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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

PAYMENT-CAT-XREF

Data Element

DE Number

FTX401

System DE Number

FTX.095.401

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

FTX00095

File Segment Name

MISCELLANEOUS-PAYMENT

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 1221
FLF Stop Position 1270
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 50 characters or less
2. Situational
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
FTX230 FTX.006.230 PAYMENT-CAT-XREF FTX00006 VALUE-BASED-PAYMENT
FTX273 FTX.007.273 PAYMENT-CAT-XREF FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM