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TMSIS Dataguide Medicaid.gov
Version 3.28.0

MANAGED-CARE-LOCATION-AND-CONTACT-INFO

File Segment

File Segment Number

MCR00003

File Name

MCR - MANAGED CARE PLAN INFORMATION

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
MCR034 MCR.003.034 RECORD-ID The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.). MCR034 Values
MCR035 MCR.003.035 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. MCR035 Values
MCR036 MCR.003.036 RECORD-NUMBER

A sequential number assigned by the submitter to identify each record segment row in the submission file. The Record Number, in conjunction with the Record Identifier, uniquely identifies a single record within the submission file.

 N/A
MCR037 MCR.003.037 STATE-PLAN-ID-NUM The ID number a state issues to a managed care entity N/A
MCR038 MCR.003.038 MANAGED-CARE-LOCATION-ID A field to differentiate a managed care entity's service locations through adding a sequential number in this data element identifier field. Use sequential numbers to indicate additional services locations. N/A
MCR039 MCR.003.039 MANAGED-CARE-LOCATION-AND-CONTACT-INFO-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
MCR040 MCR.003.040 MANAGED-CARE-LOCATION-AND-CONTACT-INFO-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
MCR041 MCR.003.041 MANAGED-CARE-ADDR-TYPE The type of address for the managed care organization submitted in the Managed Care Main segment. MCR041 Values
MCR042 MCR.003.042 MANAGED-CARE-ADDR-LN1

The managed care entity's address listed on the contract with the state.

 N/A
MCR043 MCR.003.043 MANAGED-CARE-ADDR-LN2

The managed care entity's address listed on the contract with the state.

 N/A
MCR044 MCR.003.044 MANAGED-CARE-ADDR-LN3 The managed care entity's address listed on the contract with the state. N/A
MCR045 MCR.003.045 MANAGED-CARE-CITY The city component of an address associated with a given entity (e.g. person, organization, agency, etc.). N/A
MCR046 MCR.003.046 MANAGED-CARE-STATE The ANSI state numeric code for the U.S. state, Territory, or the District of Columbia code of the of the managed care entity's address as listed on the contract with the state. MCR046 Values
MCR047 MCR.003.047 MANAGED-CARE-ZIP-CODE

U.S. ZIP Code component of an address associated with a given entity (e.g. person, organization, agency, etc.)

 MCR047 Values
MCR048 MCR.003.048 MANAGED-CARE-COUNTY The ANSI County numeric code for the county or county equivalent. One county code should be captured for each of a managed care entity's locations identified. MCR048 Values
MCR049 MCR.003.049 MANAGED-CARE-TELEPHONE

Phone number for a given entity (e.g. person, organization, agency).

 N/A
MCR050 MCR.003.050 MANAGED-CARE-EMAIL

The email address of the managed care entity listed on the contract with the state.

 N/A
MCR051 MCR.003.051 MANAGED-CARE-FAX-NUMBER

A fax number, including area code, as listed on the contract with the state.

 N/A
MCR052 MCR.003.052 STATE-NOTATION

A free text field for the submitting state to enter whatever information it chooses.

 N/A
Definition
A record to capture addresses, phone numbers, fax numbers, and email addresses of the managed care organization.

File Segment Length
1000