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TMSIS Dataguide Medicaid.gov

Version:

WAIVER-TYPE

Data Element

DE Number

FTX095

System DE Number

FTX.003.095

File Segment Number

FTX00003

Last updated

Definition A code for specifying waiver type under which the eligible individual is covered during the month and receiving services/under which transaction is submitted.
Size X(2)
FLF Start Position 729
FLF Stop Position 730
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 2 characters
2. Value must be in Waiver Type List (VVL)
3. Value must have a corresponding value in Waiver ID
4. Value must match Eligible Waiver Type (ELG.012.173) for the enrollee for the same time period
5. 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
CIP177 CIP.002.177 WAIVER-TYPE CIP00002 CLAIM-HEADER-RECORD-IP
CLT128 CLT.002.128 WAIVER-TYPE CLT00002 CLAIM-HEADER-RECORD-LT
COT110 COT.002.110 WAIVER-TYPE COT00002 CLAIM-HEADER-RECORD-OT
CRX068 CRX.002.068 WAIVER-TYPE CRX00002 CLAIM-HEADER-RECORD-RX
ELG173 ELG.012.173 WAIVER-TYPE ELG00012 WAIVER-PARTICIPATION
FTX050 FTX.002.050 WAIVER-TYPE FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX139 FTX.004.139 WAIVER-TYPE FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT
FTX181 FTX.005.181 WAIVER-TYPE FTX00005 COST-SHARING-OFFSET
FTX223 FTX.006.223 WAIVER-TYPE FTX00006 VALUE-BASED-PAYMENT
FTX268 FTX.007.268 WAIVER-TYPE FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX308 FTX.008.308 WAIVER-TYPE FTX00008 COST-SETTLEMENT-PAYMENT
FTX347 FTX.009.347 WAIVER-TYPE FTX00009 FQHC-WRAP-PAYMENT
FTX395 FTX.095.395 WAIVER-TYPE FTX00095 MISCELLANEOUS-PAYMENT