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Data Element
FTX057
FTX.002.057
Definition | Cross-reference to the applicable payment category in the managed care plan's contract with the state Medicaid/CHIP agency or their fiscal intermediary. |
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Size | X(50) |
FLF Start Position | 1006 |
FLF Stop Position | 1055 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 50 characters or less 2. If Subcapitation Indicator equals "1", then value must be populated 3. Conditional |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
---|---|---|---|---|
FTX230 | FTX.006.230 | PAYMENT-CAT-XREF | FTX00006 | VALUE-BASED-PAYMENT |
FTX273 | FTX.007.273 | PAYMENT-CAT-XREF | FTX00007 | STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM |
FTX401 | FTX.095.401 | PAYMENT-CAT-XREF | FTX00095 | MISCELLANEOUS-PAYMENT |