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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

EXP-26-001-1 *DEPRECATED*

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name Capitation payments by Plan ID (non-PCCM)
File Type Multiple Files
Measure ID EXP-26-001-1
Measure Type Data Profile
Content area MCR MULTI EXP

Validation

Validation Type Longitudinal 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 TBD
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element PLAN-ID-NUMBER • MANAGED-CARE-PLAN-ID • TYPE-OF-SERVICE • TYPE-OF-CLAIM • ADJUSTMENT-IND • PLAN-ID-NUMBER • PLAN-ID-NUMBER • MEDICAID-PAID-AMT
DD Data Element Number CIP130 • ELG192 • COT186 • COT037 • COT025 • COT066 • CLT080 • COT178

Annotation N/A
Specification N/A