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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

EL-8-001-1 *DEPRECATED*

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name Enrollment, capitation payments, and encounters by Plan Type
File Type Multiple Files
Measure ID EL-8-001-1
Measure Type Data Profile
Content area ELG MCR MULTI EXP

Validation

Validation Type Data Profile

Measure Priority

Measure Priority N/A
Focus Area N/A
Category N/A

Claim Information

Claim Type N/A
Adjustment Type N/A
Crossover Type N/A

Thresholds

Minimum N/A
Maximum N/A
TA Minimun
TA Maximum
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element TYPE-OF-CLAIM • PLAN-ID-NUMBER • MANAGED-CARE-PLAN-ID • TYPE-OF-SERVICE • PLAN-ID-NUMBER • ADJUSTMENT-IND • MANAGED-CARE-PLAN-TYPE • TYPE-OF-CLAIM • TYPE-OF-CLAIM • STATE-PLAN-ID-NUM • ADJUSTMENT-IND • ADJUSTMENT-IND • MANAGED-CARE-PLAN-TYPE • ADJUSTMENT-IND • PLAN-ID-NUMBER • PLAN-ID-NUMBER
DD Data Element Number CIP100 • CIP130 • ELG192 • COT186 • CRX056 • CRX025 • ELG193 • CLT052 • COT037 • MCR019 • CLT025 • COT025 • MCR024 • CIP026 • COT066 • CLT080

Annotation N/A
Specification N/A