"payload"
"[{""groupId"": 13, ""groupType"": ""File Types"", ""groupName"": ""IP File DQ Topics"", ""order"": 91, ""measures"": [{""measureId"": 45, ""measureName"": ""Claims Volume - IP"", ""order"": 31, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Total inpatient (IP) header volume as a percentage of the national median, (2) IP line volume as a percentage of the national median, and (3) average number of IP line records per header as a percentage of the national median in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 27, ""measureName"": ""Service Users - IP"", ""order"": 35, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of non-dually eligible beneficiaries with at least one inpatient (IP) claim record in the T-MSIS Analytic Files (TAF), as a proportion of the national median""}, {""measureId"": 56, ""measureName"": ""CMC Plan Encounters - IP"", ""order"": 39, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Inpatient (IP) comprehensive managed care (CMC) encounter header record volume as a percentage of the national median, (2) IP CMC encounter line record volume as a percentage of the national median, (3) the average number of IP CMC encounter line records per header as a percentage of the national median, and (4) the number of CMC plans with no IP encounter header records in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 22, ""measureName"": ""Benchmarking Inpatient Stays - IP"", ""order"": 43, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in adult inpatient hospital stays between the T-MSIS Analytic Files (TAF) and the Healthcare Cost and Utilization Project (HCUP) data""}, {""measureId"": 68, ""measureName"": ""FFS Inpatient Expenditures"", ""order"": 47, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in Medicaid fee-for-service (FFS) expenditures for inpatient hospital services between the T-MSIS Analytic Files (TAF) and the CMS-64 data""}, {""measureId"": 81, ""measureName"": ""Payment Data Consistency - IP"", ""order"": 59, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Percentage of fee-for-service (FFS) inpatient (IP) claims with a header payment equal to the sum of its associated claim line payments and (2) percentage of IP claims with an unknown payment level in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 111, ""measureName"": ""Category of Service Code - IP"", ""order"": 63, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of IP lines that have a category of service code consistent with program enrollment""}, {""measureId"": 115, ""measureName"": ""Federal Reimbursement Category Code - IP"", ""order"": 67, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of IP lines that have a federal reimbursement category consistent with program enrollment""}, {""measureId"": 49, ""measureName"": ""Diagnosis Code - IP"", ""order"": 71, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of inpatient (IP) header records with a valid ICD-10 primary diagnosis code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 65, ""measureName"": ""Procedure Codes - IP"", ""order"": 74, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Percentage of inpatient (IP) header records with a missing primary procedure code, and (2) the percentage of IP header records with any invalid procedure codes in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 52, ""measureName"": ""Type of Service - IP"", ""order"": 77, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of inpatient (IP) claim line records with a missing or invalid type of service (TOS) code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 41, ""measureName"": ""Admission Date - IP"", ""order"": 82, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of inpatient (IP) records with a missing or invalid admission date in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 43, ""measureName"": ""Discharge Date - IP"", ""order"": 84, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of inpatient (IP) records with an unexpectedly missing or invalid discharge date in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 23, ""measureName"": ""Type of Bill - IP"", ""order"": 86, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of inpatient (IP) claim header records with an expected type of bill code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 33, ""measureName"": ""Billing Provider NPI - IP"", ""order"": 92, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of records in the IP file with a missing billing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 37, ""measureName"": ""Billing Provider Type, Specialty, and Taxonomy - IP"", ""order"": 99, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of inpatient (IP) header records with an expected billing provider type, specialty, state-reported taxonomy, or NPPES taxonomy code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 26, ""measureName"": ""Hospital Type - IP"", ""order"": 106, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of inpatient (IP) claim header records with an expected type of hospital code in the T-MSIS Analytic Files (TAF)""}]}, {""groupId"": 14, ""groupType"": ""File Types"", ""groupName"": ""LT File DQ Topics"", ""order"": 92, ""measures"": [{""measureId"": 46, ""measureName"": ""Claims Volume - LT"", ""order"": 32, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Average number of long-term care (LT) line records per header as a percentage of the national median in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 57, ""measureName"": ""CMC Plan Encounters - LT"", ""order"": 40, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) The average number of long-term care (LT) comprehensive managed care (CMC) encounter line records per LT claim header as a percentage of the national median and (2) the number of CMC plans with no LT encounter header records in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 69, ""measureName"": ""FFS Long-Term Care Expenditures"", ""order"": 48, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in Medicaid fee-for-service (FFS) expenditures for institutional long-term care services between the T-MSIS Analytic Files (TAF) and the CMS-64 data""}, {""measureId"": 80, ""measureName"": ""Payment Data Consistency - LT"", ""order"": 60, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Percentage of fee-for-service (FFS) long-term care (LT) claims with a header payment equal to the sum of its associated claim line payments and (2) percentage of LT claims with an unknown payment level in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 112, ""measureName"": ""Category of Service Code - LT"", ""order"": 64, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of LT lines that have a category of service code consistent with program enrollment""}, {""measureId"": 116, ""measureName"": ""Federal Reimbursement Category Code - LT"", ""order"": 68, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of LT lines that have a federal reimbursement category consistent with program enrollment""}, {""measureId"": 50, ""measureName"": ""Diagnosis Code - LT"", ""order"": 72, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of long-term care (LT) header records with a valid ICD-10 primary diagnosis code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 54, ""measureName"": ""Type of Service - LT"", ""order"": 78, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of long-term care (LT) claim line records with a missing or invalid type of service (TOS) code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 42, ""measureName"": ""Admission Date - LT"", ""order"": 83, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of long-term care (LT) records with a missing or invalid admission date in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 44, ""measureName"": ""Discharge Date - LT"", ""order"": 85, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: Percentage of long-term care (LT) records with (1) a missing discharge date and (2) an unexpectedly missing or invalid discharge date in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 24, ""measureName"": ""Type of Bill - LT"", ""order"": 87, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of long-term care (LT) claim header records with an expected type of bill code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 34, ""measureName"": ""Billing Provider NPI - LT"", ""order"": 93, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of records in the LT file with a missing billing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 38, ""measureName"": ""Billing Provider Type, Specialty, and Taxonomy - LT"", ""order"": 100, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of long-term care (LT) header records with an expected billing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF)""}]}, {""groupId"": 15, ""groupType"": ""File Types"", ""groupName"": ""OT File DQ Topics"", ""order"": 93, ""measures"": [{""measureId"": 47, ""measureName"": ""Claims Volume - OT"", ""order"": 33, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Total other service (OT) header volume as a percentage of the national median, (2) total OT line volume as a percentage of the national median, and (3) average number of OT line records per header as a percentage of the national median in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 28, ""measureName"": ""Service Users - OT"", ""order"": 36, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of non-dually eligible beneficiaries with at least one other service (OT) claim record in the T-MSIS Analytic Files (TAF), as a proportion of the national median""}, {""measureId"": 58, ""measureName"": ""CMC Plan Encounters - OT"", ""order"": 41, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Other service (OT) comprehensive managed care (CMC) encounter header record volume as a percentage of the national median, (2) volume of OT CMC encounter line records as a percentage of the national median, (3) the average number of OT CMC line records per header as a percentage of the national median, and (4) the number of CMC plans with no OT encounter header records in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 72, ""measureName"": ""Total Monthly Beneficiary Payments"", ""order"": 51, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in total monthly Medicaid beneficiary payments between the T-MSIS Analytic Files (TAF) and the CMS-64 data""}, {""measureId"": 73, ""measureName"": ""CMC Payments"", ""order"": 52, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in comprehensive managed care (CMC) capitation payments between the T-MSIS Analytic Files (TAF) and the CMS-64 data""}, {""measureId"": 74, ""measureName"": ""PHP Payments"", ""order"": 53, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in prepaid health plan (PHP) capitation payments between the T-MSIS Analytic Files (TAF) and the CMS-64 data""}, {""measureId"": 75, ""measureName"": ""PCCM Fees"", ""order"": 54, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in primary care case management plan (PCCM) fees between the T-MSIS Analytic Files (TAF) and the CMS-64 data""}, {""measureId"": 76, ""measureName"": ""Premium Assistance Payments"", ""order"": 55, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in premium assistance payments between the T-MSIS Analytic Files (TAF) and the CMS-64 data""}, {""measureId"": 79, ""measureName"": ""Payment Data Consistency - OT"", ""order"": 61, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Percentage of fee-for-service (FFS) other service (OT) claims with a header payment equal to the sum of its associated claim line payments and (2) percentage of OT claims with an unknown payment level in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 113, ""measureName"": ""Category of Service Code - OT"", ""order"": 65, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of OT lines that have a category of service code consistent with program enrollment""}, {""measureId"": 