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TMSIS Dataguide Medicaid.gov

Version:

3.40.0

RULE-9201

Data Quality Measure
Last updated

Key Information

Measure Name % of claim headers with non-zero and non-missing Medicaid paid amount where MBES/CBES Category of Service is missing
File Type COT
Measure ID RULE-9201
Measure Type Claims percentage
Content area MULTI MIS EXP
Grace Period Expiration 01/02/2027

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category Expenditures

Claim Information

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

Thresholds

Minimum 0
Maximum 0.02
TA Minimun 0
TA Maximum 0.02
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MBESCBES-CATEGORY-OF-SERVICE
DD Data Element Number COT256

Annotation N/A
Specification RULE-9201