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TMSIS Dataguide Medicaid.gov

Version:

PAYMENT-CAT-XREF

Data Element

DE Number

FTX230

System DE Number

FTX.006.230

File Segment Number

FTX00006

File Segment Name

VALUE-BASED-PAYMENT

Last updated

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.
Size X(50)
FLF Start Position 905
FLF Stop Position 954
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 50 characters or less
2. 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
FTX057 FTX.002.057 PAYMENT-CAT-XREF FTX00002 INDIVIDUAL-CAPITATION-PMPM
FTX273 FTX.007.273 PAYMENT-CAT-XREF FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX401 FTX.095.401 PAYMENT-CAT-XREF FTX00095 MISCELLANEOUS-PAYMENT