09/16/2024 |
4.0.0 |
FTX.003.092 |
UPDATE |
File segment |
None |
69 |
09/16/2024 |
4.0.0 |
FTX.003.092 |
ADD |
N/A |
|
Created |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9BASE|Medical Assistance Expenditures by Type of Service |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9 WAIVER|Medical Assistance Expenditures by Type of Service |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9P|Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program, Prior Period Adjustment |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9P Waiver|Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program, Prior Period Adjustment |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9 200K|Medical Assistance Expenditures by Type of Service |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9P 200K|Medical Assistance Expenditures by Type of Service for the Medical Assistance Program Prior Period Adjustments in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9I|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9PI|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9TP|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9TP WAIVER|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9PE|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9PEP|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9PEPWAIV|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9PEWAIV|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9E|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9EP|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9EPWAIV|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9EWAIV|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9VIII|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9VIIIP|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9VIIIP Waiver|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9E|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9EP|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9EPWAIV|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9EWAIV|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-1
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-1|00010101|99991231|CMS 64.9T|Medical Assistance Expenditures by Type of Service For the Medical Assistance Program Expenditures in This Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-2
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-2|00010101|99991231|CMS 64.21|Quarterly Medical Assistance Expenditures By Children's Health Insurance Program |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-2
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-2|00010101|99991231|CMS 64.21U|Child Health Expenditures by Service |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-2
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-2|00010101|99991231|CMS 64.21 WAIVER|Quarterly Medical Assistance Expenditures By Children's Health Insurance Program |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-2
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-2|00010101|99991231|CMS 64.21U WAIVER|Quarterly Medical Assistance Expenditures By Children's Health Insurance Program Expenditure Categories |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-2
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-2|00010101|99991231|CMS 64.21P|Quarterly Medical Assistance Expenditures By Children's Health Insurance Program Prior Period Expenditures |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-2
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-2|00010101|99991231|CMS 64.21P WAIVER|Quarterly Medical Assistance Expenditures By Children's Health Insurance Program Prior Period Expenditures |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-2
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-2|00010101|99991231|CMS 64.21UP|Quarterly Medical Assistance Expenditures by Children’s Health Insurance Program expenditure categories |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-2
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-2|00010101|99991231|CMS 64.21UP WAIVER|Quarterly Medical Assistance Expenditures By Children's Health Insurance Program Prior Period Expenditures |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-3
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-3|00010101|99991231|CMS 21BASE|Children's Health Expenditures by Type of Service For the Title XXI Program Expenditures in this Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-3
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-3|00010101|99991231|CMS 21|Children's Health Expenditures by Type of Service For the Title XXI Program Expenditures in this Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-3
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-3|00010101|99991231|CMS 21P|Quarterly Children's Health Insurance Program |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-3
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-3|00010101|99991231|CMS 21 WAIVER|Children's Health Expenditures by Type of Service For the Title XXI Program Expenditures in this Quarter |
04/25/2025
|
4.0.7 |
MBESCBES-FORMGP-3
|
Add |
Data Dictionary - Valid Values |
N/A |
VALUE_SET_ID|EFFECTIVE_DATE|END_DATE|VALUE|NAME|DESCRIPTION MBESCBES-FORMGP-3|00010101|99991231|CMS 21PWAIVER|Children's Health Expenditures by Type of Service For the Title XXI Program Expenditures in this Quarter |