Program Codes

Created on: 
Oct 11 2019

Cash Assistance

Food Assistance

Medical Assistance

Modified Adjusted Gross Income (MAGI) Medical

Program codes no longer in use

Cash Assistance (Invalid)

Medical Assistance (Invalid)

CASH ASSISTANCE PROGRAM CODES

Program Codes Program Types Program Type Definitions
AF (TANF - Temporary Assistance for Needy Families) R Regular
P Pregnant
F Regular - Mixed Federal & State
AF (TANF) 6 Regular - State Only
7 Pregnancy - State Only
9 State Funded
DA (Diversion Cash Assistance) R Regular
P Pregnancy
EA (CEAP) R Regular
GA (Aged, Blind, Disabled) A Aged
B Blind
D Disabled
X Pending SSI
GA (Housing and Essential Needs (HEN) Referral) U Unemployable - No Cash
GI (Institution for the Mentally Diseased) A Aged in IMD
K Kids in an IMD
GS (Pregnant Women) P Pregnancy/Family Planning
RF (Refugee) R Regular
SSP (SSI State Supplement Payment) I Ineligible Spouse
M Mandatory Income Level
A Aged (65 or Over)
B Blind

BASIC FOOD PROGRAM CODES

Program Codes

Program Types

Program Type Definitions

FS (Food Assistance) C Total Public Assistance (PA) FS Household
S Non PA FS Household
T SSI / FS
F Total PA Household Mixed FS and FAP
G Non PA Household Mixed FS and FAP
J SSI Household Mixed FS and FAP
6 Total PA Household FAP Only
7 Non PA Household FAP Only
8 SSI Household FAP Only

FS  Transitional Food Assistance TFA 

S Non PA FS Household
FS Transitional Food Assistance TFA T

SSI FS Household

WS Working Family Support

R Regular

MEDICAL ASSISTANCE PROGRAM CODES

Program Codes

Program Types

Program Type Definitions

Medical Coverage Group Code

Medical Coverage Group Definition

Medical Care Services (MCS) medical 

A, B, D Aged, Blind, Disabled A01 Medical Care Services

Medical Care Services (MCS) medical

U Unemployable A05 Medical Care Services

MA [Foster Care (FC) / Adoption Support (AS) / Juvenile Rehabilitation (JR)]

1

IV-E FC Federal Funded

D01

Title IV-E Foster Care Medical SSI Related CN

D02

Title IV-E Foster Care Medical Non-SSI Related

MA [Foster Care (FC) / Adoption Support (AS) /Juvenile Rehabilitation (JR)]

2

Non IV-E FC State Funded

D01

Non IV-E Foster Care Medical SSI Related CN

D02

Non IV-E Foster Care Medical Non SSI Related

MA [Foster Care (FC) / Adoption Support (AS) / Juvenile Rehabilitation (JR)]

3

IV-E AS Federal Funded

D01

Title IV-E Adoption Support Medical SSI Related CN

D02

Title IV-E Adoption Support Medical Non SSI Related

MA [Foster Care (FC) / Adoption Support (AS) / Juvenile Rehabilitation (JR)]

4

Non IV-E Adoption Support State Funded

D01

Non IV-E State Funded Adoption Support Medical SSI Related CN

D02

Non IV-E State Funded Adoption Support Medical Non SSI Related

MA [Foster Care (FC) / Adoption Support (AS) / Juvenile Rehabilitation (JR)]

5

Juvenile Rehabilitation

D01

SSI Related CN Medical Juvenile Rehabilitation

D02

Non SSI Related Medical Juvenile Rehabilitation

MA [Foster Care (FC)/ Post-Foster Care Coverage

R

Post Foster Care (Washington Apple Health) D26 Non SSI related Post Foster Care Coverage

