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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

MANAGED-CARE-ID

File Segment

File Segment Number

MCR00010

File Name

MCR - MANAGED CARE PLAN INFORMATION

Last updated

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
MCR114 MCR.010.114 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.). MCR114 Values
MCR115 MCR.010.115 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. MCR115 Values
MCR116 MCR.010.116 RECORD-NUMBER A sequential number assigned by the submitter to identify each record segment row in the submission file. The Record Number, in conjunction with the Record Identifier, uniquely identifies a single record within the submission file. N/A
MCR117 MCR.010.117 STATE-PLAN-ID-NUM The ID number a state issues to a managed care entity N/A
MCR118 MCR.010.118 MANAGED-CARE-PLAN-OTHER-ID-TYPE A code to identify the kind of managed care identifier that is captured in the Managed Care Identifier data element. The state should submit updates to T-MSIS whenever an identifier is retired or issued. MCR118 Values
MCR119 MCR.010.119 MANAGED-CARE-PLAN-OTHER-ID A data element to capture the various IDs used to identify a managed care plan, other than the plan ID that is used to link claims, MCR, ELG, and PRV in T-MSIS. The specific type of identifier is defined in the corresponding value in the Managed Care Plan Other Identifier Type data element. N/A
MCR120 MCR.010.120 MANAGED-CARE-ID-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
MCR121 MCR.010.121 MANAGED-CARE-ID-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
MCR122 MCR.010.122 STATE-NOTATION A free text field for the submitting state to enter whatever information it chooses. N/A
Definition
A record segment to capture information concerning the ID(s) associated with a managed care plan.

File Segment Length
1000