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TMSIS Dataguide Medicaid.gov
Version 3.30.0

RULE-7666

Data Quality Measure
Last updated

Key Information

Measure Name % of non-crossover capitation claims where MEDICARE-PAID-AMT, TOT-MEDICARE-COINS-AMT, or TOT-MEDICARE-DEDUCTIBLE-AMT is non-zero
File Type COT
Measure ID RULE-7666
Measure Type Claims Percentage
Content area MCR

Validation

Validation Type Inferential

Measure Priority

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

Claim Information

Claim Type Medicaid,Cap or CHIP,Cap
Adjustment Type Original and Replacement
Crossover Type Non-Crossover

Thresholds

Minimum TBD
Maximum TBD
TA Minimun
TA Maximum
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element TOT-MEDICARE-DEDUCTIBLE-AMT • MEDICARE-PAID-AMT • TOT-MEDICARE-COINS-AMT
DD Data Element Number COT052 • COT182 • COT053

Annotation N/A
Specification RULE-7666