SSI Related Non-Institutional Alternate Living Facility MA

A, B, D

Aged, Blind, Disabled

G03

Categorically Needy ALF

G95

Medically Needy Zero Spenddown ALF

G99

Medically Needy with Spenddown ALF

Family Related MA R,P, E Regular, Pregnant, Employable F99

Medically Needy Spenddown

Psychiatric Indigent Inpatient MA

R

Regular

M99

Psychiatric Indigent Inpatient

Refugee MA

R

Regular

R02

Transitional 4 Month Extension

R03

Refugee Categorically Needy

SSI Related  MA

A, B, D

Aged, Blind, Disabled

S01

SSI Recipient

M

Aged with  Cash Payment

S01

SSI Recipient

N

Blind with Cash Payment

S01

SSI Recipient

O

Disabled with Cash Payment

S01

SSI Recipient

A, B, D

Aged, Blind, Disabled

S02

ABD Categorically Needy

A, B, D

Aged, Blind, Disabled

S03

Qualified Medicare Beneficiary (QMB) - Medicare Cost Sharing

B, D

Blind, Disabled

S04

Qualified Disabled Working Individual (QDWI) - Medicare Cost Sharing

A, B, D

Aged, Blind, Disabled

S05

Special Medicare Beneficiary (SLMB) - Medicare Cost Sharing

A, B, D

Aged, Blind, Disabled

S06

Expanded Special Medicare Beneficiary (ESLMB) - Medicare Cost Sharing

A, B, D

Aged, Blind, Disabled

S07

Undocumented Alien

HWD 

A, B, D

Aged, Blind, Disabled

S08

CN - Requires Premium Payment by Client

SSI Related  MA 

A, B, D

Aged, Blind, Disabled

S95

Medically Needy - Zero Spenddown

S99

Medically Needy - with Spenddown

Family Long Term Care MA

R, K, P

Regular, Kids, Pregnant

K01

Categorically Needy Family Long Term Care

F, G, 6, 7

See F04 MA Cvrg. Grps. for Prgm. Type Description

K01

Categorically Needy Family Long Term Care

Family Long Term Care MA

R, K, P

Regular, Kids, Pregnant

K03

Undocumented Alien Family Long Term Care

F, G, 6, 7

See F04 MA Cvrg. Grps. for Prgm. Type Description

K03

Undocumented Alien Family Long Term Care

Family Long Term Care MA

J

Kids Mixed Fed & SFA

K03

Undocumented Alien Family Long Term Care

8

Kids - SFA Only

K03

Undocumented Alien Family Long Term Care

Family Long Term Care MA

R, K, P

Regular, Kids, Pregnant

K95

Family Long Term Care Zero Spenddown

F, G, 6, 7

See F04 MA Cvrg. Grps. for Prgm. Type Description

K95

Family Long Term Care Zero Spenddown

Family Long Term Care MA

R, K, P

Regular, Kids, Pregnant

K99

Family Long Term Care with Spenddown

F, G, 6, 7

See F04 MA Cvrg. Grps. for Prgm. Type Description

K99

Family Long Term Care with Spenddown

Long Term Care SSI Related MA

A, B, D

Aged, Blind, Disabled

L01

SSI Long Term Care

M

Aged with Cash Payment

L01

SSI Long Term Care

N Blind with Cash Payment L01

SSI Long Term Care

O

Disabled with Cash Payment

L01

SSI Long Term Care

Home & Community Based Waiver MA

A, B, D

M, N, O

Aged, Blind, Disabled

L21*

SSI Long Term Care

Categorically Needy Home & Community Based Waiver (COPES, DDD, and Hospice)

Home & Community Based Waiver MA

M, N, O

Aged, Blind, Disabled

With Cash Payment

L21*

SSI Long Term Care

Categorically Needy Home & Community Based Waiver (COPES, DDD, and Hospice)

SSI PACE or Institutional Hospice MA M, N, O

Aged, Blind, Disabled

With Cash Payment 

L31

SSI Long Term Care

Categorically Needy PACE or Institutional Hospice

SSI Roads to Community Living M, N, O

Aged, Blind, Disabled

With Cash Payment

L41

SSI Long Term Care

Categorically Needy Roads to Community Living (RCL)

SSI Non-Institutional CN CFC or MPC M, N, O

Aged, Blind, Disabled

With Cash Payment

L51

SSI Non-Institutional CN CFC or MPC

Categorically Needy Community First Choice (CFC) or Medicaid Personal Care (MPC)

Home & Community Based Waiver MA

A, B, D

Aged, Blind, Disabled

L22*

Categorically Needy Home & Community Based Waiver (COPES, DDD, and Hospice)

