Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MANAM
Question Text:

? [F1] * Do not read. Was the Health Plan name obtained from a Health Plan Card or something with the Health Plan name on it?

1 Yes
2 No

Universe Text All persons with Medicaid who must select a doctor from a book or list or for whom a doctor is assigned
Skip Instructions:

go to MAPCMD

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MAPCMD
Question Text:

[fill1: Are you/Is ALIAS] required to sign up with a certain primary care doctor, group of doctors, or certain clinic which [fill2: you/he/she] must go to for all of [fill3: your/his/her] routine care? Do not include emergency care or care from a specialist [fill4: you were/he was/she was] referred to.

1 Yes
2 No
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

go to MAREF

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MANAM
Question Text:

? [F1] * Do not read. Was the Health Plan name obtained from a Health Plan Card or something with the Health Plan name on it?

1 Yes
2 No

Universe Text All persons with Medicaid who must select a doctor from a book or list or for whom a doctor is assigned
Skip Instructions:

go to MAPCMD

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MANAM
Question Text:

? [F1] * Do not read. Was the Health Plan name obtained from a Health Plan Card or something with the Health Plan name on it?

1 Yes
2 No

Universe Text All persons with Medicaid who must select a doctor from a book or list or for whom a doctor is assigned
Skip Instructions:

go to MAPCMD

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MANAM
Question Text:

? [F1] * Do not read. Was the Health Plan name obtained from a Health Plan Card or something with the Health Plan name on it?

1 Yes
2 No

Universe Text All persons with Medicaid who must select a doctor from a book or list or for whom a doctor is assigned
Skip Instructions:

go to MAPCMD

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MANAM
Question Text:

? [F1] * Do not read. Was the Health Plan name obtained from a Health Plan Card or something with the Health Plan name on it?

1 Yes
2 No

Universe Text All persons with Medicaid who must select a doctor from a book or list or for whom a doctor is assigned
Skip Instructions:

go to MAPCMD

Instrument Variable Name: MACHMD
Question Text:

(book F14) ? [F1] * Refer to flashcard F14 for state Medicaid names. The next questions are about Medicaid coverage. In this State it is also called (* fill State Name). [fill1: You are/ALIAS is] listed as having Medicaid coverage. Can [fill2: you/ALIAS] go to ANY doctor who will accept Medicaid or MUST [fill3: you/he/she] choose from a book or list of doctors or is a doctor assigned?

1 Any doctor
2 Select from book/list
3 Doctor is assigned
7 Refused
9 Don't know

Universe Text All persons with Medicaid
Skip Instructions:

(1,R,D) [go to MAPCMD]
(2) [go to MACHMD1]
(3) [go to MACHMD2]

Instrument Variable Name: MACHMD1
Question Text:

* Ask or verify. What is the name of the health plan that provided the book or list?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid who must select a doctor from a book or list of doctors
Skip Instructions:

go to MANAM

Instrument Variable Name: MACHMD2
Question Text:

* Ask or verify. What is the name of the health plan that assigned the doctor?
*Read if necessary: Do you have a health plan card or something with the plan name on it?

Verbatim Verbatim response
7 Refused
9 Don't know

Universe Text All persons with Medicaid for whom a doctor is assigned
Skip Instructions:

go to MANAM

Instrument Variable Name: MANAM
Question Text:

? [F1] * Do not read. Was the Health Plan name obtained from a Health Plan Card or something with the Health Plan name on it?

1 Yes
2 No

Universe Text All persons with Medicaid who must select a doctor from a book or list or for whom a doctor is assigned
Skip Instructions:

go to MAPCMD

Check item FHICCI4:(Medicaid Coverage) Loop through every non-deleted and non-Armed Forces family member roster. If the person in FHI.070 marked 6 then go to FHI.120; Else go to Check item FHICCI4.1.

FR: REFER TO FLASHCARD F11 FOR STATE MEDICAID NAMES
DO YOU HAVE A HEALTH PLAN CARD OF SOMETHING WITH THE PLAN NAME ON IT?

The next questions are about Medicaid coverage. In this State it is also called (state name). {You/subject name} {are/is} listed as having Medicaid coverage. Can {you/subject's name} go to ANY doctor who will accept Medicaid or MUST {you/he/she} choose from a book or list of doctors or is a doctor assigned?

