PC841
| Data Element | Pharmacy Claim PASSE Identifier |
|---|---|
| Description | 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 PC841 = 1). They do not contain usable data for these services. NOTE: Unless otherwise requested, data requests will not include any records where PC841 = 1. Values: 1 = Medicaid PASSE claim NULL = 1) Commercial claims, or 2) Medicaid claims not associated with PASSE TPA |
| Type | Integer |
| Format | Smallint |
| Length | 1 |
| Threshold | 100% (Nulls are allowed) |
| Required | Calculated |
| Tip / Notes | This field is available upon request only. |
| Rank | 101 |