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TMSIS Dataguide Medicaid.gov

Version:

3.40.0

EXP-49-001-1

Data Quality Measure
Last updated

Key Information

Measure Name % of sub-capitated encounters from sub-capitated entities that are not sub-capitated network providers (SOURCE-LOCATION = 22) where TOT-MEDICAID-PAID-AMT is $0 or missing (IP)
File Type CIP
Measure ID EXP-49-001-1
Measure Type Claims percentage
Content area EXP

Validation

Validation Type Inferential

Measure Priority

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

Claim Information

Claim Type Medicaid,Enc or CHIP,Enc
Adjustment Type All Adjustment Types
Crossover Type All Indicators

Thresholds

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

Data Elements

DD Data Element TOT-MEDICAID-PAID-AMT
DD Data Element Number CIP114

Annotation N/A
Specification N/A