MCR.002.025

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

REIMBURSEMENT-ARRANGEMENT

Data Element

DE Number

MCR025

System DE Number

MCR.002.025

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

File Segment Name

MANAGED-CARE-MAIN

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code indicating the how the managed care entity is reimbursed.
Size	X(2)
FLF Start Position	108
FLF Stop Position	109
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Reimbursement Arrangement List (VVL) 2. Value must be 2 characters 3. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-2569	If the reimbursement arrangement is populated on a managed care main file, then the reimbursement arrangement reported must be found in the list of valid values.
RULE-6761	If a segment is a managed care main segment from an MCR file, then the reimbursement arrangement value reported must be compatible with the specified T-MSIS picture format: X(2).

Measure ID	Measure Name
MIS-10-004-4	% distinct STATE-PLAN-ID-NUMs with only missing values in any active segment: REIMBURSEMENT-ARRANGEMENT (MCR00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After