State Funded Long Term Care

A, B, D

Aged Blind, Disabled

L24

State Funded Long Term Care at home or Alternate Living Facility

Long Term Care SSI Related MA

A, B, D

Aged, Blind, Disabled

L02

Categorically Needy  Long Term Care

L04

State Funded Long Term Care in facility or hospital

L32

Categorically Needy SSI Related

PACE or Institutional Hospice

L42

Categorically Needy SSI Related

Roads to Community Living (RCL)

L52

SSI-Related Non-Institutional CN CFC or MPC

Community First Choice (CFC) or Medicaid Personal Care (MPC)

L95

Long Term Care – No  Spenddown

Hospice MN

L99

Long Term Care with Spenddown

Hospice MN

Medically Needy Hospice – Institutional

A, B, D

Aged, Blind, Disabled

L95*

MN Hospice – No Spenddown

L99*

MN Hospice – with Spenddown

Pregnant MA P Pregnant P05

Family Planning Extension

P99

Medically Needy Pregnant Women + Postpartum Extension

Family Planning P99

Take Charge Family Planning Services Only

MA-Pregnant Family Planning only P Take Charge Family Planning Service only P06

Take Charge Family Planning Services only

Breast and Cervical Cancer Treatment Program (BCCTP)

R

Regular

S30

Categorically Needy 

 

Tailored Supports for Older Adults (TSOA)

R Regular T02 Limited Support Services

* When Hospice is the priority program, Hospice (H) displays on the Eligibility Details page.

Modified Adjusted Gross Income (MAGI) Medical

Program Codes Program Types

Medical Coverage Group Definition

N01 R

Parent/Caretaker

N02 R

Transitional Medical

N03 P

Pregnant - Federal

N05 R

New Adult

N10 R

Newborn

N11 R

Children's Medical - Federal

N13 R

Children's Health Insurance Premium (CHIP) Federal

N21 R

Parent / Caretaker Alien Emergency Medical (AEM)

N23 P

Pregnancy - State

N25 R

New Adult AEM

N31 R

Children's State (Non-Qualified / Non-Federally Qualified)

N33 R

CHIP State (Non - Qualified / Non-Federally Qualified)

 

Program Codes No Longer in use

CASH ASSISTANCE PROGRAM CODES (Invalid)

Program Codes

Program Types

Program Type Definitions

Medical Coverage

Group Code

Medical Coverage Group Definition

AF (TANF - Temporary Assistance for Needy Families)

(Invalid as of 09/30/2013)

E

Employed

F01

TANF Medicaid

R Regular F01

TANF Medicaid 

P

Pregnant

F01

TANF Medicaid

F Regular - Mixed Fed & SFA F01

TANF Medicaid

J Employed - Mixed Fed & SFA F01

TANF Medicaid

G Pregnancy - Mixed Fed & SFA F01

TANF Medicaid

AF (TANF)

(Invalid as of 09/30/2013)

6

Regular - SFA Only

F01

TANF Medicaid

7

Pregnancy - SFA Only

F01

TANF Medicaid

8 Employed - SFA Only F01

TANF Medicaid

9

 State Funded

F01

Child Relinquished for Adoption

GA (Invalid as of 09/2014)

U

Unemployable

G01

Medical Care Services Unemployed (based on living arrangement)

R

Regular

G01

Categorically Needy Medical - Child Under 19

A

Aged

G02

Categorically Needy ABD Medical

B

Blind

G02

Categorically Needy ABD Medical

D

Disabled

G02

Categorically Needy ABD Medical

X

Pending SSI

G02

Categorically Needy ABD Medical

GI (Institution for the Mentally Diseased)

A

Aged in an IMD

I01

Aged in an Institution for the Mentally Diseased

K

Kids in an IMD

I01

Kids in an Institution for the Mentally Diseased

GS (Pregnant Women)

P

Pregnancy/Family Planning

P01

Categorically Needy GA Pregnancy Cash 

GW (ADATSA)

W

Treatment

W01

ADATSA Medical

Y

Inpatient

W01

ADATSA Medical

Z

Shelter

W01

ADATSA Medical

RF (Refugee)

R

Regular

R01

Refugee Medical

(Invalid as of 9/30/2013)

MEDICAL ASSISTANCE PROGRAM CODES (Invalid)

