MCR.010.119

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TMSIS Dataguide

Medicaid.gov

Version:

MANAGED-CARE-PLAN-OTHER-ID

Data Element

DE Number

MCR119

System DE Number

MCR.010.119

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

File Segment Name

MANAGED-CARE-ID

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A data element to capture the various IDs used to identify a managed care plan, other than the plan ID that is used to link claims, MCR, ELG, and PRV in T-MSIS. The specific type of identifier is defined in the corresponding value in the Managed Care Plan Other Identifier Type data element.
Size	X(30)
FLF Start Position	36
FLF Stop Position	65
Segment Key Field Identifier	4
Coding Requirements	1. Value must be 30 characters or less 2. Value must not contain a pipe or asterisk symbol 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-8854	If a segment is a managed care ID segment from a MCR file, then the managed care plan other ID value reported must be compatible with the specified T-MSIS picture format: X(30).
RULE-8880	If the Managed Care ID segment is populated from a MCR file, then the managed care plan other ID must be populated.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
04/15/2025	4.0.6	MCR.010.119	UPDATE	Data element name	MANAGED-CARE-PLAN-ID	MANAGED-CARE-PLAN-OTHER-ID
02/27/2025	4.0.3	MCR.010.119	UPDATE	Definition	A data element to capture the various IDs used to identify a managed care plan. The specific type of identifier is defined in the corresponding value in the Managed Care Plan Identifier Type data element.	A data element to capture the various IDs used to identify a managed care plan, other than the plan ID that is used to link claims, MCR, ELG, and PRV in T-MSIS. The specific type of identifier is defined in the corresponding value in the Managed Care Plan Other Identifier Type data element.
12/19/2024	4.0.1	MCR.010.119	UPDATE	Coding requirement	1. Value must be 30 characters2. Value must not contain a pipe or asterisk symbol3. Mandatory	1. Value must be 30 characters or less2. Value must not contain a pipe or asterisk symbol3. Mandatory
09/16/2024	4.0.0	MCR.010.119	UPDATE	File segment	None	85
09/16/2024	4.0.0	MCR.010.119	ADD	N/A		Created