MCR.006.077

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TMSIS Dataguide

Medicaid.gov

Version 3.36.0

MANAGED-CARE-PLAN-POP

Data Element

DE Number

MCR077

System DE Number

MCR.006.077

File Name

MCR - MANAGED CARE PLAN INFORMATION

File Segment Number

File Segment Name

MANAGED-CARE-PLAN-POPULATION-ENROLLED

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The eligibility group(s) the state is authorized to enroll in managed care plans by its operating authority. Submit a separate record segment for each eligibility group that can be enrolled in the managed care program in which the managed care plan is participating.
Size	9(2)
FLF Start Position	34
FLF Stop Position	35
Segment Key Field Identifier	3
Coding Requirements	1. Value must be in Managed Care Plan Pop List (VVL) 2. Value must be 2 characters 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-2676	If the managed care plan population is populated on a managed care plan population enrolled file, then the managed care plan population reported must be found in the list of valid values.
RULE-6151	If a segment is a managed care plan population enrolled segment from an MCR file, then the managed care plan population value reported must be compatible with specified T-MSIS picture format: 9(2).

Measure ID	Measure Name
MIS-10-018-18	% distinct STATE-PLAN-ID-NUMs with only missing values in any active segment: MANAGED-CARE-PLAN-POP (MCR00006)

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/21/2023	3.13.0	MCR.006.077	UPDATE	Segment key field identifier	Not Applicable	3