Benefit Plan & Program Aid Code Acronyms Provider Web Portal Quick Guide

Last updated: 08/13/2020
 

example of benefit plan and aid codes

Benefit Plan Acronyms

Benefit Plans are the services a member is financially and functionally eligible to receive. Listed below in alphabetical order.

Benefit Plan Code Benefit Plan Short Description
ABP Alternative Benefit Plan
BHO+B Behavioral Health Benefits
BI HCBS Brain Injury Waiver
CCTBI Colorado Choice Transitions (CCT) - Brain Injury Waiver
CCTCM Colorado Choice Transitions (CCT) - Community Mental Health Supports Waiver
CCTDD Colorado Choice Transitions (CCT) - Developmental Disabilities Waiver
CCTEB Colorado Choice Transitions (CCT) - Elderly, Blind & Disabled Waiver
CCTSL Colorado Choice Transitions (CCT) - Supported Living Services Waiver
CES HCBS Children's Extensive Support Waiver
CHCBS HCBS Children's Home and Community-Based Services Waiver
CHP+B Child Health Plan Plus (CHP+)
CHRP HCBS Children's Habilitation Residential Program Waiver
CLLI HCBS Children with Life-Limiting Illness Waiver
CMHS HCBS Community Mental Health Supports Waiver
CWA HCBS Children with Autism Waiver
DD HCBS Developmental Disabilities Waiver
EBD HCBS Elderly, Blind, & Disabled Waiver
EMS Emergency Medical Services Only Plan
FSSP Family Support Services
INCAR Incarcerated Benefit Plan
OAPSO Old Age Pension (OAP) State Only Benefit Plan
OBRA OBRA Specialized Services
QDWI Qualified Disabled Working Individuals
QI-1 Qualifying Individual
QMB Qualified Medicare Beneficiary
SCI HCBS Spinal Cord Injury Waiver
SLMB Specified Low-income Medicare Beneficiary
SLS HCBS Supported Living Services Waiver
SPSLS State Supported Living Services
TXIX Medicaid State Plan

Program Aid Codes

Listed below in alpha-numerical order.

Program Aid Code Program Description
10 Subsidized and Not Subsidized Adoptions
11 Supplemental Security Income - Foster Care
12 Child Welfare - Foster Care
19 Subsidized Adoption Foster Care
20 Emancipated Foster Care SB07-002
23 Foster Care - Voluntary
70 Division of Youth Corrections (DYC) Without Regard to Income and Child Welfare without Regard to Income
B0 Old Age Pension (OAP) HCP-A
B1 Pickle
B3 Buy-in Working Adults with Disabilities (WAwD)
B8 Old Age Pension (OAP) A Med Psych >, 65
BA Old Age Pension (OAP) HCP-B
BF Disabled Adult Child (DAC)
BJ Supplemental Security Income SSI Mandatory
BK Old Age Pension (OAP)-A Med
BL Old Age Pension (OAP)-B Med
BM Qualified Disabled Widower (QDW)
F2 Qualifying Individual (QI-1)
F3 Specified Low-Income Medicare (SLMB)
F4 Qualified Medicare Beneficiary (QMB)
FF Former Foster Care
H1 Psych <,21
H2 Eligible Needy Newborn
H3 Trans Med
H5 Buy-in Children with Disabilities (CBwD)
H6 4 Month Extended
HA Refugee
HB Legal Immigrant Prenatal
HD Modified Adjusted Gross Income (MAGI) Adults
HH Modified Adjusted Gross Income (MAGI) Children
HP Modified Adjusted Gross Income (MAGI) Pregnant
HR Modified Adjusted Gross Income (MAGI) Parents/Caretakers
K1 Modified Adjusted Gross Income (MAGI) Prenatal PE
K2 Child Health Plan Plus (CHP+) Prenatal PE
K5 Modified Adjusted Gross Income (MAGI) Child PE
K7 Child Health Plan Plus (CHP+) Child PE
L1 Low Income Summary (LIS)
M0 HCBS - Community Mental Health Supports Waiver (CMHS)
M1 HCBS - Brain Injury Waiver (BI)
M2 HCBS Children's Extensive Support Waiver (CES)
M3 HCBS Children's Home and Community-Based Services Waiver (CHCBS)
M4 HCBS Children's Habilitation Residential Program Waiver (CHRP)
M5 HCBS Spinal Cord Injury Waiver (SCI)
M6 HCBS - Developmental Disabilities Waiver (DD)
M7 HCBS - Colorado Choice Transitions (CCT)
M8 HCBS - Elderly, Blind & Disabled Waiver (EBD)
M9 HCBS Children with Autism Waiver (CWA)
MA Program of All-Inclusive Care for the Elderly (PACE)
MC HCBS - Supported Living Services Waiver (SLS)
MD HCBS Children with Life Limiting Illness Waiver (CLLI)
MJ Nursing Facility (NF)/Hospital 300% Institutionalized
N1 Child Health Plan Plus (CHP+) Child
N2 Child Health Plan Plus (CHP+) Prenatal
N4 Child Health Plan Plus (CHP+) Newborn
P3 Qualified Disabled Working Individual (QDWI)
P9 Breast and Cervical Cancer Program (BCCP)
PA Breast and Cervical Cancer Program (BCCP) Presumptive Eligibility

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