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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

EL-8-001-1 *DEPRECATED*

Data Quality Measure
Last updated

Key Information

Measure Name Enrollment, capitation payments, and encounters by Plan Type
File Type Multiple Files
Measure ID EL-8-001-1
Measure Type Data Profile
Content area ELG MCR MULTI EXP

Validation

Validation Type Data Profile

Measure Priority

Measure Priority N/A
Focus Area N/A
Category N/A

Claim Information

Claim Type N/A
Adjustment Type N/A
Crossover Type N/A

Thresholds

Minimum N/A
Maximum N/A
TA Minimun
TA Maximum
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element STATE-PLAN-ID-NUM • MANAGED-CARE-PLAN-TYPE • ADJUSTMENT-IND • TYPE-OF-CLAIM • TYPE-OF-SERVICE • ADJUSTMENT-IND • TYPE-OF-CLAIM • TYPE-OF-CLAIM • PLAN-ID-NUMBER • MANAGED-CARE-PLAN-TYPE • MANAGED-CARE-PLAN-ID • ADJUSTMENT-IND • PLAN-ID-NUMBER • PLAN-ID-NUMBER • ADJUSTMENT-IND • PLAN-ID-NUMBER
DD Data Element Number MCR019 • ELG193 • CRX025 • COT037 • COT186 • CIP026 • CIP100 • CLT052 • CLT080 • MCR024 • ELG192 • COT025 • CIP130 • CRX056 • CLT025 • COT066

Annotation N/A
Specification N/A