MC841

Medical Claim PASSE Identifier

The Provider-led Arkansas Shared Savings Entity (PASSE) – a new model of organized care created by Arkansas Act 775 – addresses the total health care needs of Medicaid beneficiaries who have behavioral health (BH) disorders or intellectual developmental disabilities (IDD). The purpose of the model is to improve the health of those who need intensive levels of specialized care, link providers of physical health care with specialty BH and IDD providers and coordinate care for all community-based services.

PASSE third party administrators (TPA) submit claims for the services provided to qualifying Arkansas Medicaid beneficiaries.  Arkansas Medicaid also submits these claims as part of the Arkansas Medicaid data provided to the Arkansas APCD. The Arkansas Medicaid claims should NOT be used (were MC841 = 1).  They do not contain usable data for these services.  NOTE:  Unless otherwise requested, data requests will not include any records where MC841 = 1.

Values:       1 = Medicaid PASSE claim

                   NULL = 1) Commercial claims,  or 2) Medicaid claims not associated with PASSE TPA

Integer

Smallint

1

100% (Nulls are allowed)

Calculated

This field is available upon request only.

186