FTX.002.056

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TMSIS Dataguide

Medicaid.gov

Version:

SUBCAPITATION-IND

Data Element

DE Number

FTX056

System DE Number

FTX.002.056

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	Indicates whether the transaction represents a sub-capitation payment between a managed care plan and a sub-capitated entity or sub-capitated network provider or not. A sub-capitation payment could also be between a sub-capitated entity and another sub-capitated entity or sub-capitated network provider.
Size	X(1)
FLF Start Position	1005
FLF Stop Position	1005
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in Subcaptitation Indicator List (VVL) 3. Mandatory

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

RULE ID	RULE Definition
RULE-8054	If a financial transaction is from an FTX file, then the subscription indicator value reported must be compatible with specified T-MSIS picture format: X(1).
RULE-8420	If the subcapitation indicator is populated on the Individual Capitation PMPM transaction from a FTX file, then the subcapitation indicator reported must be found in the list of valid values.

Measure ID	Measure Name
MCR-12-156-156	# of records indicating a sub-capitation payment (SUBCAPITATION-IND = 2)
MCR-12-157-157	# of records indicating a sub-capitation payment (SUBCAPITATION-IND = 2)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	FTX.002.056	UPDATE	File segment	None	68
09/16/2024	4.0.0	FTX.002.056	ADD	N/A		Created