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| Measure Name | Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 52 (Primary care case management services) |
|---|---|
| File Type | COT |
| Measure ID | MCR-12-121-120 |
| Measure Type | Ratio of Average |
| Content area | MCR |
| Validation Type | Longitudinal and Inferential |
|---|
| Measure Priority | N/A |
|---|---|
| Focus Area | N/A |
| Category | N/A |
| Claim Type | Medicaid,Enc |
|---|---|
| Adjustment Type | Original |
| Crossover Type | All Indicators |
| Minimum | 0.8 |
|---|---|
| Maximum | 1.2 |
| TA Minimun | |
| TA Maximum | |
| Longitudinal Threshold | 0.2 |
|
For TA
(for including in compliance training) |
No |
|
For TA
(Longitudinal) |
No |
| DD Data Element | MEDICAID-FFS-EQUIVALENT-AMT • TYPE-OF-SERVICE • MEDICAID-PAID-AMT |
|---|---|
| DD Data Element Number | COT179 • COT186 • COT178 |
| Annotation | N/A |
|---|---|
| Specification | N/A |