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TMSIS Dataguide Medicaid.gov
Version 3.27.0

FFS-12-002-1

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of claim lines with Procedure Code Flag (Medicaid Paid Amount > $0)
File Type COT
Measure ID FFS-12-002-1
Measure Type Claims Percentage
Content area FFS

Validation

Validation Type Longitudinal and Inferential

Measure Priority

Measure Priority N/A
Focus Area N/A
Category N/A

Claim Information

Claim Type CHIP,FFS
Adjustment Type Original
Crossover Type Crossover

Thresholds

Minimum 0.2
Maximum 1
TA Minimun
TA Maximum
Longitudinal Threshold 0.15
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MEDICAID-PAID-AMT • PROCEDURE-CODE-FLAG
DD Data Element Number COT178 • COT171

Annotation N/A
Specification N/A