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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-2382

Data Quality Measure
Last updated

Key Information

Measure Name % of record segments that do not have a managed care record
File Type Multiple Files
Measure ID RULE-2382
Measure Type Non-Claims Percentage
Content area MCR

Validation

Validation Type Inferential

Measure Priority

Measure Priority Critical
Focus Area Managed care
Category File integrity

Claim Information

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

Thresholds

Minimum 0
Maximum 0.05
TA Minimun 0
TA Maximum 0.05
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element STATE-PLAN-ID-NUM • MANAGED-CARE-PLAN-TYPE • MANAGED-CARE-PLAN-ID • MANAGED-CARE-PLAN-TYPE
DD Data Element Number MCR019 • MCR024 • ELG192 • ELG193

Annotation N/A
Specification RULE-2382