MANAGED-CARE-SERVICE-AREA

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TMSIS Dataguide

Medicaid.gov

Version 3.38.0

MANAGED-CARE-SERVICE-AREA

File Segment

File Segment Number

MCR00004

File Name

MCR - MANAGED CARE PLAN INFORMATION

Last updated

No Updates

Data Elements Reference

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DE Number	System DE Number	Data Element	Definition	Valid Values
MCR054	MCR.004.054	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.).	MCR054 Values
MCR055	MCR.004.055	SUBMITTING-STATE	A code that uniquely identifies the U.S. State or Territory from which T-MSIS system data resources were received.	MCR055 Values
MCR056	MCR.004.056	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
MCR057	MCR.004.057	STATE-PLAN-ID-NUM	The ID number a state issues to a managed care entity	N/A
MCR058	MCR.004.058	MANAGED-CARE-SERVICE-AREA-NAME	The specific identifiers for the counties, cities, regions, ZIP Codes and/or other geographic areas that the managed care entity serves. Put each zip code, city, county, region, or other area descriptor on a separate record. Use 5 digit zip codes when service area definition is zip code based. Use ANSI codes when service area is defined by counties or cities The value reported in Managed Care Service Area should represent the geographical unit of the values reported in the Managed Care Service Area Name See T-MSIS Guidance Document, "CMS Guidance: Best Practice for Reporting Managed Care Service Area in the Managed Care File". https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47542	MCR058 Values
MCR059	MCR.004.059	MANAGED-CARE-SERVICE-AREA-EFF-DATE	The first calendar day on which all of the other data elements in the same segment were effective.	N/A
MCR060	MCR.004.060	MANAGED-CARE-SERVICE-AREA-END-DATE	The last calendar day on which all of the other data elements in the same segment were effective.	N/A
MCR061	MCR.004.061	STATE-NOTATION	A free text field for the submitting state to enter whatever information it chooses.	N/A

Definition: A record to capture the zip codes, counties, or other geographic descriptors that define the managed care entity's service area.
File Segment Length: 1000

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Published Date	Data Guide Version	File Segment	Action	Field	Before	After
No data available in table