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Data Element
MCR068
MCR.005.068
No Updates
Definition | Field specifying the ID of the waiver, demonstration or other authority which authorizes the state to operate the managed care program. These IDs must be the approved, full federal ID number assigned during the state submission and CMS approval process. |
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Size | X(20) |
FLF Start Position | 36 |
FLF Stop Position | 55 |
Segment Key Field Identifier | 4 |
Coding Requirements | 1. Value must be 20 characters or less 2. Mandatory |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CIP178 | CIP.002.178 | WAIVER-ID | CIP00002 | CLAIM-HEADER-RECORD-IP |
CLT129 | CLT.002.129 | WAIVER-ID | CLT00002 | CLAIM-HEADER-RECORD-LT |
COT111 | COT.002.111 | WAIVER-ID | COT00002 | CLAIM-HEADER-RECORD-OT |
CRX069 | CRX.002.069 | WAIVER-ID | CRX00002 | CLAIM-HEADER-RECORD-RX |
ELG172 | ELG.012.172 | WAIVER-ID | ELG00012 | WAIVER-PARTICIPATION |