MCR.003.046

MANAGED-CARE-STATE

Data Element

DE Number

MCR046

System DE Number

MCR.003.046

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

MCR00003

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 ANSI state numeric code for the U.S. state, Territory, or the District of Columbia code of the of the managed care entity's address as listed on the contract with the state.
Size	X(2)
FLF Start Position	274
FLF Stop Position	275
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in State Code List (VVL) 2. Value must be 2 characters 3. Mandatory

This data element's valid value code set is maintained by a Code Set Maintenance Organization (CSMO), the official licensing organization for specific valid value code sets. The CSMO is the system of record for those specific valid value code sets. While T-MSIS endeavors to be in-sync with CMSO's updates, minor delays may occur but that shouldn't block T-MSIS data submissions using the CSMO's latest version.

State Code List

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

RULE ID	RULE Definition
RULE-2614	If the managed care state is populated on a managed care location and contact information file, then the managed care state reported must be found in the list of valid values.
RULE-2616	If the managed care location and contact information segment has a value populated for managed care county, then the segment must have a value populated for managed care state.
RULE-6592	If a segment is a managed care location and contact information segment from an MCR file, then the managed care state value reported must be compatible with the specified T-MSIS picture format: X(2).

Measure ID	Measure Name
RULE-2614	% of MCR00003 segments with an invalid Managed Care State

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