Caretaker Medical (Test = Caretaker Medical) |
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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 |
CTM/PA/N/N |
Caretaker Medical - Parent or Caretaker |
CTM/PA/Y/N |
Caretaker Medical - Parent or Caretaker SOBRA |
CTM/PA/N/Y |
Caretaker Medical - Parent or Caretaker Inmate DOC |
CTM/CH/N/N |
Caretaker Medical - Children |
CTM/CH/Y/N |
Caretaker Medical - Children SOBRA |
CTM/CH/N/Y |
Caretaker Medical - Children Inmate DOC |
CTM/PW/N/N |
Caretaker Medical - Pregnant Women |
CTM/PW/Y/N |
Caretaker Medical - Pregnant Women SOBRA |
CTM/PW/N/Y |
Caretaker Medical - Pregnant Women Inmate DOC |
Transitional Medical (Test = Transitional Medical) |
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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 |
TMD/FM/N/N |
Transitional Medical |
N/A |
N/A |
N/A |
N/A |
Extended Medical (Test = Extended Medical) |
|||||
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 |
EXT/FM/N/N |
Extended Medical |
N/A |
N/A |
N/A |
N/A |
Title 19 (Test = Poverty Level Programs) |
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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 |
PLN/PW/N/N |
Poverty Level Programs - Pregnancy Women |
PLN/PW/Y/N |
Poverty Level Programs - Pregnancy Women SOBRA |
PLN/PW/N/Y |
Poverty Level Programs - Pregnancy Women Inmate DOC |
PLN/DN/N/N |
Poverty Level Programs - Deemed Newborns |
PLN/DN/Y/N |
Poverty Level Programs - Deemed Newborns SOBRA |
N/A |
N/A |
PLN/NB/N/N |
Poverty Level Programs - Newborn |
PLN/NB/Y/N |
Poverty Level Programs - Newborn SOBRA |
N/A |
N/A |
PLN/C2/N/N |
Poverty Level Programs - 1-5 Year Olds |
PLN/C2/Y/N |
Poverty Level Programs - 1-5 Year Olds SOBRA |
N/A |
N/A |
PLN/C3/N/N |
PLP - Age 6-18 FPL less than 113 |
PLN/C3/Y/N |
PLP - Age 6-18 SOBRA FPL less than 113 |
PLN/C3/N/Y |
PLP - Age 6-18 DOC Inmate FPL less than 113 or 113 to 133 w/insurance |
PLN/C4/N/N |
PLP - Age 6-18 FPL 113 to 133 |
PLN/C4/Y/N |
PLP - Age 6-18 SOBRA FPL 113 to 133 |
PLN/C4/N/Y |
PLP - Age 6-18 DOC Inmate FPL 113 to 133 |
PLN/C5/N/N |
PLP - Age 6-18 FPL 113 to 133 w/insurance |
PLN/C5/Y/N |
PLP - Age 6-18 SOBRA FPL 113 to 133 w/insurance |
N/A |
N/A |
Title 21 (Test = Title XXI (SCHIP)) |
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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 |
PLT/PW/N/N |
Title XXI - Pregnant Woman -or- Title XXI - Pregnant Woman Cost Share |
N/A |
N/A |
N/A |
N/A |
PLT/DN/N/N |
Title XXI - Deemed Newborns |
N/A |
N/A |
N/A |
N/A |
PLT/NB/N/N |
Title XXI - Newborn |
N/A |
N/A |
N/A |
N/A |
PLT/C1/N/N |
Title XXI - Age 1-5 |
N/A |
N/A |
N/A |
N/A |
PLT/C2/N/N |
Title XXI - Age 6-18 |
N/A |
N/A |
N/A |
N/A |
PLT/C3/N/N |
Title XXI - Newborn Cost Share |
N/A |
N/A |
N/A |
N/A |
PLT/C4/N/N |
Title XXI - Age 1-5 Cost Share |
N/A |
N/A |
N/A |
N/A |
PLT/C5/N/N |
Title XXI - Age 6-18 Cost Share |
N/A |
N/A |
N/A |
N/A |