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TMSIS Dataguide Medicaid.gov

Version:

FILE-HEADER-RECORD-MANAGED-CARE

File Segment

File Segment Number

MCR00001

Last updated

DE Number System DE Number Data Element Definition Valid Values
MCR001 MCR.001.001 RECORD-ID The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.). MCR001 Values
MCR002 MCR.001.002 DATA-DICTIONARY-VERSION A data element to capture the version of the T-MSIS data dictionary that was used to build the file. MCR002 Values
MCR003 MCR.001.003 SUBMISSION-TRANSACTION-TYPE A data element to identify the whether the transactions in the file are original submissions of the data, a resubmission of a previously submitted file, or corrections of edit rejects. MCR003 Values
MCR004 MCR.001.004 FILE-ENCODING-SPECIFICATION Denotes which supported file encoding standard was used to create the file. MCR004 Values
MCR005 MCR.001.005 DATA-MAPPING-DOCUMENT-VERSION Identifies the version of the T-MSIS data mapping document used to build a state submission file. N/A
MCR006 MCR.001.006 FILE-NAME A code to identify the subject area to which the records in its file relate. Each T-MSIS submission file should only contain records for one subject area (i.e., Eligible, Third-party liability, Provider, Managed Care Plan Information, Inpatient, Long-Term Care, Other, Pharmacy Claim, and Financial Transactions). N/A
MCR007 MCR.001.007 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. MCR007 Values
MCR008 MCR.001.008 DATE-FILE-CREATED The date on which the file was created. N/A
MCR009 MCR.001.009 START-OF-TIME-PERIOD This value must be the first day of the reporting month, regardless of the actual date span of the data in the file. N/A
MCR010 MCR.001.010 END-OF-TIME-PERIOD This value must be the last day of the reporting month, regardless of the actual date span. N/A
MCR011 MCR.001.011 FILE-STATUS-INDICATOR A code to indicate whether the records in the file are test or production records. MCR011 Values
MCR013 MCR.001.013 TOT-REC-CNT A count of all records in the file except for the file header record. This count will be used as a control total to help assure that the file did not become corrupted during transmission. N/A
MCR113 MCR.001.113 FILE-SUBMISSION-METHOD The file submission method (e.g., TFFR, RHFR, IT, or CSO) used by the state to build and submit the file. This should correspond with the state's declared file submission method for the same file type and time period. MCR113 Values
MCR112 MCR.001.112 SEQUENCE-NUMBER To enable states to sequentially number files, when related, follow-on files are necessary (i.e., update files, replacement files). This should begin with 1 for the original Create submission type and be incremented by one for each Replacement or Update submission for the same reporting period and file type (subject area). N/A
MCR014 MCR.001.014 STATE-NOTATION A free text field for the submitting state to enter whatever information it chooses. N/A
Definition
A record segment containing metadata necessary to identify the file itself, when it was created and the number of records it contains.

File Segment Length
1000