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

Last updated: 02/20/2024
 

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 CodeBenefit Plan Short Description
ABPAlternative Benefit Plan
BHABNot Billable
BHO+BMedicaid Behavioral Health Benefits
BIHCBS Brain Injury Waiver
CCTBIColorado Choice Transitions (CCT) - Brain Injury Waiver
CCTCMColorado Choice Transitions (CCT) - Community Mental Health Supports Waiver
CCTDDColorado Choice Transitions (CCT) - Developmental Disabilities Waiver
CCTEBColorado Choice Transitions (CCT) - Elderly, Blind & Disabled Waiver
CCTSLColorado Choice Transitions (CCT) - Supported Living Services Waiver
CESHCBS Children's Extensive Support Waiver
CHCBSHCBS Children's Home and Community-Based Services Waiver
CHP+BChild Health Plan Plus (CHP+)
CHRPHCBS Children's Habilitation Residential Program Waiver
CLLIHCBS Children with Life-Limiting Illness Waiver
CMHSHCBS Community Mental Health Supports Waiver
CWAHCBS Children with Autism Waiver
DDHCBS Developmental Disabilities Waiver
EBDHCBS Elderly, Blind, & Disabled Waiver
EMSEmergency Medical and Reproductive Health Program
FAMPLFamily Planning
FSSPFamily Support Services
INCARIncarcerated Benefit Plan
OAPSOOld Age Pension (OAP) State-Only Benefit Plan
OBRAOBRA Specialized Services
QDWIQualified Disabled Working Individuals
QI-1Qualifying Individual
QMBQualified Medicare Beneficiary
SCIHCBS - Complementary and Integrative Health (CIH)
SLMBSpecified Low-income Medicare Beneficiary
SLSHCBS Supported Living Services Waiver
SPSLSState Supported Living Services
TXIXMedicaid State Plan

Program Aid Codes

Listed below in alpha-numerical order.

Program Aid CodeProgram Description
10Subsidized and Not Subsidized Adoptions
11Supplemental Security Income - Foster Care
12Child Welfare - Foster Care
13Foster Care - Removed by CT/AF
19Subsidized Adoption Foster Care
20Emancipated Foster Care SB07-002
23Foster Care - Voluntary
30Division of Youth Services (DYS)
70Division of Youth Corrections (DYC) Without Regard to Income
B0Old Age Pension (OAP) HCP-A
B1Pickle
B3Buy-in Working Adults with Disabilities (WAwD)
B8Old Age Pension (OAP) A Med Psych >, 65
BAOld Age Pension (OAP) HCP-B
BFDisabled Adult Child (DAC)
BJSupplemental Security Income SSI Mandatory
BKOld Age Pension (OAP)-A Med
BLOld Age Pension (OAP)-B Med
BMQualified Disabled Widower (QDW)
F2Qualifying Individual (QI-1)
F3Specified Low-Income Medicare (SLMB)
F4Qualified Medicare Beneficiary (QMB)
FFFormer Foster Care
FPFamily Planning
H1Psych <,21
H2Eligible Needy Newborn
H3Trans Med
H5Buy-in Children with Disabilities (CBwD)
H64 Month Extended
HARefugee
HBLegal Immigrant Prenatal
HDModified Adjusted Gross Income (MAGI) Adults
HHModified Adjusted Gross Income (MAGI) Children
HPModified Adjusted Gross Income (MAGI) Pregnant
HRModified Adjusted Gross Income (MAGI) Parents/Caretakers
K1Modified Adjusted Gross Income (MAGI) Prenatal PE
K2Child Health Plan Plus (CHP+) Prenatal PE
K5Modified Adjusted Gross Income (MAGI) Child PE
K7Child Health Plan Plus (CHP+) Child PE
L1Low Income Summary (LIS)
M0HCBS - Community Mental Health Supports Waiver (CMHS)
M1HCBS - Brain Injury Waiver (BI)
M2HCBS Children's Extensive Support Waiver (CES)
M3HCBS Children's Home and Community-Based Services Waiver (CHCBS)
M4HCBS Children's Habilitation Residential Program Waiver (CHRP)
M5HCBS Spinal Cord Injury Waiver (SCI)
M6HCBS - Developmental Disabilities Waiver (DD)
M7HCBS - Colorado Choice Transitions (CCT)
M8HCBS - Elderly, Blind & Disabled Waiver (EBD)
M9HCBS Children with Autism Waiver (CWA)
MAProgram of All-Inclusive Care for the Elderly (PACE)
MCHCBS - Supported Living Services Waiver (SLS)
MDHCBS Children with Life Limiting Illness Waiver (CLLI)
MJNursing Facility (NF)/Hospital 300% Institutionalized
N1Child Health Plan Plus (CHP+) Child
N2Child Health Plan Plus (CHP+) Prenatal
N4Child Health Plan Plus (CHP+) Newborn
P3Qualified Disabled Working Individual (QDWI)
P9Breast and Cervical Cancer Program (BCCP)
PABreast and Cervical Cancer Program (BCCP) Presumptive Eligibility
PFFamily Planning PE
X1Behavioral Health Means tested
X2Behavioral Health Non-Means tested

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