The type of operating authority(ies) through which the managed care entity receives its contract authority.
Comments
This data element is created from each submitted value reported in T-MSIS. For example, a state has a health plan that operates under both a 1915(a)/1915(c) waiver and 1937 Alternative Benefit Plan. Accordingly, there would be two Operating Authority Supplemental file records for this health plan. One record would have MC_PLAN_OPRTG_AUTHRTY_CD equal “06” and another would have MC_PLAN_OPRTG_AUTHRTY_CD equal “10”, the corresponding valid values associated with these respective operating authorities.
This data element also triggers the individual operating authority indicators such as OPRTG_AUTHRTY_1115_DEMO_WVR_IND, etc. that appear on the APL base file. If any of the MC_PLAN_OPRTG_AUTHRTY_CD data elements contain a value of “02,” for example, then OPRTG_AUTHRTY_1915B_WVR_IND will be triggered.
This data element is created from each submitted value reported in T-MSIS. For example, a state has a health plan that operates under both a 1915(a)/1915(c) waiver and 1937 Alternative Benefit Plan. Accordingly, there would be two Operating Authority Supplemental file records for this health plan. One record would have MC_PLAN_OPRTG_AUTHRTY_CD equal “06” and another would have MC_PLAN_OPRTG_AUTHRTY_CD equal “10”, the corresponding valid values associated with these respective operating authorities.
This data element also triggers the individual operating authority indicators such as OPRTG_AUTHRTY_1115_DEMO_WVR_IND, etc. that appear on the APL base file. If any of the MC_PLAN_OPRTG_AUTHRTY_CD data elements contain a value of “02,” for example, then OPRTG_AUTHRTY_1915B_WVR_IND will be triggered.
Source: T-MSIS Annual Managed Care Plan TAF