MCR.003.047

MANAGED-CARE-ZIP-CODE

Data Element

DE Number

MCR047

System DE Number

MCR.003.047

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

MCR00003

File Segment Name

MANAGED-CARE-LOCATION-AND-CONTACT-INFO

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	U.S. ZIP Code component of an address associated with a given entity (e.g. person, organization, agency, etc.)
Size	X(9)
FLF Start Position	276
FLF Stop Position	284
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011) 3. Value must be in ZIP Code List (VVL) 2. 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.

Zip 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-2615	If a managed care location and contact information segment has a value populated for managed card zip-code it must be specified as either 9(5) or 9(9).
RULE-6393	If a segment is a managed care location and contact information segment from an MCR file, then the managed care zip code value reported must be compatible with the specified T-MSIS picture format: X(9).

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.003.047	UPDATE	Coding requirement	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011)2. Mandatory	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011)3. Value must be in ZIP Code List (VVL)2. Mandatory
09/21/2023	3.13.0	MCR.003.047	UPDATE	Medicaid valid value info		Zip Code List