MCR.003.037

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

STATE-PLAN-ID-NUM

Data Element

DE Number

MCR037

System DE Number

MCR.003.037

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

File Segment Name

MANAGED-CARE-LOCATION-AND-CONTACT-INFO

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The ID number a state issues to a managed care entity
Size	X(12)
FLF Start Position	22
FLF Stop Position	33
Segment Key Field Identifier	2
Coding Requirements	1. Value must be 12 characters or less 2. Value must not contain a pipe or asterisk symbols 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-2592	If the state plan id number is populated on the managed care main file, then the state notation reported must not contain any pipe or asterisk characters.
RULE-7116	If a segment is a managed care location and contact information segment from an MCR file, then the state plan identification number value reported must be compatible with the specified T-MSIS picture format: X(12).
RULE-2593	All managed care location and contact info segments must have a corresponding managed care main segment where the managed care location and contact info effective and end dates are within the managed care main effective and end dates. Note: Managed care main dates can be consecutive or overlapping.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
MCR019	MCR.002.019	STATE-PLAN-ID-NUM	MCR00002	MANAGED-CARE-MAIN
MCR057	MCR.004.057	STATE-PLAN-ID-NUM	MCR00004	MANAGED-CARE-SERVICE-AREA
MCR066	MCR.005.066	STATE-PLAN-ID-NUM	MCR00005	MANAGED-CARE-OPERATING-AUTHORITY
MCR076	MCR.006.076	STATE-PLAN-ID-NUM	MCR00006	MANAGED-CARE-PLAN-POPULATION-ENROLLED
MCR085	MCR.007.085	STATE-PLAN-ID-NUM	MCR00007	MANAGED-CARE-ACCREDITATION-ORGANIZATION

Published Date	Data Guide Version	Data Element	Action	Field	Before	After