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MAOC
Covered by Medicaid/SCHIP in October
Return to Monthly Health Insurance variables list

Survey Text

2022 2015 2008 2001
2021 2014 2007 2000
2020 2013 2006 1999
2019 2012 2005 1998
2018 2011 2004 1997
2017 2010 2003 1996
2016 2009 2002
top
2022

No questionnaire text is available for this sample.


top
2021

No questionnaire text is available for this sample.


top
2020

No questionnaire text is available for this sample.


top
2019

No questionnaire text is available for this sample.


top
2018
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2017
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2016
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2015
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2014
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2013
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2012
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2011
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2010
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2009
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2008
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2007
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2006
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2005
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2004
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2003
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2002
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2001
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
2000
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
1999
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
1998
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
1997
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------

top
1996
Survey form view entire document:  text  image
HX10
====

[STR-DT]
[Some people are covered by a program called [Medicaid/[STATE NAME FOR MEDICAID]]. This is a state program for persons with low incomes and persons on public assistance. It sometimes covers persons with very large medical bills or those in nursing homes.]
[SHOW CARD HX-3.]
[People covered by [Medicaid/[STATE NAME FOR MEDICAID]] usually have a (piece of paper/card) that looks like this.]
[During the last interview, we recorded that no one in the family was covered by [Medicaid/[STATE NAME FOR MEDICAID]].]
Has anyone in the family been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
YES .................................... 1
NO ..................................... 2 [BOX_14]
REF ................................... -7 [BOX_14]
DK .................................... -8 [BOX-14]
PRESS F1 FOR DEFINITION OF MEDICAID.
----------------------------------------------------
DISPLAY FIRST PARAGRAPH ('Some .... homes.') ONLY IF ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY SECOND PARAGRAPH (INCLUDING REFERENCE TO SHOW CARD) ONLY IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED ISSUES A CARD OR PIECE OF PAPER TO MEDICAID RECIPIENTS. THIS INCLUDES ALL STATES EXCEPT TENNESSEE. IF THE INTERVIEW IS BEING CONDUCTED IN TENNESSEE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY THIRD PARAGRAPH ('During... MEDICAID]].') ONLY IF NOT ROUND 1. OTHERWISE, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND SINGLE-PERSON RU, SELECT PERSON AUTOMATICALLY BY CAPI AT HX11 AND GO TO
LOOP_05
----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES) AND MULTI-PERSON RU, CONTINUE WITH HX11
----------------------------------------------------
HX11
====

[STR-DT]
Who is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
PROBE: Who else is covered by [Medicaid/[STATE NAME FOR MEDICAID]]?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'MEDICAID'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE REAL STATE NAME FOR PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'MEDICAID.' FOR THE SPECIFIC NAME TO USE BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU-MEMBERS-ROSTER.
-----------------------------------------------------
PR07
====

[STR-DT]
During the last interview, we recorded that (READ NAME(S) BELOW) (was/were) covered by [Medicaid/[STATE NAME FOR MEDICAID]].
Have all of these people been covered by [Medicaid/[STATE NAME FOR MEDICAID]] at any time since (START DATE)?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
YES, ALL .............................. 1
NO, ONLY SOME ......................... 2
NO, NONE .............................. 3
REF ................................... -7 [BOX_05]
DK .................................... -8 [BOX_05]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid' DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
IF CODED '1' (YES, ALL), FLAG ALL RU MEMBERS LISTED HERE AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' THEN GO TO BOX_03
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE), FLAG ALL RU MEMBERS LISTED HERE AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ANY CURRENT RU MEMBERS NOT LISTED AT PR07, GO TO PR09
----------------------------------------------------
----------------------------------------------------
IF CODED '3' (NO, NONE)
AND
IF ALL CURRENT RU MEMBERS ARE LISTED AT PR07, GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO, ONLY SOME), CONTINUE WITH PR08
----------------------------------------------------
PR08
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-ESTABLISHMENT-PERSON-PAIRS-ROSTER WHO WERE COVERED BY MEDICAID AT ANY TIME DURING THE PREVIOUS ROUND.
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID DURING CURRENT ROUND.' FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID DURING CURRENT ROUND.'
----------------------------------------------------
PR09
====

[STR-DT]
Besides the family members we've just talked about, have any additional family members been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
YES ................................... 1
NO .................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF MEDICAID.
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
----------------------------------------------------
IF CODED '-2' (NO), '-7' (REFUSED), OR '8' (DON'T KNOW) AND AT LEAST ONE RU MEMBER IS FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO LOOP_02
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (NO), '-7' (REFUSED), OR '-8' (DON'T KNOW) AND NO RU MEMBERS ARE FLAGGED AS 'COVERED BY MEDICAID DURING CURRENT ROUND,' GO TO BOX_05
----------------------------------------------------
----------------------------------------------------
OTHERWISE (I.E., IF CODED '1' (YES)), CONTINUE WITH PR10
----------------------------------------------------
PR10
====

[STR-DT]
Who has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
PROBE: Who else has been covered by [Medicaid/[STATE NAME FOR MEDICAID]] since (START DATE)?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last Name-65]
[2. First Name, [Middle Name], Last Name-65]
[3. First Name, [Middle Name], Last Name-65]
-----------------------------------------------------
DISPLAY 'Medicaid' IF STATE IN WHICH INTERVIEW IS BEING CONDUCTED USES THE NAME 'Medicaid'. DISPLAY 'STATE NAME FOR MEDICAID' (SUBSTITUTING THE STATE NAME FOR THE PROGRAM) IF THE STATE IN WHICH INTERVIEW IS BEING CONDUCTED DOES NOT USE THE NAME 'Medicaid'. FOR THE SPECIFIC MEDICAID PROGRAM NAME BY STATE, SEE BOX ON HX06.
-----------------------------------------------------
-----------------------------------------------------
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS ON THE RU-MEMBERS-ROSTER WHO MEET EITHER OF THE FOLLOWING CONDITIONS:
- PERSON WAS ADDED TO RU THIS ROUND
OR
- PERSON WAS NOT FLAGGED AS 'COVERED BY MEDICAID' DURING THE PREVIOUS ROUND
-----------------------------------------------------
----------------------------------------------------
FLAG ALL PERSONS SELECTED AS 'COVERED BY MEDICAID' DURING CURRENT ROUND. FLAG ALL PERSONS NOT SELECTED AS 'NOT COVERED BY MEDICAID' DURING CURRENT ROUND.
----------------------------------------------------