FTX.007.273

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TMSIS Dataguide

Medicaid.gov

Version:

PAYMENT-CAT-XREF

Data Element

DE Number

FTX273

System DE Number

FTX.007.273

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

File Segment Name

STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

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	984
FLF Stop Position	1033
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

RULE ID	RULE Definition
RULE-8266	If a financial transaction is from an FTX file, then the payment category cross reference value reported must be compatible with specified T-MSIS picture format: X(2).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX057	FTX.002.057	PAYMENT-CAT-XREF	FTX00002	INDIVIDUAL-CAPITATION-PMPM
FTX230	FTX.006.230	PAYMENT-CAT-XREF	FTX00006	VALUE-BASED-PAYMENT
FTX401	FTX.095.401	PAYMENT-CAT-XREF	FTX00095	MISCELLANEOUS-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	FTX.007.273	UPDATE	File segment	None	73
09/16/2024	4.0.0	FTX.007.273	ADD	N/A		Created