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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

MCR-13-006_2-19 *DEPRECATED*

Data Quality Measure
Last updated

Key Information

Measure Name % of PCCM capitated payments with a non-missing plan ID where plan ID number equals the Billing Provider Number or Billing Provider NPI Number
File Type COT
Measure ID MCR-13-006_2-19
Measure Type Claims percentage
Content area MCR

Validation

Validation Type Inferential

Measure Priority

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

Claim Information

Claim Type CHIP,Cap
Adjustment Type Original
Crossover Type All Indicators

Thresholds

Minimum 0
Maximum 0.05
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 TYPE-OF-SERVICE • BILLING-PROV-NPI-NUM • BILLING-PROV-NUM • PLAN-ID-NUMBER
DD Data Element Number COT186 • COT113 • COT112 • COT066

Annotation N/A
Specification N/A