117, ""measureName"": ""Federal Reimbursement Category Code - OT"", ""order"": 69, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of OT lines that have a federal reimbursement category consistent with program enrollment""}, {""measureId"": 51, ""measureName"": ""Diagnosis Code - OT"", ""order"": 73, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of other service (OT) header records for outpatient hospital services, physician services, or clinic services with a valid ICD-10 primary diagnosis code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 63, ""measureName"": ""Procedure Codes - OT Professional"", ""order"": 75, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of all other service (OT) professional claim line records with missing or invalid values in the procedure code field in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 64, ""measureName"": ""Procedure Codes - OT Institutional"", ""order"": 76, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of all other service (OT) institutional claim line records with missing or invalid values in the procedure code field in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 53, ""measureName"": ""Type of Service - OT"", ""order"": 79, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of other service (OT) claim line records with a missing or invalid type of service (TOS) code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 62, ""measureName"": ""Place of Service"", ""order"": 81, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of all other service (OT) header records with the expected combination of type of bill (TOB) code and place of service code (POS) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 25, ""measureName"": ""Type of Bill - OT"", ""order"": 88, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Percentage of other service (OT) claim header records with an unexpected or invalid type of bill code and (2) percentage of OT claim header records with a missing type of bill code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 35, ""measureName"": ""Billing Provider NPI - OT"", ""order"": 94, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of records in the OT file with a missing billing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 30, ""measureName"": ""Servicing Provider NPI - OT"", ""order"": 96, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of other service (OT) line records with a missing servicing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 104, ""measureName"": ""Billing Provider Type, Specialty, and Taxonomy - OT Professional"", ""order"": 101, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of header records on other service (OT) professional claims with a valid billing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 105, ""measureName"": ""Billing Provider Type, Specialty, and Taxonomy - OT Institutional"", ""order"": 102, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of header records on other service (OT) institutional claims with a valid billing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 106, ""measureName"": ""Servicing Provider Type, Specialty, and Taxonomy - OT Professional"", ""order"": 104, ""availableTafVersionIDs"": [24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of line records on other service (OT) professional claims with a valid servicing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 107, ""measureName"": ""Servicing Provider Type, Specialty, and Taxonomy - OT Institutional"", ""order"": 105, ""availableTafVersionIDs"": [24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of line records on other service (OT) institutional claims with a valid servicing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF)""}]}, {""groupId"": 16, ""groupType"": ""File Types"", ""groupName"": ""RX File DQ Topics"", ""order"": 94, ""measures"": [{""measureId"": 48, ""measureName"": ""Claims Volume - RX"", ""order"": 34, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Total pharmacy (RX) header volume as a percentage of the national median, (2) total RX line volume as a percentage of the national median, and (3) average number of RX line records per header as a percentage of the national median in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 29, ""measureName"": ""Service Users - RX"", ""order"": 37, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of non-dually eligible beneficiaries with at least one pharmacy (RX) claim record in the T-MSIS Analytic Files (TAF), as a proportion of the national median""}, {""measureId"": 59, ""measureName"": ""CMC Plan Encounters - RX"", ""order"": 42, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) The average number of pharmacy (RX) comprehensive managed care (CMC) encounter line records per RX claim header as a percentage of the national median and (2) the number of CMC plans with no RX encounter header records in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 71, ""measureName"": ""FFS Prescription Drug Expenditures"", ""order"": 50, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percent difference in Medicaid fee-for-service (FFS) expenditures for prescription drugs between the T-MSIS Analytic Files (TAF) and the CMS-64 data""}, {""measureId"": 78, ""measureName"": ""Payment Data Consistency - RX"", ""order"": 62, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: (1) Percentage of fee-for-service (FFS) pharmacy (RX) claims with a header payment equal to the sum of its associated claim line payments and (2) percentage of RX claims with an unknown payment level in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 114, ""measureName"": ""Category of Service Code - RX"", ""order"": 66, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of RX lines that have a category of service code consistent with program enrollment""}, {""measureId"": 118, ""measureName"": ""Federal Reimbursement Category Code - RX"", ""order"": 70, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of RX lines that have a federal reimbursement category consistent with program enrollment""}, {""measureId"": 55, ""measureName"": ""Type of Service - RX"", ""order"": 80, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of pharmacy (RX) claim line records with a missing or invalid type of service code (TOS) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 40, ""measureName"": ""Generic Indicator - RX"", ""order"": 89, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Multiple criteria: See Background and Methods""}, {""measureId"": 89, ""measureName"": ""National Drug Code - RX"", ""order"": 90, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of pharmacy (RX) line records with a missing or invalid National Drug Code (NDC) code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 90, ""measureName"": ""Days' Supply, Quantity, and Units - RX"", ""order"": 91, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of pharmacy (RX) line records with either (1) a days' supply value that is missing, invalid, or greater than 180, or (2) a missing or unusable National Drug Code (NDC) quantity in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 36, ""measureName"": ""Billing Provider NPI - RX"", ""order"": 95, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of records in the RX file with a missing billing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 31, ""measureName"": ""Prescribing Provider NPI - RX"", ""order"": 97, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of pharmacy (RX) header records with a missing prescribing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 32, ""measureName"": ""Dispensing Provider NPI - RX"", ""order"": 98, ""availableTafVersionIDs"": [13, 14, 15, 16, 17, 18, 23, 24, 25, 32, 35, 38, 41, 43, 6, 7, 8], ""description"": ""Percentage of pharmacy (RX) header records with a missing dispensing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 103, ""measureName"": ""Billing Provider Specialty and Taxonomy - RX"", ""order"": 103, ""availableTafVersionIDs"": [24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of RX header records with an expected billing provider specialty or taxonomy code""}]}, {""groupId"": 17, ""groupType"": ""File Types"", ""groupName"": ""APR File DQ Topics"", ""order"": 95, ""measures"": [{""measureId"": 92, ""measureName"": ""Linking Claims to Providers"", ""order"": 3, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of unique provider IDs on medical claims in the T-MSIS Analytic Files (TAF) that link to a provider ID on the TAF Annual Provider (APR) file ""}, {""measureId"": 91, ""measureName"": ""Active Enrollment Status Indicator"", ""order"": 107, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of unique Annual Provider (APR) file provider IDs where the active enrollment status indicator aligns with the claims in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 94, ""measureName"": ""Facility/Group/Individual Code"", ""order"": 108, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Multiple criteria: (1) Percentage of providers that are facility providers, (2) percentage of providers that are group providers, (3) percentage of providers that are individual providers, and (4) percentage of providers with a valid facility/group/individual code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 95, ""measureName"": ""Group and Individual Providers - Classification Types"", ""order"": 109, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of individual and group providers with a valid, usable, and applicable value reported for at least one classification type in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 97, ""measureName"": ""Facilities - Classification Types"", ""order"": 110, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of facility providers with a valid, usable, and applicable value reported for at least one classification type in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 96, ""measureName"": ""Facility Characteristics"", ""order"": 111, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of facility providers with a valid value reported for ownership code and profit status code in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 102, ""measureName"": ""Provider Location"", ""order"": 112, ""availableTafVersionIDs"": [24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of participating providers without a usable service or practice location: ZIP code or county code""}, {""measureId"": 109, ""measureName"": ""National Provider Identifier"", ""order"": 113, ""availableTafVersionIDs"": [25, 32, 35, 38, 41, 43], ""description"": ""Percentage of TAF Annual Provider Files (APR) records with a valid NPI""}]}, {""groupId"": 18, ""groupType"": ""File Types"", ""groupName"": ""APL File DQ Topics"", ""order"": 96, ""measures"": [{""measureId"": 88, ""measureName"": ""Linking Beneficiaries to Managed Care Plans"", ""order"": 4, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of beneficiary-plan combinations in the T-MSIS Analytic Files (TAF) Demographic and Eligibility (DE) file that link to a plan ID in the TAF Annual Managed Care Plan (APL) file""}, {""measureId"": 98, ""measureName"": ""Managed Care Plan Program and Population Characteristics"", ""order"": 117, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of records missing key managed care plan program and population characteristics in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 99, ""measureName"": ""Managed Care Plan Operational Characteristics"", ""order"": 118, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of records missing key managed care plan operational characteristics in the T-MSIS Analytic Files (TAF)""}, {""measureId"": 100, ""measureName"": ""Plan Name and Type"", ""order"": 119, ""availableTafVersionIDs"": [23, 24, 25, 32, 35, 38, 41, 43], ""description"": ""Percentage of records missing managed care plan name or type in the T-MSIS Analytic Files (TAF)""}]}]"