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TMSIS Dataguide Medicaid.gov
Version 3.36.0

MANAGED-CARE-OPERATING-AUTHORITY

File Segment

File Segment Number

MCR00005

File Name

MCR - MANAGED CARE PLAN INFORMATION

Last updated

No Updates

Data Elements Reference
DE Number System DE Number Data Element Definition Valid Values
MCR063 MCR.005.063 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.). MCR063 Values
MCR064 MCR.005.064 SUBMITTING-STATE A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received. MCR064 Values
MCR065 MCR.005.065 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
MCR066 MCR.005.066 STATE-PLAN-ID-NUM The ID number a state issues to a managed care entity N/A
MCR067 MCR.005.067 OPERATING-AUTHORITY The type of operating authority through which the managed care entity receives its contract authority. The Managed Care Plan Type assigned to the manage care plan in the Managed Care Main segment should be consistent with the Operating Authority value reported. See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Managed Care Plan Type in the T-MSIS Managed Care File" https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47566 MCR067 Values
MCR068 MCR.005.068 WAIVER-ID Field specifying the ID of the waiver, demonstration or other authority which authorizes the state to operate the managed care program. These IDs must be the approved, full federal ID number assigned during the state submission and CMS approval process. N/A
MCR069 MCR.005.069 MANAGED-CARE-OP-AUTHORITY-EFF-DATE The first calendar day on which all of the other data elements in the same segment were effective. N/A
MCR070 MCR.005.070 MANAGED-CARE-OP-AUTHORITY-END-DATE The last calendar day on which all of the other data elements in the same segment were effective. N/A
MCR071 MCR.005.071 STATE-NOTATION A free text field for the submitting state to enter whatever information it chooses. N/A
Definition
A record to capture information about the operating authority, waivers and demonstrations under which a managed care entity is contracted with the state.

File Segment Length
1000