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This variable is contained in the following files:
SAS Name
Managed Care Plan Reimbursement Type Category Code
Managed Care Plan Reimbursement Type Category Code — Aggregated categories based on the managed care plan reimbursement type code values (MC_PLAN_REIMBRSMT_TYPE_CD); most recent in the calendar year
| Code | Code value |
|---|---|
| 1 | Risk-based capitation |
| 2 | Non-risk capitation |
| 3 | Fee-for-service (FFS) |
| 4 | Primary care case management (PCCM) |
| 5 | Other |
| Null/missing | Unknown/Missing |
The value was chosen using the last-best method for values from the monthly TAF (calendar year).
This field is derived from the MC_PLAN_REIMBRSMT_TYPE_CD using the following logic:
1 if MC_PLAN_REIMBRSMT_TYPE_CD equals “01”, “02”, “03”
2 if MC_PLAN_REIMBRSMT_TYPE_CD equals “04”
3 if MC_PLAN_REIMBRSMT_TYPE_CD equals “05”
4 if MC_PLAN_REIMBRSMT_TYPE_CD equals “06,” “08”
5 if MC_PLAN_REIMBRSMT_TYPE_CD equals “07”
Source: T-MSIS Annual Managed Care Plan TAF