FTX.005.184

OFFSET-TRANS-TYPE

Data Element

DE Number

FTX184

System DE Number

FTX.005.184

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

FTX00005

File Segment Name

COST-SHARING-OFFSET

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This indicates the type of payment that the beneficiary cost-sharing is/was offsetting.
Size	X(1)
FLF Start Position	905
FLF Stop Position	905
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in Offset Transaction Type List (VVL) 3. Situational

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

RULE ID	RULE Definition
RULE-8179	If a financial transaction is from an FTX file, then the offset transaction type value reported must be compatible with specified T-MSIS picture format: X(1).
RULE-8510	If the offset transaction type is populated on the Cost Sharing Offset Transaction from a FTX file, then the offset transaction type reported must be found in the list of valid values.

Measure ID	Measure Name
MCR-54-005-5	# of plans with at least 100 capitations or 100 encounters, 0 enrollments
MCR-55-004-4	Health home capitation ratio
MCR-55-003-3	PACE capitation ratio
MCR-55-002-2	Enhanced PCCM capitation ratio
MCR-55-001-1	Traditional PCCM capitation ratio
MCR-54-012-12	# of PCCM plans with at least 100 enrollments, capitations, or encounters, that do not have a managed care record
MCR-54-011-11	# of PCCM plan IDs
MCR-54-010-10	# of plans where MC plan type does not match EL plan type
MCR-54-009-9	# of plans with at least 100 enrollments, capitations, or encounters, that do not have a managed care record
MCR-54-008-8	# of plans with at least 100 enrollments and some encounters that have RX ratios outside of the expected range (0.02 - 5)
MCR-54-007-7	# of plans with at least 100 enrollments and some encounters that have OT ratios outside of the expected range (0.1 - 20)
MCR-54-006-6	# of plans with at least 100 enrollments and some encounters that have IP ratios outside of the expected range (0.01 - 2)
EXP-20-001-1	Sum of Payment or Recoupment Amount for other premium
MCR-54-004-4	# of plans with at least 100 enrollments and some capitations that have capitation ratios outside of the expected range (0.7 - 1.3)
MCR-54-003-3	# of plans with at least 100 enrollments or 100 encounters, 0 capitations
MCR-54-002-2	# of plans with at least 100 enrollments or 100 capitations, 0 encounters
MCR-54-001-1	# of plans with at least 100 enrollments, 0 capitations, 0 encounters
MCR-53-003-3	Total # of managed care encounters
MCR-53-002-2	Total # of managed care capitations
MCR-53-001-1	Total # of managed care enrollments
EL-8-002-2	Enrollment, capitation payments, capitation ratios, encounters (by claim file type) and encounter ratios (by claim file type) by plan ID with plan ID linking to MC file
EXP-21-002-2	Average Payment or Recoupment Amount for other premium
EXP-21-001-1	Sum of Payment or Recoupment Amount for other premium
EXP-20-002-2	Average Payment or Recoupment Amount for other premium

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/10/2025	4.0.13	FTX.005.184	UPDATE	Necessity	Conditional	Situational
07/10/2025	4.0.13	FTX.005.184	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in Offset Transaction Type List (VVL)3. Conditional	1. Value must be 1 character2. Value must be in Offset Transaction Type List (VVL)3. Situational
09/16/2024	4.0.0	FTX.005.184	UPDATE	File segment	None	71
09/16/2024	4.0.0	FTX.005.184	ADD	N/A		Created