(1) Any doctor (FHI.140)
(2) Select from book/list (FHI.130)
(3) Doctor is assigned (FHI.130)
(7) Refused (FHI.140)
(9) Don't know (FHI.140)

[If MACHMD eq (2)]

FR: ASK or VERIFY:

What is the name of the health plan that provided the book or list?

MACHMD_1 ______________________

[If MACHMD eq (3)]

What is the name of the health plan that assigned the doctor?

MACHMD_2 ______________________

FR: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?

[This question is only of the FR]

(1) Yes
(2) No

Check item FHICCI4:(Medicaid Coverage) Loop through every non-deleted and non-Armed Forces family member roster. If the person in FHI.070 marked 6 then go to FHI.120; Else go to Check item FHICCI4.1.

FR: REFER TO FLASHCARD F11 FOR STATE MEDICAID NAMES
DO YOU HAVE A HEALTH PLAN CARD OF SOMETHING WITH THE PLAN NAME ON IT?

The next questions are about Medicaid coverage. In this State it is also called (state name). {You/subject name} {are/is} listed as having Medicaid coverage. Can {you/subject's name} go to ANY doctor who will accept Medicaid or MUST {you/he/she} choose from a book or list of doctors or is a doctor assigned?

(1) Any doctor (FHI.140)
(2) Select from book/list (FHI.130)
(3) Doctor is assigned (FHI.130)
(7) Refused (FHI.140)
(9) Don't know (FHI.140)

[If MACHMD eq (2)]

FR: ASK or VERIFY:

What is the name of the health plan that provided the book or list?

MACHMD_1 ______________________

[If MACHMD eq (3)]

What is the name of the health plan that assigned the doctor?

MACHMD_2 ______________________

FR: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?

[This question is only of the FR]

(1) Yes
(2) No

Check item FHICCI4:(Medicaid Coverage) Loop through every non-deleted and non-Armed Forces family member roster. If the person in FHI.070 marked 6 then go to FHI.120; Else go to Check item FHICCI4.1.

FR: REFER TO FLASHCARD F11 FOR STATE MEDICAID NAMES
DO YOU HAVE A HEALTH PLAN CARD OF SOMETHING WITH THE PLAN NAME ON IT?

The next questions are about Medicaid coverage. In this State it is also called (state name). {You/subject name} {are/is} listed as having Medicaid coverage. Can {you/subject's name} go to ANY doctor who will accept Medicaid or MUST {you/he/she} choose from a book or list of doctors or is a doctor assigned?

(1) Any doctor (FHI.140)
(2) Select from book/list (FHI.130)
(3) Doctor is assigned (FHI.130)
(7) Refused (FHI.140)
(9) Don't know (FHI.140)

[If MACHMD eq (2)]

FR: ASK or VERIFY:

What is the name of the health plan that provided the book or list?

MACHMD_1 ______________________

[If MACHMD eq (3)]

What is the name of the health plan that assigned the doctor?

MACHMD_2 ______________________

FR: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?

[This question is only of the FR]

(1) Yes
(2) No

Check item FHICCI4:(Medicaid Coverage) Loop through every non-deleted and non-Armed Forces family member roster. If the person in FHI.070 marked 6 then go to FHI.120; Else go to Check item FHICCI4.1.

FR: REFER TO FLASHCARD F11 FOR STATE MEDICAID NAMES
DO YOU HAVE A HEALTH PLAN CARD OF SOMETHING WITH THE PLAN NAME ON IT?

The next questions are about Medicaid coverage. In this State it is also called (state name). {You/subject name} {are/is} listed as having Medicaid coverage. Can {you/subject's name} go to ANY doctor who will accept Medicaid or MUST {you/he/she} choose from a book or list of doctors or is a doctor assigned?

(1) Any doctor (FHI.140)
(2) Select from book/list (FHI.130)
(3) Doctor is assigned (FHI.130)
(7) Refused (FHI.140)
(9) Don't know (FHI.140)

[If MACHMD eq (2)]

FR: ASK or VERIFY:

What is the name of the health plan that provided the book or list?

