MCR.005.068

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TMSIS Dataguide

Medicaid.gov

Version:

WAIVER-ID

Data Element

DE Number

MCR068

System DE Number

MCR.005.068

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

File Segment Name

MANAGED-CARE-OPERATING-AUTHORITY

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Field specifying the ID of the waiver, demonstration or other authority which authorizes the state to operate the managed care program. These IDs must be the approved, full federal ID number assigned during the state submission and CMS approval process.
Size	X(20)
FLF Start Position	36
FLF Stop Position	55
Segment Key Field Identifier	4
Coding Requirements	1. Value must be 20 characters or less 2. 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-6756	If a segment is a managed care operating authority segment from an MCR file, then the waiver identification value reported must be compatible with the specified T-MSIS picture format: X(20).

Measure ID	Measure Name
MIS-10-017-17	% distinct STATE-PLAN-ID-NUMs with only missing values in any active segment: WAIVER-ID (MCR00005)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP178	CIP.002.178	WAIVER-ID	CIP00002	CLAIM-HEADER-RECORD-IP
CLT129	CLT.002.129	WAIVER-ID	CLT00002	CLAIM-HEADER-RECORD-LT
COT111	COT.002.111	WAIVER-ID	COT00002	CLAIM-HEADER-RECORD-OT
CRX069	CRX.002.069	WAIVER-ID	CRX00002	CLAIM-HEADER-RECORD-RX
ELG172	ELG.012.172	WAIVER-ID	ELG00012	WAIVER-PARTICIPATION
FTX049	FTX.002.049	WAIVER-ID	FTX00002	INDIVIDUAL-CAPITATION-PMPM
FTX094	FTX.003.094	WAIVER-ID	FTX00003	INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT
FTX138	FTX.004.138	WAIVER-ID	FTX00004	GROUP-INSURANCE-PREMIUM-PAYMENT
FTX180	FTX.005.180	WAIVER-ID	FTX00005	COST-SHARING-OFFSET
FTX222	FTX.006.222	WAIVER-ID	FTX00006	VALUE-BASED-PAYMENT
FTX267	FTX.007.267	WAIVER-ID	FTX00007	STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM
FTX307	FTX.008.307	WAIVER-ID	FTX00008	COST-SETTLEMENT-PAYMENT
FTX346	FTX.009.346	WAIVER-ID	FTX00009	FQHC-WRAP-PAYMENT
FTX394	FTX.095.394	WAIVER-ID	FTX00095	MISCELLANEOUS-PAYMENT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	MCR.005.068	UPDATE	File segment	None	82
09/16/2024	4.0.0	MCR.005.068	ADD	N/A		Created