This variable is a monthly variable that calculates managed care capitated spending for the beneficiary.
Comments
CCW creates this variable by identifying OT header claims that are for managed care capitated payments. 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).
CCW creates this variable by identifying OT header claims that are for managed care capitated payments. 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).
Values: $
Source: T-MSIS OT Claims File (derived)