MACHMD_1 ______________________

[If MACHMD eq (3)]

What is the name of the health plan that assigned the doctor?

MACHMD_2 ______________________

FR: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?

[This question is only of the FR]

(1) Yes
(2) No

Check item FHICCI4:(Medicaid Coverage) Loop through every non-deleted and non-Armed Forces family member roster. If the person in FHI.070 marked 6 then go to FHI.120; Else go to Check item FHICCI4.1.

FR: REFER TO FLASHCARD F11 FOR STATE MEDICAID NAMES
DO YOU HAVE A HEALTH PLAN CARD OF SOMETHING WITH THE PLAN NAME ON IT?

The next questions are about Medicaid coverage. In this State it is also called (state name). {You/subject name} {are/is} listed as having Medicaid coverage. Can {you/subject's name} go to ANY doctor who will accept Medicaid or MUST {you/he/she} choose from a book or list of doctors or is a doctor assigned?

(1) Any doctor (FHI.140)
(2) Select from book/list (FHI.130)
(3) Doctor is assigned (FHI.130)
(7) Refused (FHI.140)
(9) Don't know (FHI.140)

[If MACHMD eq (2)]

FR: ASK or VERIFY:

What is the name of the health plan that provided the book or list?

MACHMD_1 ______________________

[If MACHMD eq (3)]

What is the name of the health plan that assigned the doctor?

MACHMD_2 ______________________

FR: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?

[This question is only of the FR]

(1) Yes
(2) No

Check item FHICCI4:(Medicaid Coverage) Loop through every non-deleted and non-Armed Forces family member roster. If the person in FHI.070 marked 6 then go to FHI.120; Else go to Check item FHICCI4.1.

FR: REFER TO FLASHCARD F11 FOR STATE MEDICAID NAMES
DO YOU HAVE A HEALTH PLAN CARD OF SOMETHING WITH THE PLAN NAME ON IT?

The next questions are about Medicaid coverage. In this State it is also called (state name). {You/subject name} {are/is} listed as having Medicaid coverage. Can {you/subject's name} go to ANY doctor who will accept Medicaid or MUST {you/he/she} choose from a book or list of doctors or is a doctor assigned?

(1) Any doctor (FHI.140)
(2) Select from book/list (FHI.130)
(3) Doctor is assigned (FHI.130)
(7) Refused (FHI.140)
(9) Don't know (FHI.140)

[If MACHMD eq (2)]

FR: ASK or VERIFY:

What is the name of the health plan that provided the book or list?

MACHMD_1 ______________________

[If MACHMD eq (3)]

What is the name of the health plan that assigned the doctor?

MACHMD_2 ______________________

FR: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?

[This question is only of the FR]

(1) Yes
(2) No

Check item FHICCI4:(Medicaid Coverage) Loop through every non-deleted and non-Armed Forces family member roster. If the person in FHI.070 marked 6 then go to FHI.120; Else go to Check item FHICCI4.1.

FR: REFER TO FLASHCARD F11 FOR STATE MEDICAID NAMES
DO YOU HAVE A HEALTH PLAN CARD OF SOMETHING WITH THE PLAN NAME ON IT?

The next questions are about Medicaid coverage. In this State it is also called (state name). {You/subject name} {are/is} listed as having Medicaid coverage. Can {you/subject's name} go to ANY doctor who will accept Medicaid or MUST {you/he/she} choose from a book or list of doctors or is a doctor assigned?

(1) Any doctor (FHI.140)
(2) Select from book/list (FHI.130)
(3) Doctor is assigned (FHI.130)
(7) Refused (FHI.140)
(9) Don't know (FHI.140)

[If MACHMD eq (2)]

FR: ASK or VERIFY:

What is the name of the health plan that provided the book or list?

MACHMD_1 ______________________

[If MACHMD eq (3)]

What is the name of the health plan that assigned the doctor?

MACHMD_2 ______________________

FR: WAS THE HEALTH PLAN NAME OBTAINED FROM A HEALTH PLAN CARD OR SOMETHING WITH THE HEALTH PLAN NAME ON IT?

[This question is only of the FR]

(1) Yes
(2) No