FTX.095.387

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TMSIS Dataguide

Medicaid.gov

Version:

PAYMENT-PERIOD-TYPE-OTHER-TEXT

Data Element

DE Number

FTX387

System DE Number

FTX.095.387

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	This is a description of the type of financial transaction when the PAYMENT-PERIOD-TYPE is "Other".
Size	X(100)
FLF Start Position	917
FLF Stop Position	1016
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 100 characters or less 2. Value must be populated when Payment Period Type equals "95" 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-8377	If a financial transaction is from an FTX file, then the payment period type other text value reported must be compatible with specified T-MSIS picture format: X(100).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX262	FTX.007.262	PAYMENT-PERIOD-TYPE-OTHER-TEXT	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.095.387	UPDATE	File segment	None	76
09/16/2024	4.0.0	FTX.095.387	ADD	N/A		Created