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TMSIS Dataguide Medicaid.gov

Version:

EXP-24-006-3

Data Quality Measure
Last updated

Key Information

Measure Name Average Payment or Recoupment Amount for HMOs, HIOs or PACE
File Type FTX
Measure ID EXP-24-006-3
Measure Type Average
Content area MCR MULTI EXP

Validation

Validation Type Longitudinal

Measure Priority

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

Claim Information

Claim Type N/A
Adjustment Type Original
Crossover Type All Indicators

Thresholds

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

Data Elements

DD Data Element PAYMENT-OR-RECOUPMENT-AMOUNT • PAYER-MCR-PLAN-TYPE • PAYEE-MCR-PLAN-TYPE
DD Data Element Number FTX025FTX031FTX036

Annotation N/A
Specification N/A