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TMSIS Dataguide Medicaid.gov
Version 3.38.0

OPERATING-AUTHORITY

Data Element

DE Number

MCR067

System DE Number

MCR.005.067

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

MCR00005

File Segment Name

MANAGED-CARE-OPERATING-AUTHORITY

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The type of operating authority through which the managed care entity receives its contract authority. The Managed Care Plan Type assigned to the manage care plan in the Managed Care Main segment should be consistent with the Operating Authority value reported. See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Managed Care Plan Type in the T-MSIS Managed Care File" https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47566
Size X(2)
FLF Start Position 34
FLF Stop Position 35
Segment Key Field Identifier 3
Coding Requirements 1. Value must be in Operating Authority List (VVL)
2. Value must be 2 characters
3. Mandatory
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name