Program Codes

Program Types

Program Type Definitions

Medical Coverage Group Code

Medical Coverage Group Definition

Family Related MA

R, P, E

Regular, Pregnant, Employed

F02

Transitional Medicaid

F, G, J

Regular, Pregnancy, Employable Mixed Fed & SFA

F02 Transitional Medicaid

6, 7, 8

Regular, Pregnancy, Employable SFA Only

F02

Transitional Medicaid

Family Related MA

R, P, E

Regular, Pregnant, Employed

F03

Post TANF Child / Spousal Support

F, G, J Regular, Pregnancy, Employable Mixed Fed & SFA F03

Post TANF Child / Spousal Support

6, 7, 8

Regular, Pregnancy, Employable SFA Only

F03

Post TANF Child / Spousal Support

Family Related MA

R, P, E

Regular, Pregnant, Employed

F04

Categorically Needy (CN) Family Medical

F, G, J Regular, Pregnancy, Employable Mixed Fed & SFA F04

CN Family Medical

6, 7, 8

Regular, Pregnancy, Employable SFA Only

F04

CN Family Medical

Family Related MA

R

Regular

F05

Newborns

F06

Categorically Needy (CN) for Children

F07

Children's Health Insurance Program (CHIP)

Family Related MA

(Invalid as of 09/30/02)

R

Regular

F08

Non-Citizen Children's Medical

Family Related MA

R

Regular

F09

Non-Citizen Family Related CN Emergency Medical

Family Related MA

R, P

Regular, 
Pregnancy

F10

CN Family Medical Extension

F

Regular
Mixed Fed & SFA

F10

CN Family Medical Extension

6

Regular 
SFA Only

F10

CN Family Medical Extension

7

Pregnancy 
SFA Only

F10

CN Family Medical Extension

Family Related MA

(Invalid as of 12/31/00)

R

Regular

F20

Family Medical Project

Family Related MA

R, P, E

Regular, Pregnant, Employable

F95

Medically Needy Zero Spenddown

Medical Care Services MA

U

Unemployable

G01

Medical Care Services Unemployed

R

Regular

G01

Categorically Needy Medical – Child Under 19

Psychiatric Indigent Inpatient Spenddown (PII)

R

Regular

M99

Psychiatric Indigent Inpatient Spenddown 

Prior to 07/2003 - Medically Indigent

Pregnant MA

P

Pregnant

P02

Pregnant 185% + Postpartum Extension

P04

Undocumented Alien Pregnant Woman

ADATSA  (Medical Assistance)

(Invalid as of 01/1/2014)

W

Treatment

W02

ADATSA Medical Care

DETOX 

(Invalid as of 01/1/2014)

I

DETOX - Hospital Payment Only

W03

DETOX 

Home & Community Based Waiver MA

(Invalid as of 02/01/2011)

A, B, D

Aged, Blind, Disabled

C01

Categorically Needy Home & Community Based Waiver (COPES, CAP, OBRA, and Hospice)

M

Aged with Cash Payment

C01

Categorically Needy Home & Community Based Waiver (COPES, CAP, OBRA, and Hospice)

N

Blind with Cash Payment

C01

Categorically Needy Home & Community Based Waiver (COPES, CAP, OBRA, and Hospice)

O

Disabled with Cash Payment

C01

Categorically Needy Home & Community Based Waiver (COPES, CAP, OBRA, and Hospice)

A, B, D Aged, Blind, Disabled C04

Non-Citizen Categorically Needy Waiver or Hospice Services

A, B, D

Aged, Blind, Disabled

C95

Hospice Services No Spenddown

C99

Hospice Services with Spenddown

Legal Guardian Medical H Legal Guardian H01

Legal Guardian Medical

Family Long Term Care MA

J

Kids Mixed Fed & SFA

K01

Categorically Needy Family Long Term Care

8

Kids - SFA Only

K01

Categorically Needy Family Long Term Care

Family Long Term Care MA

J

Kids Mixed Fed & SFA

K95

Family Long Term Care Zero Spenddown

8

Kids - SFA Only

K95

Family Long Term Care Zero Spenddown

Family Long Term Care MA

J

Kids Mixed Fed & SFA

K99

Family Long Term Care with Spenddown

8

Kids - SFA Only

K99

Family Long Term Care with Spenddown