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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

FUNDING-CODE

Data Element

DE Number

CRX053

System DE Number

CRX.002.053

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00002

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A code to indicate the source of non-federal share funds.
Size X(2)
FLF Start Position 324
FLF Stop Position 325
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 1 character
2. Value must be in Funding Code List (VVL)
3. If Type of Claim is not in [3,C,W], then value must be populated
4. Conditional
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
CIP126 CIP.002.126 FUNDING-CODE CIP00002 CLAIM-HEADER-RECORD-IP
CLT076 CLT.002.076 FUNDING-CODE CLT00002 CLAIM-HEADER-RECORD-LT
COT062 COT.002.062 FUNDING-CODE COT00002 CLAIM-HEADER-RECORD-OT
FTX051 FTX.002.051 FUNDING-CODE FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX096 FTX.003.096 FUNDING-CODE FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX140 FTX.004.140 FUNDING-CODE FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX182 FTX.005.182 FUNDING-CODE FTX00005 COST-SHARING-OFFSET
FTX224 FTX.006.224 FUNDING-CODE FTX00006 VALUE-BASED-PAYMENT
FTX269 FTX.007.269 FUNDING-CODE FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX309 FTX.008.309 FUNDING-CODE FTX00008 COST-SETTLEMENT-PAYMENT
FTX348 FTX.009.348 FUNDING-CODE FTX00009 FQHC-WRAP-PAYMENT
FTX396 FTX.095.396 FUNDING-CODE FTX00095 MISCELLANEOUS-PAYMENT