FTX.002.032

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TMSIS Dataguide

Medicaid.gov

Version:

PAYER-MCR-PLAN-TYPE-OTHER-TEXT

Data Element

DE Number

FTX032

System DE Number

FTX.002.032

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

File Segment Name

INDIVIDUAL-CAPITATION-PMPM

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This is a description of what type of managed care plan or care coordination model the payer ID was reported with a PAYER-MCR-PLAN-OR-OTHER-TYPE of "Other".
Size	X(100)
FLF Start Position	301
FLF Stop Position	400
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 100 characters or less 2. Value must be populated when Payee MCR Plan Type equals "95" 3. Conditional

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-8030	If a financial transaction is from an FTX file, then the payer managed care plan type other text value reported must be compatible with specified T-MSIS picture format: X(100).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX372	FTX.095.372	PAYER-MCR-PLAN-TYPE-OTHER-TEXT	FTX00095	MISCELLANEOUS-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	FTX.002.032	UPDATE	File segment	None	68
09/16/2024	4.0.0	FTX.002.032	ADD	N/A		Created