CAC_Application_Submissions_Form

data.healthcare.gov | Last Updated 25 Jan 2018

This dataset has the following 56 columns:

Column NameAPI Column NameData TypeDescriptionSample Values
Application IDapplication_idtextThis field is set automatically by the application.
Application Dateapplication_datetextThis field is set automatically by the application.
Organization Nameorganization_nametext
Medicaid/CHIP designatedorganization_type_medicaidchipcheckbox
501(c)3organization_type_501c3checkbox
HRSA granteeorganization_type_hrsacheckbox
Healthcare Delivery Organizationorganization_type_hcdocheckbox
Federally Qualified Health Careorganization_type_fqhccheckbox
IHS/Tribalorganization_type_ihscheckbox
Hospitalorganization_type_hospitalcheckbox
Health Systemorganization_type_healthsystemcheckbox
CHCorganization_type_chccheckbox
Federal Agencyorganization_type_federalagencycheckbox
State Agencyorganization_type_stateagencycheckbox
State Medicaid Agencyorganization_type_statemedicaidagencycheckbox
State Health Insurance Programorganization_type_statehealthinsuranceprogramcheckbox
City/County Agencyorganization_type_citycountyagencycheckbox
Libraryorganization_type_librarycheckbox
Health Plan Issuerorganization_type_healthplanissuercheckbox
MA Plan/PDPorganization_type_maplancheckbox
Provider Organizationorganization_type_providerorgcheckbox
Public Health Organiationorganization_type_publichealthorgcheckbox
Disability/Disease-Specificorganization_type_disabilitydiseasecheckbox
Ryan Whiteorganization_type_ryanwhitecheckbox
Mental Health, Behavioral Health Organizationorganization_type_mentalhealthcheckbox
Area Agency on Agingorganization_type_areaagencyagingcheckbox
Faith Basedorganization_type_faithbasedcheckbox
Advocacy Organizationorganization_type_advocacyorgcheckbox
Pharmacyorganization_type_pharmacycheckbox
Trade Associationorganization_tradeassociationtext
Marketplace Contact 1 Namemarketplacecontact_name_0text
Marketplace Contact 1 Phonemarketplacecontact_phone_0text
Marketplace Contact 1 Emailmarketplacecontact_email_0text
Marketplace Contact 2 Namemarketplacecontact_name_1text
Marketplace Contact 2 Phonemarketplacecontact_phone_1text
Marketplace Contact 2 Emailmarketplacecontact_email_1text
Marketplace Contact 3 Namemarketplacecontact_name_2text
Marketplace Contact 3 Phonemarketplacecontact_phone_2text
Marketplace Contact 3 Emailmarketplacecontact_email_2text
Street Addressorganization_address_streettext
Cityorganization_address_citytext
Stateorganization_address_statetext
Zip Codeorganization_address_ziptext
Phone Numberorganization_phonetext
E-mail Addressorganization_emailtext
Website URLorganization_urlurl
OrgGovEntitydetail_isgoventitydrop_down_listIs the organization a non-federal government entity?
OrgHealthCareDeliverydetail_ishealthcaredeliveryorgdrop_down_listIs the organization a health care delivery organization?
OrgMedicaidCHIPOrgdetail_ismedicaidchipdrop_down_listIs the organization designated by Medicaid/CHIP agency as a Medicaid/CHIP application assistance program?
OrgUnder501cdetail_is501cdrop_down_listIs this organization organized under 501(c) of the Internal Revenue Code?
PrivSecScreenApplicationCounselorsprivacy_screenemployeesdrop_down_listDoes the organization already screen staff and volunteers it will certify as application counselors?
PrivSecHandleProtectPIIprivacy_protectpiidrop_down_listDoes the organization handle Personally Identifiable Information (PII) and have processes in place to protect PII?
PrivSecAssistHealthCoverageprivacy_assistwithcoveragedrop_down_listDoes the organization assist people with health coverage decisions?
AssistIfYesprivacy_assistwithcoverage_yestextIf the organization already assists with health coverage decisions, please explain qualifications as a certified application counselor.
AssistIfNoprivacy_assistwithcoverage_notextIf the organization does not already assist people with health coverage decisions, please explain how your experience relates to this role or prepares your organization to assist with health coverage decisions.
organization_type_otherorganization_type_othertext