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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

MCR-54-011-11

Data Quality Measure
Last updated

Key Information

Measure Name # of PCCM plan IDs
File Type Multiple Files
Measure ID MCR-54-011-11
Measure Type Count
Content area MCR

Validation

Validation Type Inferential

Measure Priority

Measure Priority Medium
Focus Area Managed care
Category Managed care file

Claim Information

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

Thresholds

Minimum 0
Maximum 5
TA Minimun 0
TA Maximum 5
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element TYPE-OF-SERVICE • OFFSET-TRANS-TYPE • PAYMENT-OR-RECOUPMENT-AMOUNT • PAYEE-MCR-PLAN-TYPE • PAYMENT-AMOUNT • PAYEE-ID-TYPE • MBESCBES-FORM-GROUP • PAYMENT-OR-RECOUPMENT-AMOUNT
DD Data Element Number COT186 • FTX184 • FTX157 • FTX036 • FTX072 • FTX034 • FTX048 • FTX025

Annotation Count plan ids in the EL-8-002-2 table with plan type equal to 02
Specification STEP 1: Traditional PCCM

Of the Plan_Ids identified in EL-8-002-2, count the non-missing Plan_Ids that satisfy the following criterion:

1. Plan_Type_El = "02"