Updated research request forms and data security approval requirement effective 4/24/23
This variable is contained in the following files:
SAS Name
MC_PLAN_REIMBRSMT_TYPE_CD
A code indicating the how the managed care entity is reimbursed; most recent in the calendar year.
| Code | Code value |
|---|---|
| 1 | Risk-based capitation, no incentives or risk-sharing |
| 2 | Risk-based capitation with Incentive arrangements |
| 3 | Risk-based capitation with other risk-sharing arrangements |
| 4 | Non-risk capitation |
| 5 | Fee-for-service (FFS) |
| 6 | Primary care case management (PCCM) payment |
| 7 | Other |
| 8 | Primary Care Case Management Payment plus Fee-For-Service |
| Null/missing | Unknown/Missing |
The value was chosen using the last-best method for values from the monthly TAF (calendar year).
Source: T-MSIS Annual Managed Care Plan TAF