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Measure Name | % of plan IDs with capitation payment ratios <0.9 or >1.1 (non-PCCM) |
---|---|
File Type | Multiple Files |
Measure ID | MCR-28-001-1 |
Measure Type | Non-Claims Percentage |
Content area | MCR |
Validation Type | Longitudinal and Inferential |
---|
Measure Priority | N/A |
---|---|
Focus Area | N/A |
Category | N/A |
Claim Type | N/A |
---|---|
Adjustment Type | N/A |
Crossover Type | N/A |
Minimum | TBD |
---|---|
Maximum | TBD |
TA Minimun | |
TA Maximum | |
Longitudinal Threshold | TBD |
For TA
(for including in compliance training) |
No |
For TA
(Longitudinal) |
No |
DD Data Element | STATE-PLAN-ID-NUM • MANAGED-CARE-PLAN-TYPE • MSIS-IDENTIFICATION-NUM • MANAGED-CARE-PLAN-ID • PLAN-ID-NUMBER • MEDICAID-PAID-AMT • TYPE-OF-CLAIM • ADJUSTMENT-IND |
---|---|
DD Data Element Number | MCR019 • MCR024 • ELG191 • ELG192 • COT066 • COT178 • COT037 • COT025 |
Annotation | N/A |
---|---|
Specification | N/A |