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TMSIS Dataguide Medicaid.gov

Version:

WAIVER-ID

Data Element

DE Number

MCR068

System DE Number

MCR.005.068

File Segment Number

MCR00005

Last updated

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
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