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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

FTX - FINANCIAL TRANSACTION

File

View Changelog
File Segments Reference

The table below lists the File Segments included in the File:

File Segment Number File Segment Name File Segment Definition
FTX00001 FILE-HEADER-RECORD-FTX A record segment containing metadata necessary to identify the file itself, when it was created and the number of records it contains.
FTX00002 INDIVIDUAL-CAPITATION-PMPM A record segment to capture individual capitation payments and sub-capitation payments.
FTX00003 INDIVIDUAL-HEALTH-INSURANCE-PREMIUM-PAYMENT A record segment to capture individual health insurance premium payments made by Medicaid or CHIP.
FTX00004 GROUP-INSURANCE-PREMIUM-PAYMENT A record segment to capture group insurance premium payments made by Medicaid or CHIP.
FTX00005 COST-SHARING-OFFSET A record segment to capture cost sharing offsets.
FTX00006 VALUE-BASED-PAYMENT A record segment to capture value-based payments.
FTX00007 STATE-DIRECTED-PAYMENT-SEPARATE-PAYMENT-TERM A record segment to capture state directed payments which are made under separate payment terms.
FTX00008 COST-SETTLEMENT-PAYMENT A record segment to capture cost settlement payments.
FTX00009 FQHC-WRAP-PAYMENT A record segment to capture FQHC wrap payments.
FTX00095 MISCELLANEOUS-PAYMENT A record segment to capture any other miscellaneous payment transaction that is not explicitly excluded from T-MSIS reporting or does not meet the definition of and was therefore not mapped to any other specific transaction type must be reported to this financial transaction segment type.
Definition
Information about financial transactions.

Overview

Financial Transactions File – FTX Record Segment Relationships

Financial Transactions File – FTX Record Segment Relationships

Description

Unlike the other T-MSIS file types, the Financial Transactions file does not contain relationships among the segments. Each segment in this file represents a different type of financial transaction, except for the “miscellaneous” segment which can represent multiple types of financial transactions. The purpose of the “miscellaneous” segment is to represent financial transactions which are not common across states and/or occur in relatively low volumes within most states, as well as to provide a flexible mechanism for CMS and/or states to add new financial transactions in a much shorter time cycle than would be possible by adding an entirely new segment. The “miscellaneous” segment utilizes a generalized set of data elements and an expandable valid value list to distinguish different types of financial transactions from one another.