MCR.002.029

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

MANAGED-CARE-SERVICE-AREA

Data Element

DE Number

MCR029

System DE Number

MCR.002.029

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

File Segment Name

MANAGED-CARE-MAIN

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Identifies the geographic unit under which the managed care entity is under contract to provide services. The value reported in Managed Care Service Area should represent the geographical unit of the values reported in the Managed Care Service Area Name. See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Managed Care Service Area in the Managed Care File" https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47542
Size	X(1)
FLF Start Position	116
FLF Stop Position	116
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Managed Care Service Area List (VVL) 2. Value must be 1 character 3. Mandatory 4. When value equals "2", the associated Managed Care Service Area Name (MCR.004.058) value must be a valid US County Code

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

RULE ID	RULE Definition
RULE-2574	If the managed care service area is populated on a managed care main file, then the managed care service area reported must be found in the list of valid values.
RULE-7045	If a segment is a managed care main segment from an MCR file, then the amanaged care service area value reported must be compatible with the specified T-MSIS picture format: X(1).

Measure ID	Measure Name

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	MCR.002.029	UPDATE	Coding requirement	1. Value must be in Managed Care Service Area List (VVL)2. Value must be 1 character3. Mandatory4. When value equals '2', the associated Managed Care Service Area Name (MCR.004.058) value must be a valid US County Code	1. Value must be in Managed Care Service Area List (VVL)2. Value must be 1 character3. Mandatory4. When value equals "2", the associated Managed Care Service Area Name (MCR.004.058) value must be a valid US County Code