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TMSIS Dataguide Medicaid.gov

Version:

PAYER-MCR-PLAN-TYPE-OTHER-TEXT

Data Element

DE Number

FTX372

System DE Number

FTX.095.372

File Segment Number

FTX00095

File Segment Name

MISCELLANEOUS-PAYMENT

Last updated

Definition This is a description of what type of managed care plan or care coordination model the payer ID was reported with a PAYER-MCR-PLAN-OR-OTHER-TYPE of "Other".
Size X(100)
FLF Start Position 301
FLF Stop Position 400
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 100 characters or less
2. Value must be populated when Payee MCR Plan Type equals "95"
3. 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
FTX032 FTX.002.032 PAYER-MCR-PLAN-TYPE-OTHER-TEXT FTX00002 INDIVIDUAL-CAPITATION-PMPM