FTX.095.386

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TMSIS Dataguide

Medicaid.gov

Version:

PAYMENT-PERIOD-TYPE

Data Element

DE Number

FTX386

System DE Number

FTX.095.386

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

File Segment Name

MISCELLANEOUS-PAYMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A qualifier that identifies what the payment period begin and end dates represent. For example, the payment period begin an end dates may correspond to a range of service dates from claims or encounters or they may represent a period of beneficiary eligibility or enrollment.
Size	X(2)
FLF Start Position	915
FLF Stop Position	916
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 2 characters 2. Value must be in Payment Period Type List (VVL) 3. Mandatory

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

RULE ID	RULE Definition
RULE-8376	If a financial transaction is from an FTX file, then the payment period type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-8553	If the payment period type is populated on the Miscellaneous Payment Transaction from a FTX file, then the payment period type reported must be found in the list of valid values.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX261	FTX.007.261	PAYMENT-PERIOD-TYPE	FTX00007	STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	FTX.095.386	UPDATE	File segment	None	76
09/16/2024	4.0.0	FTX.095.386	ADD	N/A		Created