| A | B |
| MA-C | Low-Income Medicaid for Families (full coverage) |
| MA-D | Medicaid for Disabled Individuals (full coverage) |
| MA-F | Transitional Medical Assistance (full coverage) |
| MA-L | Qualified Medicare Beneficiary (QMB)- limited coverage |
| MA-Y | HHW: Coverage for Child under 1 (full coverage) |
| MA-2 | HHW: Coverage for Child 6 to 18 (full coverage) |
| MA-E | Pregnant woman who is income ineligible or in 60 day postpartum period but received MA during a prior month (limited coverage) |
| MA-X | HHW: newborn Medicaid coverage to children born to MA Mother (full coverage) |
| MA-M | HHW: Full Medicaid Coverage for Pregnant Woman |
| MA-U | HHW: Coverage for SSI Person who would meet MA C eligibility requirements were they not receiving SSI (full coverage) |
| MA-N | HHW: Limited Medicaid Coverage for Pregnant Women |
| MA-10 | Child Health Insur. Program (CHIP) : Child under 19 (comprehensive coverage, subject to limits) |
| MA-I | QMB: Qualified Individual 1 (QI-1): Limited Buy-in Coverage for Medicare Part B premium |
| MA-T | HHW: Coverage for 18,19,20 year olds (full coverage) |
| MA-A | Medicaid Coverage for Aged (full coverage) |
| MA-9 | HHW: Coverage for Children 1 through 18 (150% of FPI)(full coverage) |
| MA-J | QMB: Specified Low Income Medicare Beneficiary(SLMB) (limited buy-in coverage) |
| MA-B | Medicaid Coverage for Blind Individuals (full coverage) |
| MA-K | QMB: Qualified Individual 2 (QI-2). Partial reimbursement for Medicare Part B premium (limited coverage) |
| MA-Z | HHW: Coverage for Child 1 through 5 (full coverage) |