Medicaid Managed Care Capitated Claim Count — Other Services

SAS Name
MDCD_OT_MC_CAPTD_USE

This variable is the total count of the Other Services (OT) claims for capitated payments for the beneficiary during the year.

Comments

These are header claims where the claim type code (T-MSIS variable called CLM_TYPE_CD) is equal to '2' (Medicaid or expansion claim) 'B' (S-CHIP claim) or 'V' (Other Services claim). The corresponding payment information for these claims is in the MDCD_OT_MC_CAPTD_SPEND field.

Source: T-MSIS Other Services Claims file (derived)