FTX.005.184

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TMSIS Dataguide

Medicaid.gov

Version:

OFFSET-TRANS-TYPE

Data Element

DE Number

FTX184

System DE Number

FTX.005.184

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

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. Conditional

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
EXP-20-001-1	Sum of Payment or Recoupment Amount for other premium
EXP-20-002-2	Average Payment or Recoupment Amount for other premium
EXP-21-001-1	Sum of Payment or Recoupment Amount for other premium
EXP-21-002-2	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
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