| Code | Description | MH_Benefit |
| CHIP | Children's Health Insurance Program | Yes |
| CNP | Categorically Needy Program | Yes |
| CNPQM | Categorically Needy Program - Qual Medicare Beneficiary | Yes |
| ESLMB | Expanded Spec Low-Income Medicare Beneficiary | No |
| FPO | Family Planning Only | No |
| GAU | General Assistance Unemployable | No |
| GAW | General Assistance - ADATSA | No |
| GAX | General Assixtance - Unemployable w/Expedited Categorically Needy | Yes |
| LCP | Limited Casualty Program | Yes |
| LCPMI | Limited Casualty Program - Medically Indigent Program | Yes |
| LCPMN | Limited Casualty Program - Medically Needy Program | Yes |
| MNPQM | Medically Needy Program - Qual Medicare Beneficiary | Yes |
| PEND | Pending | No |
| PRR | Any "Patient Requiring Regulation" Restriction | No |
| Q | ITA Services for Non-Medicaid Eligible Clients | No |
| QMBME | Qual Medicare Ben - Medicare Only | No |
| SLMB | Special Low-Income Medicare Beneficiary Program | No |
| UNKN | Unknown | No |
| V | Children's Health | Yes |
| W | ADATSA | No |
