Appendix A - AID Category

The AID Category Codes are organized in numerical order by Code. Codes 001-099 are the Program Designation (PD) Codes used by DSS preceded by the numeral '0'. Codes 214-803 are not used by DSS.

For your convenience, the Codes are also available sorted by Category.

Code Aid Category
001 SLH Foster Care
002 SLH General Relief
003 SLH Only
004 SLH Migrant
006 FAMIS Child under age 6; income > 150% poverty and <= 200% of poverty.
007 FAMIS Child 6-19 Years Old, income > 150% poverty and <= 200% poverty
008 FAMIS Child under age 6; income > 133% poverty and <= 150% poverty.
009 FAMIS Child 6-19 Years Old; income > 133% poverty and <= 150% poverty.
011 Aged SSI Recipient — Includes Dually Eligible QMB.
012 Aged AG Recipient — Includes Dually Eligible QMB.
018 MN Aged; December 1973 Individual; Not Also QMB
020 Aged — Individual in Medical Institution or receiving Waivered Services with Income <= 300% SSI; Hospice Recipient; Not also QMB.
021 Aged — Protected Covered Individual; Former Money Payment Recipient — August 1972; Former SSI/AG Recipient; Protected Widow(er); Qualified Severely Disabled Individual; Protected Adult Disabled Child. Includes Dually Eligible QMB.
022 Aged — Individuals in Medical Institution or receiving Waivered Services with Income <= 300% SSI; Hospice Recipient. Includes Dually Eligible QMB.
023 Aged — QMB Only
028 MN Aged Individual — December 1973 Individual; Dually Eligible QMB.
029 Aged, 80% FPL Group. Includes Dually Eligible QMB.
031 Blind SSI Recipient — Includes Dually Eligible QMB.
032 Blind AG Recipient — Includes Dually Eligible QMB.
038 MN Blind Individual; December 1873 Individual; Not Also QMB.
039 Blind, 80% FPL Group. Includes Dually Eligible QMB.
040 Blind — Individual in Medical Institution or receiving Waivered Services with Income <= 300% SSI; Hospice Recipient; Not also QMB.
041 Blind — Protected Covered Individual; Former Money Payment Recipient—August 1972; Former SSI/AG recipient; Protected Widow(er); Qualified Severely Disabled Individual; Protected Adult Disabled Child. Includes Dually Eligible QMB.
042 Blind — Individual in Medical Institution or receiving Waivered Services with Income <= 300% SSI; Hospice Recipient in Medical Facility. Includes Dually Eligible QMB.
043 Blind — QMB Only
048 MN Blind — Blind Individual; December 1973 Individual; Dually Eligible QMB.
049 Disabled, 80% FPL Group. Includes Dually Eligible QMB.
051 Disabled SSI Recipient. Includes Dually Eligible QMB.
052 Disabled AG Recipient. Includes Dually Eligible QMB.
053 Special Low Income Medicare Beneficiary (SLMB)
054 Hospice Individual
055 Qualified Disabled Working Individual (QDWI)
056 Qualified Individual (QI1)
057 Qualified Individual (QI2). Note: this group ended 12-31-02.
058 MN Disabled Individual; December 1973 Individual; Not also QMB.
060 Disabled — Individual in Medical Institution or receiving Waiver Services with Income <=300% SSI; Hospice recipient in Medical Facility. Not also QMB.
061 Disabled — Protected Covered Individual: Former Money-payment Recipient—August 1972; Protected Widow(er); Qualified Severely Disabled Individual; Protected Adult Disabled Child. Includes Dually Eligible QMB.
062 Disabled — Individual in Medical Institution or receiving Waiver Services with Income <= 300% SSI; Hospice Recipient. Includes Dually Eligible QMB.
063 Disabled — QMB Only
066 Breast or Cervical Cancer Group
068 MN Disabled Individual; December 1973 Individual; Dually Eligible QMB.
071 TANF or Deemed-TANF Recipient; 4-month-extended Medicaid Recipient. Includes Dually Eligible QMB. Note: Enrollment in this group was discontinued effective 7-1-2000.
072 Non-IVE Adoption-assistance Child; Special Medical Needs Adoption-assistance Individual. Includes Dually Eligible QMB.
073 TANF-UP or Deemed-TANF-Up Recipient. Note: Enrollment in this group was discontinued effective 7-1-2000.
074 IVE Foster-care or IVE Adoption-assistance Recipient. Includes Dually Eligible QMB.
075 Juvenile Justice Department Child. Includes Dually Eligible QMB.
076 Non-IVE Foster Care Child. Includes Dually Eligible QMB.
078 Refugee Other or Refugee Medicaid Other
079 Refugee Medicaid Unaccompanied Minor
080 Family Planning Waiver Individual
081 Protected Covered Individual: Former Money payment Recipient — August 1972; Low-income Family with Child(ren) (LIFC) Individual; 4-month or 12-month-extended Medicaid Recipient. Includes Dually Eligible QMB.
082 Individual Under Age 21 in ICF or ICF-MR. Includes Dually Eligible QMB.
083 Former Money payment Recipient—August 1972; Low-Income Family with Child(ren)-Unemployed Parent (LIFC-UP) Individual; 4-month or 12-month extended Medicaid Recipient.
085 MN Individual under age 21; Juvenile Justice Department Child. Includes Dually Eligible QMB.
086 MN Individual Under Age 21: Non-IVE Foster-care Child or Non-IVE Adoption-assistance Child; Special Needs Adoption Assistance Child. Includes Dually Eligible QMB.
088 MN Child Under Age 18. Includes Dually Eligible QMB.
089 TANF- UP Family -Medically Needy - Ended July 1, 2000
090

Child Under Age 6 with income between 100% and 133% of poverty. Includes Dually Eligible QMB.

091 Pregnant Woman; Child Under Age 6 with income <= 100% of poverty. Includes Dually Eligible QMB.
092 Child Age 6 to 19 with income <= 100% poverty (insured or uninsured); Child age 6 to 19 with income > 100% and <= 133% poverty (insured). Includes Dually Eligible QMB.
093 Newborn Child Under Age 1. Includes Dually Eligible QMB.
094 Child Age 6 to 19. Income > 100% poverty and <= 133% poverty (uninsured). Includes Dually Eligible QMB.
097 MN Pregnant Woman. Includes Dually Eligible QMB.
098 MN Individual Under Age 21 in a Nursing Facility. Includes Dually Eligible QMB.
099 MN Newborn Child Under Age 1. Includes Dually Eligible QMB.
Codes 214-803 Not Used by DSS
214 TDO — General District Court
215 TDO — Juvenile and Domestic Court
216 TDO — Combined District Court
401 Premium Payment — COBRA
402 Premium Payment — Conversion
404 Premium Payment — Individual
501 ACR
601 HIDP
801 ASSM Level 1
802 ASSM Level 2
803 ASSM ACR
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Last Modified: November 22, 2004
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