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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

MCR-9-019-21

Data Quality Measure
Last updated

Key Information

Measure Name % of Comprehensive MCO capitation payment records with a non-missing plan ID that do not have a corresponding managed care participation Comprehensive MCO plan
File Type Multiple Files
Measure ID MCR-9-019-21
Measure Type Non-Claims Percentage
Content area ELG MCR MULTI

Validation

Validation Type Inferential

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 N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MANAGED-CARE-PLAN-TYPE • MSIS-IDENTIFICATION-NUM • MSIS-IDENTIFICATION-NUM • PAYEE-MCR-PLAN-TYPE • PAYEE-ID • MANAGED-CARE-PLAN-ID
DD Data Element Number ELG193 • FTX042 • ELG191 • FTX036 • FTX033 • ELG192

Annotation N/A
Specification N/A