy - Aged above SSI Standard SOBRA -or-

Medically Needy - Aged above SSI Standard SOBRA Cost Share

N/A

N/A

MDN/BL/N/N

Medically Needy - Blind -or-

Medically Needy - Blind Cost Share

MDN/BL/Y/N

Medically Needy - Blind SOBRA -or-

Medically Needy - Blind SOBRA Cost Share

MDN/BL/N/Y

Medically Needy - Blind - Inmate DOC -or-

Medically Needy - Blind - Inmate DOC Cost Share

300/BL/N/N

Medically Needy - Blind below SSI Standard -or-

Medically Needy - Blind below SSI Standard Cost Share

N/A

N/A

N/A

N/A

MN3/BL/N/N

Medically Needy - Blind above SSI Standard -or-

Medically Needy - Blind above SSI Standard Cost Share

MN3/BL/Y/N

Medically Needy - Blind above SSI Standard SOBRA -or-

Medically Needy - Blind above SSI Standard SOBRA Cost Share

N/A

N/A

300/DS/N/N

Medically Needy - Disabled below SSI Standard -or-

Medically Needy - Disabled below SSI Standard Cost Share

N/A

N/A

N/A

N/A

MN3/DS/N/N

Medically Needy - Disabled above SSI Standard -or-

Medically Needy - Disabled above SSI Standard Cost Share

MN3/DS/Y/N

Medically Needy - Disabled above SSI Standard SOBRA -or-

Medically Needy - Disabled above SSI Standard SOBRA Cost Share

N/A

N/A